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Instructed in new medication Glucovance to improve glycemic control in patients with type-two diabetes whose hyperglycemia cannot be controlled with diet and exercise alone. In addition, warned of possible S/E such as headache, dizziness, diarrhea, nausea, vomiting, abdominal pain, hypoglycemia, lactic acidosis, or upper respiratory tract infection. Instructed to take one daily with breakfast and, if twice daily, then at breakfast and dinner. Stop drug and tell prescriber of unexplained hyperventilation, myalgia, malaise, unusual somnolence, or other symptoms of early lactic acidosis. GI symptoms are common with initial drug therapy but GI symptoms that occur after prolonged therapy may be related to lactic acidosis or other serious disease and should be reported promptly. Instructed not to take any other drugs, including OTC drugs, without checking with prescriber.
Patient was instructed on other reasons Why Older People Fall such as: Impaired vision & for example, needing new glasses or having cataracts, Excess use of alcohol or sedatives.
Instructed on the importance, when taking Labetalol, of do not stopping abruptly its intake as some conditions may become worse when this drug is suddenly stopped.
SN instructed patient that Rheumatoid Arthritis is a systemic disease characterized by chronic inflammation of the joint. Rheumatoid Arthritis causes pain and swelling in the wrist and small joints of the hand and feet. Rheumatoid Arthritis can also affect other tissues throughout the body and cause problems in organs such as the lungs, heart, and eyes. Patient verbalized understanding.
The patient was advised to avoid lifting/stooping in order to decrease back pain. The patient was encouraged to avoid or stop smoking (nicotine decreases diskal circulation).
The patient was instructed in endocarditis that can lead to bacteremia and reinfection by poor oral hygiene, dental work, cleaning, gum treatment, extractions, gastrointestinal, genitourinary procedures, vaginal deliveries, furuncles, staphylococcal infections, surgical procedures. The patient was advised the need for antibiotic prophylaxis before a procedure that may cause bacteremia.
Instructed caregiver reduce friction by making sure when lifting a patient in bed that they are lifted, not dragged during repositioning, prevent ulcers from occurring and can also help them from getting worse .
SN instructed patient about constipation and diarrhea can still occur with a colostomy. Reasons why constipation may occur include certain medications, not drinking enough fluids or eating enough fiber, just like before you had a colostomy.
SN instructed patient / caregiver about Bethanechol. Sometimes given orally or subcutaneously to treat urinary retention resulting from general anesthetic, diabetic neuropathy of the bladder, or a side effect of antidepressants or to treat gastrointestinal atony (lack of muscular tone). Adverse reaction are rare following oral administration of Bethanechol, but are more common following subcutaneous injection. Adverse reactions are more likely to occur when dosage is increased. Adverse reactions that have been observed: Body as a Whole: malaise; Digestive: abdominal cramps or discomfort, colicky pain, nausea and belching, diarrhea, borborygmi, salivation; Renal: urinary urgency; Nervous System: headache; Cardiovascular: a fall in blood pressure with reflux tachycardia, vasomotor response; Skin: flushing producing a feeling of warmth, sensation of heat about the face, sweating; Respiratory: bronchial constriction, asthmatic attacks; Special Senses: lacrimation, miosis.
SN instructed patient on medication Ceftriaxone. Is used to treat many kinds of bacterial infections, including severe or life-threatening forms such as meningitis. Call your doctor at once if you have a serious side effect such as: diarrhea that is watery or bloody. Patient verbalized understanding the teaching. Those teaching will be reinforced