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Instructed in new medication Atorvastatin to reduce cholesterol levels. In addition, warned of possible S/E such as headache, asthenia, insomnia, peripheral edema, rhinitis, pharyngitis, sinusitis, abdominal pain, dyspepsia, flatulence, nausea, constipation, diarrhea, urinary tract infection, arthritis, arthralgia, myalgia, bronchitis, rash, infection, flu-like syndrome, and allergic reaction.
Instructed patient that depression induced suicide is more frequent among white or native americans, older than 60 years, lacking social support and/or having financial difficulties.
Patient and caregiver instructed that in the event of a power outage flashlights and new batteries should be placed by their bedside.
Instructed on the importance of avoiding/reducing exposure to crowds in order to reduce the risk of respiratory infections.
Taught that putting most frequently used items within easy reach is a measure aimed to increasing tolerance in response to increased physical activity.
SN instructed patient to rise slowly from sitting/supine position, as Atenolol may cause orthostatic hypotension and to avoid sudden discontinuation of this drug, as this may cause rebound hypertension. Patient verbalized understanding of instructions given.
Serious side effects of Actonel are chest pain, difficulty or pain when swallowing, pain or burning under the ribs or in the back, new or worsening heartburn, severe joint, bone, or muscle pain, or jaw pain, numbness, or swelling. Stop taking the medication and call the doctor immediately if any of these side effects 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 that a healthy diet is a major factor in reducing your risk of heart disease. A healthy diet and lifestyle can reduce your risk of heart disease, heart attacks, and stroke. Most fruits and vegetables are part of a heart-healthy diet. They are good sources of fiber, vitamins, and minerals. Most are low in fat, calories, sodium, and cholesterol. Eat five or more servings of fruits and vegetables per day. Choose whole grain foods (such as bread, cereal, crackers, and pasta) for at least half of your daily grain intake. Grain products provide fiber, vitamins, minerals, and complex carbohydrates. Eating too many grains, especially refined grain foods (such as white bread, pasta, and baked goods) can cause weight gain. Avoid high-fat baked goods such as butter rolls, cheese crackers, and croissants and cream sauces for pasta. Lean proteins, poultry, seafood, dried peas, lentils, nuts, and eggs are good sources of protein, B vitamins, iron, and other vitamins and minerals. Avoid foods with a lot of saturated fats including animal products such as butter, cheese, whole milk, ice cream, sour cream, lard, and fatty meats such as bacon.
SN instructed patient / caregiver regarding medication Digoxin. Explained that Digoxin helps make the heart beat stronger and with a more regular rhythm to treat A - fib. Explained that the side effects may include mild nausea, vomiting, diarrhea and headache. SN instructed patient / caregiver to avoid becoming overheated or dehydrated during exercise, in hot weather or by not drinking enough fluids, because Digoxin overdose can occur more easily if dehydrated, and to call 911 if overdose is suspected. Explained that the overdose symptoms may include severe nausea, severe vomiting or diarrhea, loss of appetite, blurred vision, seeing halos around lights or objects, severe skin rash, fast / slow or uneven heartbeats, and feeling like passing out. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistent side effects or adverse effects.
