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Instructed in new medication Pulmicort to manage asthma. In addition, warned of possible S/E such as headache, pain, insomnia, asthenia, rhinitis, voice alteration, sinusitis, pharyngitis, dry mouth, nausea, vomiting, abdominal pain, taste perversion, cought, etc.
Instructed in complications of diabetes such as frequent infections. Instructed to manage frequent infections, to learn to spot the first signs of infections and what to do about them, bathe every day with mild soap and lukewarm water. Lotion may be applied to keep skin moist. Wear gloves when working outside. Always wear shoes and treat injuies promptly by cleansing with soap and water.
Instructed patient to eat foods which are easy to digest such as crackers, soups, gelatin and apple sauce.
Patient and/or caregiver instructed to clean any spilled or splashed grease on the kitchen floor immediately to prevent accidents.
Patient was instructed on measures for fire safety: Store flammable substances in a well-ventilated area. Use candles with caution. Put doors and screens on fire places.
Taught that blood pressure readings for people age 18-49 should not exceed 140/90.
Instructed on some signs/symptoms of Diabetes Mellitus (DM), such as: itching, changes in vision and weight loss.
SN instructed that the Loss of appetite can be a serious problem; it can lead to malnutrition and severe weight loss. Eating enough of the right kinds of foods can be difficult when you do not feel like eating at all. Here are some tips to help you increase your appetite: Avoid drinking liquids before a meal, because they can fill you up. If you want to drink, then drink juices or milk—something nutritious. Eat with family or friends if possible. Eat a variety of foods. Spice up your food with herbs, spices, and sauces. Use butter, bacon bits, croutons, wine sauces, and marinades to provide taste-pleasing meals. Do not fill up on salads or “diet” foods. Eat vegetables and fruits along with meats, poultry, and fish to make sure you get enough calories and nutrition. Eat smaller meals more often, especially if you fill up before you’ve eaten all your dinner.
SN instructed that the metoprolol lowers blood pressure by decreasing workload of heart. Watch for dizziness, lightheadedness when getting up, headache, stomach upset, loss of taste, fatigue and insomnia.
SN instructed patient / caregiver on medication Clonazepam. Explained that this medication is a benzodiazepines and it works to manage panic disorder as well as muscle convulsions and neuralgias. Explained that the side effects include behavioral changes, drowsiness, increased secretions, palpitations, constipation, ataxia and dependence. SN instructed patient / caregiver to notify physician ( MD ) if fever, clay colored stools, yellowing of skin, or behavioral changes occur.