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Instructed that depression may surface with other mood disorders such as seasonal major depression, postpartum depression and bipolar disorder.
Instructed in measures important in foot care of the diabetic: inspect feet dialy, report any foot problems to podiatrist or physician, wash feet dialy with warm soap and water and pat dry; especially between toes.
Instructed patient Don't clean and reuse an inner cannula designed for one-time use.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if dark urine and/or persistent fatigue occur.
Taught that activity intolerance is an alteration in the ability to tolerate increased physical activity.
SN instructed patient on range of Vancomycin toxicity (toxicity is reported at levels sustained above 80 to 100 mcg/ml). Patient verbalized understanding of instructions given.
Taught the patience not to wear tight clothing (belts) over the incision. Encourage the importance of not discontinuing the steroid medication that can precipitate adrenal crisis.
SN instructed patient to report any symptoms of anxiety such as feeling apprehensive, feeling powerless, having a sense of impending danger, panic or doom, having an increased heart rate, breathing rapidly (hyperventilation), sweating, trembling, and or feeling weak or tired to SN or MD immediately to help prevent further complications.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
Instructed patient when to call your doctor although it's common to have some food-related symptoms after surgery, it is important to contact your surgeon if you experience the following symptoms, since they may be symptoms of a serious complication: Persistent, worsening, or severe abdominal pain, severe nausea or vomiting, yellowing of your skin, called jaundice.