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Instructed in new medication Sinemet and in S/E such as choreiform, dystonic, dyskinetic movements, involuntary grimacing, head movements, myoclonic body jerks, ataxia, tremor, muscle twitching, bradykinetic episodes, psychiatric disturbances, anxiety, disturbing dreams, euphoria, malaise, fatigue, severe depression, suicidal tendencies, dementia, delirium, hallucinations (may necessitate reduction or withdrawal of drug), confusion, insomnia, agitation, orthostatic hypotension, cardiac irregularities, phlebitis, blepharospasm, blurred vision, diplopia, mydriasis or miosis, oculogyric crises, excessive salivation, dry mouth, bitter taste, nausea, vomiting, anorexia, constipation, flatulence, diarrhea, abdominal pain, urinary frequency, urine retention, urinary incontinence, darkened urine, priapism, hemolytic anemia, thrombocytopenia, leukopenia, agranulocytosis, hepatotoxicity, weight loss (may occur at start of therapy), hiccups, hyperventilation, and dark perspiration.
Instructed patient to maintain a diabetic record of blood sugars and any adverse reactions. Records should include date, time, and any other pertinent information.
Patient was instructed on the importance to take frequent rest periods elevating feet to promote circulation and do not cross the legs when sitting.
Taught that potential complications of Angina Pectoris are dysrhythmia of the heart and myocardial infarction.
Taught that eating well-balanced meals high in protein, vitamins and iron is a measure aimed to controlling/managing Rheumatoid Arthritis.
SN instructed patient on Vancomycin adverse effects such as: erythroderrma, thrombocytopenia, neutropenia, ototoxicity, and nephrotoxicity. Patient verbalized understanding of instructions given.
The patient was instructed in encephalitis and meningitis to swim only in chlorinated water to evade amebic infection. In this case for a patient with bacterial meningitis encourage to inform all friends to be evaluated for recognition and treatment. The patient was advised to prophylactic procedures to prevent bacterial transmission, immunization may be indicated for close contacts.
The patient was instructed in fixator devices internal fixator positions a risk for refracture and analysis preventive actions, care in support walking, and no weight manner in anticipation of well-ordered by the doctor. The patient was advised that some nails or large plates may be removed in a year.
SN instructed patient that Ampicillin may cause diarrhea, nausea, vomiting, or rash.
SN instructed patient psychological stresses such as difficulties with relationships, job pressures, financial strain, and even concerns about self-worth can contribute to hyperglycemia. If these issues become overwhelming, decreased attention to the diabetes treatment plan may also contribute to hyperglycemia.