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Instructed in storage and disposal of equipment: check expiration date, keep spare bottle in refrigerator, do not change brand, match syringe type.
Instructed in new medication Bextra to manage osteoarthritis. In addition. warned of possible S/E such as dizziness, headache, cerebrovascular disorder, peripheral edema, hypertension, angina pectoris, arrhythmia, heart failure, aneurysm, sinusitis, abdominal fullness, abdominal pain, diarrhea, dyspepsia, flatulence, nausea, renal impairment, thrombocytopenia, leukopenia, anemia, hepatitis, hyperglycemia, hypercholesterolemia, hyperkalemia, hyperlipidemia, hyperuricemia, hypocalcemia, hypokalemia, increased or decreased weight, back pain, myalgia, upper respiratory tract infection, bronchospasm, rash, flu-like syndrome, accidental injury.
Instructed in possible adverse reactions to Lopressor, including fatigue, lethargy, dizziness, low heart rate, low blood pressure, nausea, vomiting, diarrhea, rash, and fever.
Patient instructed to advice physician if taking any herbal medicines or dietary supplements.
Instructed patient on how an internal or permanent pacemaker is implanted in the chest wall to control the heartbeat for years.
Instructed on the importance of setting realistic goals as a measure aimed to increasing tolerance to physical activity.
Instructed on some signs/symptoms of Emphysema, such as: loss of appetite and weight loss, among others.
SN instructed patient to chew foods completely to help the digestive process. Especially avoid swallowing large pieces of leafy vegetables since they can block the stoma opening on the abdominal wall.
The patient was instructed in stroke cerebrovascular accident in the need to get correct devices like as walkers, specialty beds, and aids to safety, feeding, toileting, and grooming. The patient was instructed to deal with chronic pain. The patient was encouraged to use vision on the affected side. The patient was encouraged to use hearing on the affected side. The patient was encouraged to use of the unaffected extremity to assist the affected side in locating and movement. The patient was taught in the use of a hang for the affected arm to care the arm and shoulder. The patient was taught to support affected extremities when repositioning. The patient was advised to limit rotating to and lying on the affected side to 1 hour. The patient was instructed to do range-of-motion exercises of the affected extremities using the unaffected extremities. The patient was instructed to watch the affected leg whereas walking.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.