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Instructed patient about Atenolol and why it should be stored away from light, moisture and should be placed in a cool enviroment.
Instructed patient about the collection devices which help when treatments to manage incontinence fail. There are many types: liners, drips collectors, condoms, pads, guards, undergarments, briefs and bed pads. Devices should be comfortable and discreet, and keep skin, clothes and furniture dry. Overpadding damages skin and reduces leakage awareness.
Instructed patient on never walking barefoot to prevent cuts and burns and also to wear sleepers at night when getting up.
Instructed patient on the use of home glucose monitor to ensure accuracy of results.
Patient was instructed on Hyperglycemia. Diabetes can be reduced making changes in diet and increasing physical activity. It is recommended to maintain an healthy weight having a modest fat intake and eating sufficient fiber.
Take the Actonel tablet first thing in the morning, at least 30 minutes before you eat or drink anything or take any other medicine. Take each dose with a full glass (6 to 8 ounces) of water. Use only plain water (not mineral water) when taking a Actonel tablet. For at least the first 30 minutes after taking an Actonel tablet, do not lie down or recline; do not eat or drink anything other than plain water; and do not take any other medicines including vitamins, calcium, or antacids.
The patient was advised on factors that initiate asthmatic attacks (food, pollens, animals, dust, weather, etc). The patient was instructed in the correct use of oral inhaler, home oxygen or incentive spirometer as ordered. The patient was reviewed to avoid persons with infections.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
SN instructed patient / caregiver about urinary tract infection(uti), an infection in any part of the urinary system (kidneys, ureters , bladder and urethra). SN instructed patient / caregiver that most infections involve the lower urinary tract (the bladder and urethra). SN instructed symptoms / signs of uti such as a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine. SN instructed patient / caregiver on possible causes such as infection of the urethra and bladder. SN instructed patient / caregiver on lifestyle/ home remedies such as drinking plenty of water daily to help flush the urinary tract, avoid holding it when there's need to go to prevent development of bacteria which can cause uti. SN instructed patient / caregiver to wipe from front to back after movement, to help prevent bacteria from the anus from entering the vagina or urethra.
SN Instructed patient about the Ergocalciferol is vitamin D2. Vitamin D is important for the absorption of calcium from the stomach and for the functioning of calcium in the body.Possible hypervitaminosis D effects: polyuria, nocturia, polydipsia, hypercalciuria, reversible azotemia, hypertension, nephrocalcinosis, generalized vascular calcification, irreversible renal insufficiency (may be fatal), mental retardation, widespread soft tissue calcification, osteoporosis, dwarfism, vague aches, stiffness, weakness, nausea, anorexia, constipation, mild acidosis, anemia, weight loss.