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Instructed in new medication Alprazolam to manage anxiety. In addition, warned of possible S/E such as drowsiness, light-headedness, headache, confusion, tremor, dizziness, syncope, depression, insomnia, memory impairment, nervousness, minor changes in EEG patterns, hypotension, tachycardia, blurred vision, nasal congestion, dry mouth, nausea, vomiting, diarrhea, constipation, increased salivation, weight gain or loss, muscle rigidity, dermatitis. Avoid hazardous activities that require alertness and good psychomotor coordination until CNS effects of drug are known. Avoid alcohol while taking drug. Smoking may decrease effectiveness of drug. Do not stop using drug abruptly because withdrawal symptoms or seizures may occur.
Instructed in various factors that help alleviate pain without, or in addition to, analgesics such as frequent position changes, relaxation techniques, heat or cold, regular rest periods, pillows to support painful area, etc.
Instructed in possible adverse reactions to Lopressor, including fatigue, lethargy, dizziness, low heart rate, low blood pressure, nausea, vomiting, diarrhea, rash, and fever.
Instructed patient about S/S of osteoarthritis, such as, aching pain which increases with activity and is usually relieved with rest, stiffness upon rising, fatigue, decreased exercise tolerance, crepitus, restriction of joint movement and others.
Taught that avoiding situations that may cause stress is a measure aimed to preventing/controlling Osteoarthritis.
Instructed on some signs/symptoms of Diabetes Mellitus (DM), such as: increased appetite and slow healing wounds.
The patient was instructed in craniotomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
Skilled nurse instructed patient about medication Oxycodone is used to treat moderate to severe pain. Take this medicine exactly as prescribed by your doctor. Never share the medicine with another person. Misuse narcotic pain medication can use addiction overdose, or death, especially in a child or other person using the medicine without a prescription. Common Oxycodone side effects may include: mild drowsiness, headache, dizziness, tired feeling; stomach pain, nausea, vomiting, constipation, loss of appetite, dry mouth, or mild itching.
SN instructed patient on ProAir HFA Inhalation. That it is a quick-relief drug used to prevent and treat wheezing and shortness of breath caused by breathing problems. It works in the airways by opening breathing passages and relaxing muscles. SN instructed patient to rinse mouth with water after every use of the medication to prevent irritation and dryness in the mouth.
SN instructed about Morphine. This is can slow or stop your breathing, especially when you start using this medicine or whenever you dose is changed. Never take morphine in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain. Get emergency medical help if you have signs of an allergic reaction to morphine: hives; difficult breathing, swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: slow heart rate, sighing, weak or shallow breathing, chest pain, fast or pounding heartbeats, extreme drowsiness, feeling like you might pass out. Morphine is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated. Common morphine side effects may include: drowsiness, dizziness; constipation, stomach pain, nausea, vomiting, headache, tired feeling, anxiety or mild itching.