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Instructed patient about how Atenolol blocks stimulation of receptors within vascular smooth muscle. It also decreases heart rate, decreases comsumption of oxygen by myocardium and it is used to treat hypertension, prophylaxis of angina pectoris, suspected or known myocardial infarction.
Instructed patient about the most common types of infection in diabetic patients, for example: skin, subcutaneous tissue, and renal and pulmonary infections.
Taught that Fosamax works by decreasing the activity of cells which break down bone.
Taught that never exercising a hot, inflamed joint is a measure aimed to controlling/managing Rheumatoid Arthritis.
Taught the patience not to wear tight clothing (belts) over the incision. Encourage the importance of not discontinuing the steroid medication that can precipitate adrenal crisis.
The patient was instructed in pernicious anemia (hyperchromic macrocytic anemia) that the debilitated disorder may incline the patient to infection. The patient was advised in the importance of evading large multitudes and persons who have or are supposed of having infections. The patient was instructed in the importance of taking vitamin B12 on a lifelong basis.
Skilled nurse remove PICC,line per doctor order, the catheter tip should also be examined and there is no breakage at the end, no S/S of infections noted. Skilled nurse applied at the insertion site with sterile gauze to prevent bleeding which and when the bleeding stops, the gauze is removed and a sterile dressing is applied. Instructed patient the dressing should remain for approximately 24 hours. After this time, the site should be assessed and a new dressing applied if needed. Patient understand the instructions given.
Instructed caregiver to call patient's doctor if patient have: fever or chills, redness, swelling, or pain that is getting worse. Bleeding or drainage from the hole.
SN instructed patient / caregiver on Xanax / Alprazolam Which is a medication in the class of benzodiazepines. Explained that this medication is indicated in the management of anxiety and panic attacks and that it works by acting on the CNS to decrease anxiety. Explained to patient that the side effects include: dizziness, drowsiness, lethargy, headache, rashes, nausea, vomiting. Explained that abrupt discontinuation of this medication can cause withdrawal symptoms such as: sweating, nausea, vomiting, muscle cramps, tremors and seizures. Instructed patient to avoid ETOH, CNS depressants, and grapefruit juice while taking Xanax. Instructed to notify Physician if experiencing unrelieved anxiety or if experiencing persistence or worsening of medication side effects
SN instructed patient / caregiver that Actos is an antidiabetic med that is used to lower blood sugar. SN explained that it is important to not take medication when blood sugar is low. SN instructed to patient / caregiver to check blood sugar level before taking the medication to avoid hypoglycemia. SN instructed that side effects of the medication include: SOB, swelling or rapid weight gain, chest pain, N / V, jaundice, blurred vision, pale skin, easy bruising. SN instructed patient / caregiver to inform physician if experiencing any of these side effect.