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Instructed in measures to manage chronic renal failure, such as, following prescribed information closely, following activity as instructed, avoiding stress, monitoring blood pressure closely and reporting any signs of bleeding tendencies.
Instructed patient not to go outside during hurricane conditions. If a safe place to stay is not available consider going to a shelter in advance.
Instructed on the importance of using adjunctive equipment (e.g., cane) as a measure aimed to reducing the risk of falls/injuries.
Instructed on some signs/symptoms of Congestive Heart Failure (CHF), such as: unexplained rapid weight gain and dry or frothy cough, among others.
The patient was instructed in head trauma in the importance of the wound/incision care in any laceration or medical cut. The patient was advised that possible remaining effects like dizziness, headaches, memory loss can be continue for up to 3 to 4 months after trauma. The patient was reviewed that may experience variations in character, inappropriate social behavior, hallucinations. The patient was taught in finding assistive devices for ambulation. The patient was reviewed in concussion to evade Valsalva maneuvers like pulling during defecation, coughing, nose blowing, sneezing.
Instructed patient in new medication side effects ; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.
Instructed patient call your doctor if it is does not get better when you treat it.If your stoma is leaking, your skin will get sore, be sure to treat any skin redness or skin changes right away, when the problem is still small. Do not allow the sore area to become larger or more irritated before asking your doctor about it, If your stoma becomes longer than usual (sticks out from the skin more), try a cold compress, like ice wrapped in a towel, to make it go in.
Instructed patient contact your doctor immediately if you have a fever, chills, redness, bleeding, irregular heart beat, chest pain, shortness of breath, weakness, or dizziness. Report redness, swelling, increased drainage or excessive pain at the surgical incision.
SN instructed patient / caregiver that valacyclovir is an antiviral drug used in the management of herpes simplex, herpes zoster, and herpes B. Common adverse drug reactions are the same as for valacyclovir and include: nausea, vomiting, diarrhea and headache. Infrequent adverse effects may include: agitation, vertigo, confusion, dizziness, edema, arthralgia, sore throat, constipation, abdominal pain, rash, weakness and/or renal impairment. Rare adverse effects include: coma, seizures, neutropenia, leukopenia, tremor, ataxia, encephalopathy, psychotic symptoms, crystalluria, anorexia, fatigue, hepatitis, Stevens–Johnson syndrome, toxic epidermal necrolysis and/or anaphylaxis.
SN instructed patient about high blood pressure. Normal blood pressure is when your blood pressure is lower than 120 / 80 mm / Hg most of the time. High blood pressure ( hypertension ) is when your blood pressure is 140 / 90 mm / Hg or above most of the time.