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Patient was instructed on Osteoporosis. Limit alcohol use. Heavy alcohol use can decrease bone formation, and it clearly increases the risk of falling. However, some studies show moderate alcohol use (no more than 2 drinks a day for men and 1 drink a day for a women) is linked to higher bone density.
Patient was instructed on personal hygiene. Cover the mouth or turn away from people when coughing and sneezing. It
Taught that exposure to extreme temperatures may constitute as a precipitating factor of Angina Pectoris.
Instructed caregiver that treatment includes proper positioning, always avoid placing any weight or pressure on the wound site.
SN instructed patient to report any symptoms of anxiety such as feeling apprehensive, feeling powerless, having a sense of impending danger, panic or doom, having an increased heart rate, breathing rapidly (hyperventilation), sweating, trembling, and or feeling weak or tired to SN or MD immediately to help prevent further complications.
SN instructed patient to follow a low purine diet to help minimize acute gout attacks by limiting meat, poultry and fish. Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily. SN instructed pt/cg to cut back on fat since saturated fat lowers the body's ability to eliminate uric acid. Also instructed patient Limit or avoid foods sweetened with high-fructose corn syrup. Fructose is the only carbohydrate known to increase uric acid. It is best to avoid beverages sweetened with high-fructose corn syrup, such as soft drinks or juice drinks. Juices that are 100 percent fruit juice do not seem to stimulate uric acid production as much. SN also discussed to choose complex carbohydrates and explained to patient/cg that pt will need to eat more whole grains and fruits and vegetables and fewer refined carbohydrates, such as white bread, cakes and candy. SN advised CG to ensure that pt. drinks plenty of fluids, particularly water. Fluids can help remove uric acid from your body.
SN instructed patient about oxygen use precautions: Oxygen is a safe gas as long as it is used properly. Do not store your oxygen system near any heat sources or open flames. Do not smoke or allow others to smoke in the same room as your oxygen system, sparks from a cigarette could cause facial burns. Post “No Smoking” signs in the room where your oxygen is kept.
Skilled nurse instructed patient about medication Famotidine is used to treat ulcers (sores on the lining of the stomach or small intestine); gastroesophageal reflux disease (GERD, a condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus [tube that connects the mouth and stomach. Shake the liquid well for 5 to 10 seconds before each use to mix the medicine evenly. Swallow the tablets and capsules with a full glass of water.The following symptoms are common, but if you experience any of them call your doctor immediately: hives, skin rash, itching, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs.
Instructed patient it's very important for you to take your HIV medicines exactly as directed. Not taking medications correctly may lower the level of immune system defenders called CD4 cells and cause the level of virus in your blood (viral load) to go up.
SN instructed patient / caregiver regarding medication Levaquin. SN taught patient / caregiver that levaquin is an antibiotic and that it is used to treat bacterial infections. SN explained to patient that taking levaquin can make the skin more sensitive to sunlight and also may cause swelling or tearing of a tendon. SN explained to patient / caregiver that the side effects of this medication includes headache, nausea, constipation, diarrhea, difficulty sleeping, dry mouth and ear problems. SN instructed patient to notify physician ( MD ) if experiencing persistence or worsening of side effects.