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Patient instructed to breathe deeply five or six times after experiencing a fall. In the event of any injuries do not try to get up, call a family member immediately for assistance.
Taught that lowering high blood pressure helps prevent strokes, heart attacks and kidney problems.
Instructed on some factors that may increase the risk of developing/exacerbating Emphysema, such as: advanced age and continual exposure to harmful irritants (e.g., occupational hazards, air pollution and cigarette smoking), among others.
Patient was instructed that stress management is important because stress can contribute to high blood pressure.
SN instructed patient to chew foods completely to help the digestive process. Especially avoid swallowing large pieces of leafy vegetables since they can block the stoma opening on the abdominal wall.
The patient was instructed in hyperthyroidism to care for eyes from sunny lights, corneal ulcerations, and infections and to wear sunglasses or eye patches. The patient was advised to put on calm compresses to the eyes if irritated. The patient was reviewed to apply lubricants to protect the cornea.
Instructed patient to avoid foods which might increase acid reflux. Food that is very hot or very cold, fried foods, peppermint, coffee, drinks that contain caffeine, spicy, highly seasoned foods, tomato-based dishes, citrus fruits and juices, chocolate and sweets. If patient any reflux symptoms, instructed on not lie down right after eating and to remain upright for at least 2 hours.
Instructed that medication Spironolactone is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (e.g., congestive heart failure) by removing excess fluid and improving symptoms such as breathing problems. Instructed that common side effects include, Drowsiness, dizziness, lightheadedness, stomach upset, diarrhea, nausea, vomiting, or headache.
Instructed patient measure your stoma once a week for the first 6 to 8 weeks after your ostomy surgery. Your stoma shrinks while it is healing and you need to keep measuring so you can make sure that the opening in the skin barrier is the right size for your stoma. Remeasure your stoma if any irritation develops between the stoma and skin barrier wafer.
SN instructed patient / caregiver on medication Azor. Explained that azor is a medication used to lower blood pressure. Explained that it is a combination medication of Amlodipine and Olmesartan and it works by dilating the blood vessels causing a decrease in blood pressure. Explained that the side effects include edema, orthostatic hypotension, rash, itching, palpitation and nocturia. SN instructed patient / caregiver to notify physician ( MD ) if experiencing headache, dizziness or flushing.