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Instructed in new medication Sulfaprim and in S/E such as headache, mental depression, aseptic meningitis, tinnitus, apathy, seizures, hallucinations, ataxia, nervousness, fatigue, vertigo, insomnia, thrombophlebitis, nausea, vomiting, diarrhea, abdominal pain, anorexia, stomatitis, pancreatitis, pseudomembranous colitis, toxic nephrosis with oliguria and anuria, crystalluria, hematuria, interstitial nephritis, agranulocytosis, aplastic anemia, megaloblastic anemia, thrombocytopenia, leukopenia, hemolytic anemia, jaundice, hepatic necrosis, arthralgia, myalgia, muscle weakness, pulmonary infiltrates, erythema multiforme, Stevens-Johnson syndrome, generalized skin eruption, toxic epidermal necrolysis, exfoliative dermatitis, photosensitivity, urticaria, pruritus, hypersensitivity reactions, serum sickness, drug fever and anaphylaxis.
Instructed that excess Potassium may cause extreme muscle weakness and insufficient Potassium may cause muscle cramps, especially of lower extremities. Instructed to notify MD should any of these symptoms occur.
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.
Patient was instructed on measures to prevent falls when bathing. Get into the shower/tub by putting the weaker leg in first. Get out of the tub / shower with the strong side first. Use a long handle brush or mittens with straps to help with bathing.
Instructed on the importance of avoiding crowds and poorly ventilated areas.
Instructed on some measures aimed to managing/controlling Emphysema, such as: avoid/decrease exposure to excessive heat (which increases oxygen requirements) and avoid/decrease exposure to excessive cold (which increases possibility of bronchospasm), among others.
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.
SN advised patient and caregiver to report the development of a late skin rash with symptoms of fever, fatique, and sore throat. Caregiver verbalized understanding of instructions given.
Instructed patient you may need to detach the drainage bag from the nephrostomy tube to clean it. If so, attach a new drainage bag tightly to the nephrostomy tube. Instructed patient change bandages, skin barriers, and attachment devices as directed. This helps to prevent infection. Throw away or clean your drainage bag as directed by your caregiver.
SN instructed patient / caregiver on Hydrocodone is an orally active narcotic analgesic ( pain reliever ) and antitussive ( cough suppressant ). SN instructed patient / caregiver that common side effects include dizziness, light - headedness, nausea, sedation, vomiting. SN instructed that side effects may be alleviated by lying down, and if they persist or worsen to notify physician. SN instructed to call physician immediately if the patient experiences slow / irregular breathing, slow / irregular heartbeat, change in the amount of urine or any allergic reactions. SN instructed patient / caregiver not to take more than 8 tabs in one day and wait 6 hours in between administration to avoid complications.