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Instructed that depression may surface with other mood disorders such as seasonal major depression, postpartum depression and bipolar disorder.
Instructed in Novolin 70/30 to manage diabetes. In addition, warned of possible S/E such as abdominal pain, diarrhea, and flatulence. Adverse effects usually occur during the first few week of therapy. Generally, these effects diminish over time.
Instructed in use of Isordil to help prevent chest pain, by decreasing cardiac oxygen demand.
Taught that, when taking Levothyroxine, if more than 2-3 doses are missed, physician and/or other health care provider should be notified about it.
SN instructed patient and caregiver that dysrhythmias of the heart and myocardial infarction may constitute as potential complications of Angina Pectoris. Cardiac arrhythmia occurs when electrical impulses in the heart do not work properly. A heart attack usually occurs when a blood clot blocks blood flow to the heart. Angina is a symptom of coronary artery disease. Patient verbalized understanding.
Major side effects of Simvastatin include abdominal pain or cramps, blurred vision, dizziness, easy bruising or bleeding, itching, muscle pain or cramps, rash, and yellowing of the skin or eyes.
Calcium supplementation also may lead to constipation, so patients should ingest adequate amounts of fiber
The patient and family will be educated in brain tumors depending on the location, the type of tumor, its malignancy, and the prescribed treatment. The patient and family will be advised in any residual deficits and physical limitations. The patient was taught in obtaining appropriate devices for self-care, rehabilitation, mobilization, and sensory functions such as hearing aids or eyeglasses etc.
The patient was instructed in craniotomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
SN instructed patient / caregiver that valacyclovir is an antiviral drug used in the management of herpes simplex, herpes zoster, and herpes B. Common adverse drug reactions are the same as for valacyclovir and include: nausea, vomiting, diarrhea and headache. Infrequent adverse effects may include: agitation, vertigo, confusion, dizziness, edema, arthralgia, sore throat, constipation, abdominal pain, rash, weakness and/or renal impairment. Rare adverse effects include: coma, seizures, neutropenia, leukopenia, tremor, ataxia, encephalopathy, psychotic symptoms, crystalluria, anorexia, fatigue, hepatitis, Stevens–Johnson syndrome, toxic epidermal necrolysis and/or anaphylaxis.