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Instructed patient about proper subcutaneous injection technique using asepsis.
Patient was instructed on factors that may contribute to chronic wounds is old age. The skin of older people is more easily damaged, and older cells do not proliferate as fast and may not have an adequate response to stress in terms of gene up regulation of stress related proteins. In older cells, stress response genes are over expressed when the cell is not stressed, but when it is, the expression of these proteins is not regulated by as much as in younger cells.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if bone, joint or muscle pain occur.
Taught that abdominal fullness and/or abdominal discomfort may constitute as signs/symptoms of constipation.
Taught that the diastolic reading (the bottom number) represents the pressure on the blood vessel wall while the heart is at rest.
Calcium absorption is increased in an acidic environment, so tablets should be taken with meals
Encouraged patient the importance of evading allergens by food or insect venom. Advised patient for early and late symptoms.
The patient was instructed in hemophilia the necessity of good process in case of bleeding, applying cold compresses and tender direct compression to the place, raise the affected part. The patient was advised to defenses to stop bleeding, use an electric razor, evade constipation, and use a soft-bristled toothbrush. The patient was reviewed the importance of frequent valuation of joint function to permit rapid identification and conduct of hemophilic arthritis. The patient was recommended the essential to get regular dental care.
Instructed patient stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.)
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.