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Instructed patient on the use of absorbent products with polymer gel and changing when wet, wash skin with incontinence wipe or cleanser but avoiding excessive friction. Avoid soap as it removes natural protective lubricants.
Instructed patient about measures to prevent or treat pneumonia: eating well balanced meals, adequate rest, avoiding upper respiratory infections or getting promptly treatment for early symptoms, drinking large amounts of fluids to thin secretions and replace fluid loss, avoiding spread of infections by washing hands and properly dispose of tissues. Avoid smoking; perform coughing and deep breathing exercises.
Patient was instructed on how to react drug side effects: To lessen dizziness stands up slowly. Sit or lie down at the first sign of dizziness. Go up and down the stairs slowly.
Taught that resting frequently during an activity to allow the heart to recover is a measure aimed to increasing tolerance in response to increased physical activity.
Instructed on some signs/symptoms of low blood sugar (hypoglycemia), such as: hunger, anxiety and impaired vision, among others.
The patient was instructed in dilated cardiomyopathy to take and record the pulse. The patient was taught to weigh daily at the same time using the same scale. The patient was advised to avoid hot, humid weather. The patient was instructed for home oxygen therapy.
Patient was educated about potassium 10 meq 1 tablet oral daily and the importance to know sign and symptoms of toxicity and Overdose: (slow, irregular heartbeat; fatigue; muscle weakness; paresthesia; confusion; dyspnea).
Instructed caregiver to keep patient's ulcer from becoming infected, it is important to: keep blood glucose levels under tight control; keep the ulcer clean and bandaged; cleanse the wound daily, using a wound dressing or bandage; and avoid walking barefoot.
SN instructed patient / caregiver about Methylprednisolone ( Medrol ), it is a corticosteroid used to treat severe allergies, arthritis, asthma, and skin conditions. It may also be used to treat other conditions as determined by your doctor. Possible side effects, that may go away during treatment, include difficulty sleeping, mood changes, nervousness, increased appetite, or indigestion. If they continue or are bothersome, check with your doctor. Check with your doctor as soon as possible if you experience swelling of feet or legs unusual weight gain black, tarry stools vomiting material that looks like coffee grounds severe nausea or vomiting changes in menstrual periods headache muscle weakness or prolonged sore throat, cold or fever. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. DO NOT stop taking this medicine without checking with your doctor. Stopping this medicine suddenly may cause serious side effects. Keep all doctor and laboratory appointments while you are using this medicine. Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using this medicine. This medicine makes you more susceptible to illnesses, especially if you take it for an extended period of time. Prevent infection by avoiding contact with people who have colds or other infections. Report any injuries or signs of infection (fever, sore throat, pain during urination, or muscle aches) that occur during treatment and within 12 months after stopping this medicine.
SN instructed patient regarding medication Furosemide. SN informed patient that Furosemide is used to treat fluid retention and high blood pressure and it causes increased urination. SN instructed patient to watch out for side effects of this medication such as headache, dizziness, blurred vision, constipation, diarrhea, and numbness / burning / tingly feeling and to notify physician ( MD ) if experiencing these side effects persistently. SN informed that Lasix may deplete potassium in the body, thus needing potassium supplement or increased potassium intake ( oranges, bananas ). SN instructed patient / caregiver to report to physician ( MD ) if patient experiences vomiting, fast / uneven heartbeat, lightheadedness or increased weakness, muscle pains, or urinating less or not at all.