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Instructed in new medication Metaproterenol sulfate, to manage bronchial asthma. In addition, warned of possible S/E such as vertigo, headache, nervousness, dry and irritated throat, vomiting, nausea, dry mouth, etc.
Instructed in signs and symptoms of anemia such as headaches, palpitations, paleness of skin, dizziness, increased sensitivity to cold, brittle fingernails and hair, difficulty swallowing, tiredness, etc.
Instructed patient on how when blood presses against a vessel wall with too much force, muscles in the wall lose their stretch. This causes the wall to thicken, which narrows the vessel passage and reduces blood flow.
Patient advised to get a morrow and place it near suction machine so in that way he will see how to introduce suction catheter into tracheostomy tube without touching anything and in that way prevent contamination and further RTI.
Patient was instructed on hypertension. Factors that are linked to high blood pressure include, aging, drinking more than 2 alcohol drinks a day, eating a lot of sodium (salt), being overweight or obese, having high cholesterol, being under a lot of stress.
Taught that excess insulin and unusual exercise may lead to low blood sugar levels (hypoglycemia).
Instructed on some factors that may increase the risk of developing/exacerbating constipation, such as: organic problems, inactivity and chronic use of laxatives and enemas, among others.
Taught that stopping exercise, if pain occurs, is a measure aimed to preventing/controlling Osteoarthritis.
The patient was instructed in gout the importance to rise fluid drinking and evade high-purine foods. The patient was advised to rest with elevation of the affected joint with pillows, ice applications to irritated joints. The patient was taught in range-of-motion exercises of joints. The patient was reviewed that gout cannot be cured but can be measured with medication.
Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.