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Instructed in new medication Amitriptyline to manage depression. In additon, warned of possible S/E such as coma, seizures, hallucinations, delusions, disorientation, ataxia, tremor, peripheral neuropathy, anxiety, insomnia, restlessness, drowsiness, dizziness, weakness, fatigue, headache, extrapyramidal reactions, MI, stroke, arrhythmias, heart block, orthostatic hypotension, tachycardia, ECG changes, hypertension, edema, blurred vision, tinnitus, mydriasis, increased intraocular pressure, dry mouth, nausea, vomiting, anorexia, epigastric distress, diarrhea, constipation, paralytic ileum, urine retention, agranulocytosis, thrombocytopenia, leukopenia, eosinophilia, hypoglycemia, hyperglycemia, rash, urticaria, photosensitivity, diaphoresis and hypersensitivity reaction. Instructed to take full dose at bedtime but warned patient of possible morning orthostatic hypotension. Avoid alcohol during drug therapy. Consult MD before taking other medications. Avoid activities that require alertness and good psychomotor coordination until CNS effects of drug are known. Drowsiness and dizziness usually subside after a few weeks. Dry mouth may be relieved with sugarless hard candy or gum. Saliva substitutes may be needed. Instructed to use a sun block, wear protective clothing and avoid prolonged exposure to strong sunlight. To prevent photosensitivity reactions. Do not stop drug therapy abruptly.
Instructed in how to recognize signs and symptoms of high blood sugar such as frequent urination, excessive thirst, headache, weakness, fatigue, dizziness, nausea, vomiting, abdominal cramps, etc.
Instructed patient about the uses of Allopuriniol. This medication is used to treat Gout, hyperuricemia associated with malignancies and calcium calculi.
Patient was instructed on adequate nutrition and hydration to minimize wound development. Encourage protein, calorie-dense foods and fluids (unless contraindicated), monitor intake, weight and skin turgor, assess and address impairments in dentition and swallowing.
Patient was instructed on personal hygiene. Personal hygiene includes health practices such as washing the hair at least once a week, bathing every day, brushing the teeth after every meal and at bed time, and cleaning the clothes.
Instructed on the importance of taking Levothyroxine at the same time each day, as directed by MD, in order to get the most benefit from it.
Instructed on some potential complications of Osteoarthritis, such as: gastrointestinal bleeding and stress ulcers, among others.
The patient was instructed in heart failure to take and record the pulse. The patient was advised to avoid hot, humid, weather. The patient was taught for home oxygen therapy.
The patient was instructed on the new medication Nystatin, to be used according the indications; The use of this medication as directed (including the replacement of missed doses). This medication is not for any disorder other than that for which it is prescribed. Even if symptomatic relief occurs within the first few days of treatment, the patient should be advised not to interrupt or discontinue therapy until the prescribed course of treatment is completed. If symptoms of irritation develop, the patient should be advised to notify the physician promptly
SN instructed patient that Zocor( Simvastatin) may infrequently cause muscle problems , which can rarely lead to very serious conditions called rhabdomyolysis and autoimmune myopathy. Daily use of alcohol may increase your risk for liver problems, especially when combined with simvastatin.