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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 foods low in cholesterol such as fish, fruits, vegetables, egg substitutes, poultry, lean meats, grains, etc.
Patient was instructed on depression as a diabetes complication. Fatigue and lack of enthusiasm can cause people to withdraw from the things they used to like to do. Emotions become flat and thoughts can turn to sadness or anxiety.
Patient was instructed on relaxing sight. Sighing and yawning during the day are signs that you are not getting enough oxygen. A sigh releases a bit of tension and can be practiced at will as a means of relaxing. Sit or stand up straight. Sigh deeply, letting out a sound of deep relief as the air rushes out of your lungs. Let new air come in naturally.
Instructed on some signs/symptoms of high blood sugar (hyperglycemia), such as: frequent urination and excessive thirst, among others.
SN instructed patient to try eating the main dinner meal at noon and a smaller meal in the evening. This helps to reduce the stool output at night.
Patient/CG were instructed on: Treatment for cervicalgia ( neck pain ) are usually conservative and include methods of relieving inflammation . Applying ice to the area is a good way of relieving pain and swelling and is often advised where a muscle tear is suspected. Heat is contraindicated in such a situation as this is likely to make the problem worse by increasing blood flow to the area. If the cervicalgia is due to muscle tension rather than an injury then thermotherapy can be effective in aiding relaxation of the muscle and relieving neck pain. Adequate rest and the temporary use of a supportive neck collar is also helpful in some cases of cervicalgia ( neck pain ) although it is inadvisable to use a collar long-term as this may itself lead to muscle weakness in the neck. Many patients also make use of anti-inflammatory medications, including prescribed drugs, and natural supplements to lower inflammation and pain. Physical therapy, including neck stretches and strengthening exercises, is a good idea for anyone who suffers from chronic neck pain, and intractable cases may require more invasive surgical intervention to address some causes of cervicalgia
SN instructed patient on deep vein thrombosis is a blood clot in a vein deep in your body, such as the calf of your leg. The greatest danger is a clot that breaks off and travels to the lung(s). When this clot in the lung is called a pulmonary embolism (PE), a PE can be life threatening
SN instructed patient that Robitussin its used as a cough medicine, and it is sell over the counter. It contains (Dextromethorphan and guaifenesin) a combination medicine used to treat cough and chest congestion caused by the common cold, infections, or allergies. Common side effects may include: dizziness, drowsiness; sleep problems (insomnia); diarrhea; or feeling nervous, restless, anxious, or irritable. Robitussin Overdose may cause breathing problems and cardiac arrhythmia.
Instructed patient stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.)