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Instructed in new medication Starlix to manage diabetes. In addition, warned of possible S/E such as dizziness, diarrhea, hypoglycemia, back pain, arthropathy, upper respiratory tract infection, bronchitis, coughing, flu symptoms and accidental trauma. Instructed to take drug 1 to 30 minutes before a meal. Notify MD for persistent hypoglycemia or hyperglycemia.
Instructed in S/S of hypertension such as blurred vision, nouse bloods, dizziness, headache, palpitations, etc.
Patient was instructed on proper nutrition, such as avoid eating fatty meats, bacon, corned beef, luncheon meats, spiced meat, gravy, sardines, salmon, tuna, duck, goose, and organ meats.
Patient was instructed on other reasons Why Older People Fall such as: Lightheadedness with standing caused by postural hypotension (blood pressure that drops dramatically with standing), other forms of dizziness, persistent pain in any part of the leg.
Taught that antacids can decrease the absorption of Crestor when taken at the same time.
Taught that lung infections and some diseases are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
Skilled nurse advised patient that alprazolam may cause physical or psychological dependence.
The patient was instructed in encephalitis and meningitis to swim only in chlorinated water to evade amebic infection. In this case for a patient with bacterial meningitis encourage to inform all friends to be evaluated for recognition and treatment. The patient was advised to prophylactic procedures to prevent bacterial transmission, immunization may be indicated for close contacts.
SN instructed patient / caregiver regarding medication Diltiazem. Explained that Diltiazem is a calcium channel blocker that is used in the treatment of hypertension, angina pectoris, and some types of arrhythmia. Explained that the side effects of this medication includes stuffy nose, skin rash or itching, dizziness, headache, tired feeling, nausea or warmth, itching, redness, or tingly feeling under your skin. Instructed to notify Physician if experiencing persistence or worsening of medication side effects.
SN instructed patient / caregiver that Actos is an antidiabetic med that is used to lower blood sugar. SN explained that it is important to not take medication when blood sugar is low. SN instructed to patient / caregiver to check blood sugar level before taking the medication to avoid hypoglycemia. SN instructed that side effects of the medication include: SOB, swelling or rapid weight gain, chest pain, N / V, jaundice, blurred vision, pale skin, easy bruising. SN instructed patient / caregiver to inform physician if experiencing any of these side effect.