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Instructed in new medication Avapro to manage hypertension. In addition, warned of possible S/E such as fatigue, anxiety, dizziness, headache, chest pain, edema, tachycardia, pharyngitis, rhinitis, sinus abnormality, diarrhea, dyspepsia, abdominal pain, nausea, vomiting, urinary tract infection, musculoskeletal trauma, or pain, upper respiratory tract infection, rash.
Instructed in measures important in foot care of the diabetic: inspect feet dialy, report any foot problems to podiatrist or physician, wash feet dialy with warm soap and water and pat dry; especially between toes.
Instructed in proper disposal of soiled dressing materials in biohazardous waste container provided.
Instructed in site to use for subcutaneous injection, and the importance of rotating these sites.
Patient was instructed on how to prevent Hypoglycemia: Start off every morning with a healthy breakfast containing fruits, vegetables and high fiber foods such oatmeal. Eat healthy food without skipping any meals during the day.
Taught that heart failure, cardiac arrest and dysrhythmias are potential complications of Coronary Artery Disease (CAD).
Instructed on some potential factors of decreased tolerance in response to increased physical activity, such as: depression, stress and/or crisis, among others.
Instructed patient on new medication Santyl ointment. It is used for removing the dead skin from wounds or burned areas. Santyl ointment is an enzymatic debriding ointment. It works by breaking down dead skin.
Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.
SN instructed patient / caregiver that the more you know about any medication you use, the better it is as they can be sure they're using it properly. There are simple safety measures when taking any medication like take each medication exactly as it has been prescribed, make sure that all your doctors know about all your medications, and let your doctors know about any other over the counter (OTC) medications, vitamins and supplements, or herbs that you use as well as any allergies to any medication.