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Instructed in new medication Pred Forte to manage inflammation of palpebral and bulbar conjunctiva, cornea and anterior segment of globe. In addition, warned of possible S/E, such as, increased intraocular pressure, thinning of cornea, interference with corneal wound healing, increased susceptibility to viral or fungal corneal infections, corneal ulceration, discharge, discomfort, foreign body sensation, glaucoma exacerbation, cataracts, visual acuity and visual field defects, optic nerve damage with excessive or long-term use, systemic effects, and adrenal suppression with excessive or long-term use. Instructed to wash hands before and after installation and warned not to touch tip of dropper to eye or surrounding area. Apply light finger pressure on lacrimal sac for 1 minute after installation. On long-term therapy, have frequent tests of intraocular pressure. Instructed not to share drug, washcloths, or towels with family members, and notify MD if anyone develops same signs or symptoms. Stress importance of compliance with recommended therapy. Notify MD if improvement does not occur within several days or if pain, itching, or swelling of eye occurs. Instructed not to use leftover drug for new eye inflammation because serious problems may occur.
Instructed in management of chest pain, to sit or lie down and rest immediately at onset of pain, if NTG available to take as instructed and/or call 911.
Instructed patient about common risk factors associated with heart disease such as: smoking, family history, hypertension, stress and diet.
Instructed patient Don't lavage with 0.9% sodium chloride solution during suctioning unless you need to clear a blockage of clots or mucus.
Patient was instructed on list of measures to prevent falls at home: If feel dizzy and lose the vision checked regularly. With poor vision condition patient may lose important cues that help to avoid objects and keep the balance.
Patient was instructed on diabetes. All body cells require glucose for energy. Glucose enters body cells with the help of a hormone called insulin, which acts somewhat like a gatekeeper. If the body becomes less responsive to insulin, or if the body is not producing insulin, glucose cannot pass through the cell wall and the cell "starves."
Patient was instructed on hand-eye coordination. It
Instructed on some measures aimed to controlling/managing depression, such as: encourage verbalization of feelings and allow patient some degree of control, among others.
SN instructed patient/CG keep the skin around your biliary catheter dry. You can take showers if you cover the area with plastic wrap. If the area does get wet, dry the skin completely after you shower.
Instructed patient about vacuum assisted closure ( VAC ) therapy help provide the necessary mechanisms to promote granulation tissue formation.