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Instructed in possible adverse reactions to Lopressor, including fatigue, lethargy, dizziness, low heart rate, low blood pressure, nausea, vomiting, diarrhea, rash, and fever.
Instructed patient about S/S of osteoarthritis, such as, aching pain which increases with activity and is usually relieved with rest, stiffness upon rising, fatigue, decreased exercise tolerance, crepitus, restriction of joint movement and others.
Instructed patient on monitoring DM, for example: testing blood sugar levels at least 3 times a day.
Patient was instructed on pain caused by pressure ulcers. Pain can be classified as acute or chronic. Cyclic acute pain, which is periodic and corresponds to the pain experienced during repeated management, such as dressing changes or patient repositioning and non-cyclic acute pain, which is accidental, including pain experienced during occasional procedures such as debridement or drain removal.
Instructed on the importance of avoiding exercising a hot, inflamed joint.
Taught that Labetalol is to be taken by mouth, usually twice a day, either with or without food.
Instructed on some potential factors of decreased tolerance in response to increased physical activity, such as: depression, stress and/or crisis, among others.
Empty your pouch when one-third to one-half full. Change your skin barrier every 3-7 days. You should not experience frequent leakage of your pouch seal. If you do, consult a WOC Nurse. Usually soap is not needed to clean the peristomal skin. If you use soap, make sure it does not contain any oils or lotions that can interfere with adhesives. Always rinse your skin and dry completely before you adhere the new pouch. After you apply your skin barrier, hold it in place against your skin for about one minute. This will help to activate the adhesive. You can shower, bathe, or swim with your ostomy after you are cleared by your physician. If you are using a bedside collection bag, clean it daily with a recommended solution to help minimize odor, crystal formation, and bacteria.
Instructed patient to check your skin and the back of your skin barrier each time you change your pouching system. You can use a mirror to check your skin under the stoma. Look for any places where stool or urine may have leaked under the skin barrier and onto your skin. When you apply your next pouching system these areas may need some extra reinforcement with skin barrier strips, rings or paste.
SN instructed patient / caregiver that Ophthalmic erythromycin is used to treat bacterial infections of the eye. It is also used to prevent bacterial infections of the eye in newborn babies. Erythromycin is in a class of medications called macrolide antibiotics. It works by killing bacteria that cause infections. Erythromycin eye ointment may cause side effects. Tell your doctor if any of these, symptoms are severe or do not go away, redness, itching, stinging, or burning of the eye.