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Instructed in visiting an ophthalmologist, an MD who specializes in eye care inmediately if there are any of these symptoms of eye damage: blurred or double vision, narrowed field of vision, seeing dark spots, feeling of pressure or pain in the eyes and difficulty seeing in dim light.
Instructed in new medication Atenolol to manage hypertension. In addition, warned of possible S/E such as fatigue, lethargy, vertigo, drowsiness, dizziness, fever, bradycardia, hypotension, heart failure, intermittent claudication, nausea, diarrhea, thrombocytopenia, hyperkalemia, hypoglycemia, increased risk of developing type-two diabetes, dyspnea, bronchospasm, rash and leg pain. Instructed to take drug exactly as prescribed at the same time every day. Do not stop drug suddenly but do call prescriber if unpleasant adverse reactions occur. If pulse rate is below 60 beats/minute, stop taking drug and call prescriber. Women: notify prescriber if pregnancy occurs. Drug usage might be discontinued.
Instructed patient to call MD whether dehydration is present or a known injury has occurred, such as head injury or infection, that may be causing vomiting.
Taught that a cerebrovascular accident is a loss of brain function resulting from a disruption of blood flow to part of the brain.
Instructed on some measures aimed to preventing/controlling Epilepsy, such as: take corresponding medications exactly as directed by MD and avoid over-the-counter medication without MD
Instructed on some factors that may increase the risk of developing/exacerbating Osteoporosis, such as: decreased estrogen levels in post-menopausal women.
SN stressed importance of daily foot care such as wearing shoes or slippers at all time to prevent foot injury.
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.
The patient was instructed in lung cancer the importance of evading persons with higher respiratory area infections. The patient was advised that after release should evade heavy lifting. The patient was instructed in examine radiation places daily. The patient was advised in skin precaution, including care of color markings and the need to evade use of soap and other ointments. The patient was instructed to evade close-fitting or compressing clothing around the radiation place. The patient was advised that weakness and other side effects begin during the first week of therapy and slowly disappear 2 to 4 weeks after therapy ends.
SN instructed that the Metformin 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. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb.