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Instructed patient about Atenolol. How it may be crushed, chewed or swallowed whole; preferably taken with food to prevent gastrointestinal discomfort.
Instructed patient about how his/her body responds to the excess of calories and fat by creating an undesirable increase in blood sugar.
Patient was instructed on skin complications. As many as one third of people with diabetes will have a skin disorder caused or affected by diabetes at some time on their lives. In fact, such problems are sometimes the first sign that a person has diabetes. Luckily, most skin conditions can be prevented or easily treated if caught early.
Instructed on the importance of taking Plavix regularly, at the same time each day and as directed by MD, in order to get the most benefit from it.
Taught that, in Emphysema, there is an enlargement and loss of elasticity of the alveoli resulting in decreased air exchange and air trapping.
Instructed on some signs/symptoms of Osteoarthritis, such as: crepitus (creaking or granting upon joint movement), among others.
SN instructed patient on adverse effects of ceftriaxone (diarrhea, vomiting, erythema, and stevens-Johnson syndrome). Patient and PCG verbalized understanding of instructions given.
SN instructed in possible complication of PVD such as ulcers, cellulites, gangrene, thrombophlebitis, etc. SN instructed patient to walk for at least 15 minutes three to four times per day, gradually increasing her pace and duration of exercise. It is recommended not to cross the legs, which may interfere with blood flow; manage swelling by elevating the feet at rest. Vasodilation can be achieved by providing warmth to the affected extremity and preventing long periods of exposure to cold; maintain a warm environment at home and wear socks or insulated shoes at all times. Never apply direct heat to the limbs, such as with the use of a heating pad or extremely hot water to reduce the risk of burns. Verbalized understanding.
SN instructed that Torsemide is a loop diuretic. It works by making the kidney eliminate larger amounts of electrolytes ( especially sodium and potassium salts ) and water than normal ( diuretic effect ). It is used to treat edema ( swelling ) associated with heart, kidney, or liver failure, or with conditions in which there is excess body water. It is also used alone or with other medicines to treat high blood pressure. Torsemide may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep, try to take your dose before 6 pm. If you also take cholestyramine, do not take it within 4 hours before or after taking torsemide. may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. Torsemide may affect your blood sugar. Check blood sugar levels closely. Weight should be monitored while taking this medication.
SN instructed patient / caregiver on medication Azor. Explained that azor is a medication used to lower blood pressure. Explained that it is a combination medication of Amlodipine and Olmesartan and it works by dilating the blood vessels causing a decrease in blood pressure. Explained that the side effects include edema, orthostatic hypotension, rash, itching, palpitation and nocturia. SN instructed patient / caregiver to notify physician ( MD ) if experiencing headache, dizziness or flushing.