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Instructed in possible adverse reactions to Potassium including nausea, vomiting, abdominal pain and diarrhea. Instructed to always take with a full glass of liquid, and with food to prevent GI upset.
Instructed patient on how the internal pacemaker is implanted during a minor surgical procedure. This procedure heals completely in 2 or 3 weeks and complications are rare and usually minor.
Patient was instructed on Osteoporosis. Limit alcohol use. Heavy alcohol use can decrease bone formation, and it clearly increases the risk of falling. However, some studies show moderate alcohol use (no more than 2 drinks a day for men and 1 drink a day for a women) is linked to higher bone density.
Serious side effects of Actonel are chest pain, difficulty or pain when swallowing, pain or burning under the ribs or in the back, new or worsening heartburn, severe joint, bone, or muscle pain, or jaw pain, numbness, or swelling. Stop taking the medication and call the doctor immediately if any of these side effects occur.
Advised hypertensive patients to keep blood pressure under control and alleviate excessive pressure on the vessels, including the site of repair the aortic aneurysm.
Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent with overall goals of care.
Patient with biliary catheter SN instructed patient when to call the doctor or go to emergency: Active bleeding at the drain site that does not stop after you put finger, pressure on it, more pain or swelling at or around the drain site, your temperature is greater than 101 degrees fahrenheit, with or without chills
Instructed patient about vacuum assisted closure ( VAC ) therapy helps draw wound edges together, remove infectious materials and actively promote granulation.
Instructed patient classic barriers to spontaneous closure include distal obstruction, mucocutaneous continuity (ie, a short or epithelialized tract), and infection or malignancy in the tract. Comprehensive and effective management of the patient with fistula requires attention to fluid and electrolyte replacement, per fistula, skin, protection, infection control.
SN instructed patient / caregiver regarding medication Dilantin. Explained that Dilantin is an anticonvulsant and is used to control seizures. SN instructed patient / caregiver that the side effects of this medication includes headache, nausea, vomiting, constipation, dizziness, drowsiness, insomnia and nervousness, swelling of gums may also occur. SN instructed to call physician ( MD ) if patient experiences unusual eye movement, loss of coordination, slurred speech, confusion, blurred vision, or tingling of hands and feet. SN instructed patient / caregiver that blood draws are usually done regularly to make sure that the medication in the body is within therapeutic level.