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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 oral diabetic agents, these stimulate insulin release from the pancreas to help control glucose levels.
Patient was instructed on appropriate nutrition. Eat healthy, eat more fiber, try whole grains fresh fruits, and raw vegetables. Try picking from the rainbow of colors to maximize variety. Eat non starchy vegetables such as spinach, carrots, broccoli or green beans with the meals.
Patient was instructed on Osteoporosis. Some studies show that calcium and vitamin D supplements reduce the risk of fracture. The greatest benefit of supplements appears to be for people who have osteoporosis. Calcium and vitamin D supplements are recommended if you have been diagnosed with osteoporosis.
Patient was instructed on measures to prevent falls at home: Keep a cordless phone and a flash light with new batteries by the bed. Walk on the grass when the sidewalks are wet or slippery.
Taught that lung infections and some diseases are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
SN advised patient on some serious adverse effect of Lovenox such as: atrial fibrillation, heart failure, skin necrosis, hemorrhage, intracranial hemorrhage, paraplegia, and pneumonia.
The patient was instructed in laminectomy in the use of antiembolism tube to stop thrombus formation. The patient was taught in techniques for ankle rotating and calf driving to increase venous movement in legs. The patient was reviewed in the use of braces or corsets. The patient was recommended in the use of assistive devices to help decrease trauma on the back, elevated toilet seats, tub railings. The patient was instructed to have the incision place clean and dry until sutures and staples are removed.
SN instructed caregiver that Alzheimer’s disease progresses and a loss of appetite often becomes apparent. Primary caregiver may notice that the patient does not eat as much or refuses to eat at all. Possible causes of a poor appetite include: inability to recognize food, poorly fitting dentures, certain medications, lack of physical activity, diminished sense of smell and taste.
SN instructed patient about urinary infection's Diet. The use of cranberry products seems to decrease the ability of bacteria to adhere to the lining of the urethra and bladder. As cranberry juice can have a high amount of sugar, cranberry extract can be taken in capsule or pill form instead. Increasing water intake by one or two glasses per day may help limit the length of time that you have symptoms and reduce the infections.
