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Instructed in new medication Sinemet and in S/E such as choreiform, dystonic, dyskinetic movements, involuntary grimacing, head movements, myoclonic body jerks, ataxia, tremor, muscle twitching, bradykinetic episodes, psychiatric disturbances, anxiety, disturbing dreams, euphoria, malaise, fatigue, severe depression, suicidal tendencies, dementia, delirium, hallucinations (may necessitate reduction or withdrawal of drug), confusion, insomnia, agitation, orthostatic hypotension, cardiac irregularities, phlebitis, blepharospasm, blurred vision, diplopia, mydriasis or miosis, oculogyric crises, excessive salivation, dry mouth, bitter taste, nausea, vomiting, anorexia, constipation, flatulence, diarrhea, abdominal pain, urinary frequency, urine retention, urinary incontinence, darkened urine, priapism, hemolytic anemia, thrombocytopenia, leukopenia, agranulocytosis, hepatotoxicity, weight loss (may occur at start of therapy), hiccups, hyperventilation, and dark perspiration.
Instructed in factors that may increase the risk of osteoarthritis such as trauma, advancing age, poor body posture, genetic tendency, metabolic or endocrine abnormalities, and others.
Instructed patient/ caregiver not to use the barbeque inside the house due to risk of intoxication.
Patient advised to get a morrow and place it near suction machine so in that way he will see how to introduce suction catheter into tracheostomy tube without touching anything and in that way prevent contamination and further RTI.
SN instructed patient and caregiver that Plavix is used to prevent heart attacks and strokes in persons with heart disease. Avoid alcohol as very serious interactions can occur. To take this medication regularly with or without food. Patient and caregiver verbalized understanding.
SN instructed patient that Rheumatoid Arthritis is a systemic disease characterized by chronic inflammation of the joint. Rheumatoid Arthritis causes pain and swelling in the wrist and small joints of the hand and feet. Rheumatoid Arthritis can also affect other tissues throughout the body and cause problems in organs such as the lungs, heart, and eyes. Patient verbalized understanding.
The patient was instructed in fixator devices internal fixator positions a risk for refracture and analysis preventive actions, care in support walking, and no weight manner in anticipation of well-ordered by the doctor. The patient was advised that some nails or large plates may be removed in a year.
The patient was instructed in ulcerative colitis (Crohn’s Disease, Inflammatory Bowel Disease in the need for perianal care daily and after each bowel movement. The patient was taught perianal and perianeal skin care. The patient was encouraged a diet is bland, low in residue, fiber, and fat, but high in protein, calories, carbohydrates, and vitamins. The patient was recommended to evade seasoned foods, raw fruits and vegetables, foods containing rough cereals, bran, seeds or nuts, milk, fatty or fried foods, caffeine, alcohol and carbonated beverages.
Instructed patient How can a urostomy fit into you lifestyle: Reduce odor. Some foods, such as asparagus, cheese, and eggs may cause your urine to have a strong odor. Vitamin C may help to decrease urine odor. Drink liquids as directed. Most people should drink at least 8 (8-ounce) cups of liquids each day.
SN instructed patient about Tramadol. SN instructed that it is an opiate pain medication used to treat moderate to moderately severe pain. SN Taught that the most common adverse effects of tramadol include nausea, dizziness, dry mouth, indigestion, abdominal pain, vertigo, vomiting, constipation, drowsiness and headache. SN Instructed patient to take pain medication before pain becomes severe to achieve better pain control.