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Instructed patient about increasing ingestion of ferrous-containing foods such as: liver, red meats and green leafy vegetables. This simple eating change will increase the production of red blood cells and decrease anemia.
Patient was instructed on what to avoid in presence of ulcers. Friction and shear need to be reduced. Friction is the mechanical force exerted when skin is dragged against a coarse surface while shear is the mechanical force caused by the interplay of gravity and friction.
Patient was instructed on factors that contributes to poor skin integrity, such as, immobilization, poor circulation, moisture, heat, anemia, shearing forces poor nutritional status, etc.
Instructed on the importance of setting realistic goals as a measure aimed to increasing tolerance to physical activity.
Instructed on some signs/symptoms of cerebrovascular accident (stroke), such as: temporary loss of speech or slurred speech, among others.
Instructed on the importance, when having Congestive Heart Failure (CHF), of reporting immediately signs/symptoms, such as: persistent cough and frequent urination at night, among others.
The patient was instructed in hypothyroidism the need to evade infections. The patient was advised not stopping thyroid medications.
SN instructed patient diarrhea can occur for a variety of reasons, such as viral or bacterial infections. Eating foods which thicken stool may be helpful,as listed in a later food table. Be aware that diarrhea can lead to dehydration. Increase your fluid intake during this time.
SN instructed that the lisinopril is a drug of the angiotensin-converting enzyme inhibitor class used primarily in treatment of hypertension. If any of the following side effects occur please report to physician / nurse : Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, blistering, peeling, red skin rash, confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips, dark urine or pale stools.
SN instructed patient that Beclometasone dipropionate is a potent glucocorticoid steroid. In the form of an inhaler ( Clenil, Qvar ), a wide number of brands of which are available, it is used for the prophylaxis of asthma. As a nasal spray, it is used for the treatment of rhinitis (hay fever and sinusitis). In some instances, it is used by oral pathologists in the treatment of unusually severe aphthous ulcers. Possible side effect / adverse reaction: occasionally, it may cause a cough upon inhalation. Deposition on the tongue and throat may promote oral candidiasis, which appears as a white coating, possibly with irritation. This may usually be prevented by rinsing the mouth with water after using the inhaler. Other side effect may rarely include: a smell similar to burning plastic, unpleasant taste, hoarseness or nasal congestion, pain or headache, and visual changes. Allergic reactions may occur, but rarely. Nasal corticosteroids may be associated with central serous retinopathy