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Fistula Teaching 1752

Instructed patient about external fistulas cause discharge through the skin. They are accompanied by other symptoms, including: abdominal pain, painful bowel obstruction, fever, elevated white blood cell count. Prevent skin maceration and breakdown from corrosive effluent and wound infection. Patient comfort, accurate measurement of effluents, patient mobility protect skin from damage from effluent, containment of effluent, odor control.

Cefalexin Teaching 1755

SN instructed patient and/or caregiver that Cephalexin is an antibiotic that can treat a number of bacterial infections. Common adverse effects of Cefalexin, like other oral cephalosporins, are gastrointestinal , disturbances and hypersensitivity reactions. Gastrointestinal disturbances include nausea, vomiting, and diarrhea. Hypersensitivity reactions include skin rashes, urticaria, fever, and anaphylaxis. Pseudomembranous colitis has been reported with use of Cefalexin. Signs and symptoms of an allergic reaction include rash, itching, swelling, trouble breathing, or red, blistered, swollen, or peeling skin.

Dehydration Teaching 1756

Patient was instructed to drink adequate amounts of fluids to prevent dehydration. Sports drinks and fruit juices are helpful too, but they don't provide the ideal balance of water, sugar, and salt. However, drinking more fluid than your body can process can reduce the amount of sodium (salt) in your blood.

COPD Teaching 1757

COPD Instructed patient about effective coughing by following these steps: While sitting in a chair, take several deep breaths as like for diaphragmatic breathing. Placing the hand over their stomach while breathing normally. Tightening up the stomach and chest muscles with the mouth open. Forcing air out while whispering the word "huff."

Tramadol Teaching 1758

Instructed patient and caregiver about Tramadol. It is an opioid pain medication used to treat moderate to moderately severe pain. Serious side effects of Tramadol may include: seizures, increased risk of serotonin syndrome, decreased alertness, and drug addiction. Common side effects include: constipation, itchiness and nausea, etc. A change in dosage may be recommended in those with kidney or liver problems.

Anticoagulant Teaching 1759

SN instructed patient on high risk medication, anticoagulant, warfarin. Use precautions such as, Tell care providers you take warfarin before you have any medical or dental procedures, Avoid situations that increase your risk of injury, Use safer hygiene and grooming products, Consider wearing a bracelet or carrying a card that says you take warfarin. Patient understanding.

COPD Teaching 1760

SN instructed that Breo Ellipta is used regularly as a long term (maintenance) treatment to prevent or decrease wheezing and trouble breathing caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, including chronic bronchitis and emphysema). Instructed that common side effects include, Headache, dry/irritated throat, hoarseness, runny nose, and coughing may occur as your body adjusts to the medication.

Diabetes Teaching 1761

SN instructed that Janumet is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Instructed that common side effects include, nausea, vomiting, stomach upset, diarrhea, headache, weakness, or a metallic taste in the mouth may occur.

Hypertension Teaching 1762

Instructed that medication Spironolactone is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (e.g., congestive heart failure) by removing excess fluid and improving symptoms such as breathing problems. Instructed that common side effects include, Drowsiness, dizziness, lightheadedness, stomach upset, diarrhea, nausea, vomiting, or headache.

COPD Teaching 1763

SN instructed on new medication Spiriva is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Instructed that common side effects include, dry mouth, constipation, or dizziness.