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Instructed in new medication Sinemet and in S/E such as choreiform, dystonic, dyskinetic movements, involuntary grimacing, head movements, myoclonic body jerks, ataxia, tremor, muscle twitching, bradykinetic episodes, psychiatric disturbances, anxiety, disturbing dreams, euphoria, malaise, fatigue, severe depression, suicidal tendencies, dementia, delirium, hallucinations (may necessitate reduction or withdrawal of drug), confusion, insomnia, agitation, orthostatic hypotension, cardiac irregularities, phlebitis, blepharospasm, blurred vision, diplopia, mydriasis or miosis, oculogyric crises, excessive salivation, dry mouth, bitter taste, nausea, vomiting, anorexia, constipation, flatulence, diarrhea, abdominal pain, urinary frequency, urine retention, urinary incontinence, darkened urine, priapism, hemolytic anemia, thrombocytopenia, leukopenia, agranulocytosis, hepatotoxicity, weight loss (may occur at start of therapy), hiccups, hyperventilation, and dark perspiration.
Instructed in use of Verapamil, to help regulate heartbeat, prevent chest pain, and reduce blood pressure.
Patient was instructed on eyes complications. Diabetes can cause eye problems and may lead to blindness. People with diabetes do have a higher of blindness than people without diabetes. Early detection and treatment of eye problems can save the sight.
Patient was instructed on cardiovascular complications. Hyperglycemia (high blood glucose levels) can cause arteries to narrow and/or lose elasticity causing Atherosclerosis (CAD) where blockage occurs in the arteries that go to the heart.
Patient was instructed on Hyperglycemia. The complications that long periods of high blood sugar levels can cause include, kidneys damages, neurological damage,cardiovascular damage, loss of vision etc
Instructed on the importance of notifying physician, nurse or other health care provider immediately if dark urine and/or persistent fatigue occur.
SN observed bag technique and performed proper hand washing per CDC guideline before and after patient contact. Vital signs taken & recorded. Assessed all body systems with focus on urological status. SN educated patient/pcg that benign prostatic hyperplasia (BPH) is a condition where the prostate glands become enlarged which usually happens when a man ages. It may compress the urethra which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder leading to the need to urinate frequently during the day and night. Signs and symptoms of BPH include hesitant, interrupted, weak stream of urine, urgency and leaking or dribbling, more frequent urination, especially at night. Possible complications of BPH include urinary tract infection and complete blockage of urethra/ SN instructed patient/pcg for patient to increase fluid intake, drink 6-8 glasses of water to prevent the onset of urinary tract infection which is characterized by cloudy urine, fever, foul odor, pain in bladder area. SN instructed patient to report to SN or MD if any of these symptoms occurs and become bothersome or if pain persists go to the nearest hospital or ER.
SN instructed patient and caregiver about Bactrim. Bactrim is an antibiotic used to treat certain bacterial infections, including urinary tract infections, ear infections, enteritis, pneumonia, traveler's diarrhea, and episodes of difficulty breathing in people with chronic bronchitis. Serious allergic reactions, such as skin rash, sore throat, fever, joint pain, cough, shortness of breath, paleness, or yellowing of your skin or the whites of your eyes. Low platelet levels that may be life-threatening, but usually go back to normal within a week of stopping treatment with Bactrim. Watery and bloody stools.
Instructed patient immediately after surgery, people are usually practicing very basic self-care and are soon encouraged to get up, to breathe deeply, and to resume eating, drinking and walking. The American Heart Association is working to help families and communities live heart-healthy lives. Use this physical activity information to help you get active and stay active, for life.
SN instructed patient / caregiver regarding medication Diovan. Explained that diovan is used to treat high blood pressure ( hypertension ) and heart failure. Explained that the high blood pressure reduction helps prevent strokes, heart attacks, and kidney problems and that this drug works by blocking the hormone angiotensin thereby relaxing blood vessels, causing them to widen. SN explained to patient / caregiver that side effects of this medication includes dizziness, lightheadedness, tiredness, or blurred vision as your body adjusts to the medication. SN instructed that if any of these effects persist or worsen, to notify doctor immediately.