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Instructed in new medication Protonix to manage esophagitis. In addition, warned of possible S/E such as headache, insomnia, asthenia, dizziness, chest pain, pharyngitis, rhinitis, sinusitis, diarrhea, flatulence, abdominal pain, eructation, constipation, nausea, vomiting, urinary frequency, hyperglycemia, back pain, neck pain, hypertonia, rash, bronchitis, increased cough, etc. The drug can be taken without regard to meal.
Instructed in S/S of hyperglycemia, such as excessive urination, thirst, nausea, vomiting, abdominal pain, or cramping, weak-tired feeling, drowsiness, deep-rapid breathing, or fruity breath. If these S/S occur client S/O instructed to notify MD.
Instructed to patient about eating well with diabetes: eating habits do not have to change if you have diabetes. Your dietitian will help you to develop a meal plan that suits your taste and lifestyle. This plan will help you to keep your blood sugar in your target range. The result will be an eating plan you can enjoy.
Patient was instructed on wounds contributing facts. In addition to poor circulation, neuropathy, and difficulty moving, factors that contribute to chronic wounds include systemic illness, age and repeated trauma.
Instructed on the importance of pacing herself between activities as a measure aimed to increasing tolerance to physical activities.
Instructed on some signs/symptoms of Rheumatoid Arthritis, such as: lumps or nodules under the skin and weight loss, among others.
Instructed on some potential complications of Congestive Heart Failure (CHF), such as: acute pulmonary edema and pneumonia, among others.
Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). SN instructs the patient about the new medication Amlodipine / Benaz may cause dizziness, lightheadedness, or fainting, especially when you get up suddenly from a lying or sitting position, if you feel dizzy, lie down so you do not faint. Then sit for a few moments before standing to prevent the dizziness from returning. If you faint, call your doctor right away.
SN instructed patient about ways to relieve muscle stiffness such as performing exercises including gentle muscle stretching as tolerated, obtaining adequate rest or uninterrupted sleep in order to reduce stress, massaging affected body parts if not contraindicated and to avoid lifting heavy objects. Instructed to inform doctor or skilled nurse if discomfort progress or when severe or unexplained pain is felt.
SN instructed patient about Gabapentin ( Neurontin ). It is a medication used to treat epilepsy, neuropathic pain and hot flashes. It is also used for restless leg syndrome. It is a first line agent for the treatment of neuropathic pain arising from diabetic neuropathy, post-herpetic neuralgia, and central neuropathic pain. Most common side effects of gabapentin in adult patients include dizziness, fatigue, drowsiness, weight gain, and peripheral edema. It may also produce sexual dysfunction in some patients, symptoms of which may include loss of libido, inability to reach sexual climax, and erectile dysfunction. It should be used carefully in patients with renal impairment due to possible accumulation and toxicity. Warning of an increased risk of depression and suicidal thoughts and behaviors in patients taking gabapentin. Report to Physician or nurse if any of those side effect / adverse reaction occurs.