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Instructed to keep medications away from children.
Instructed in complication of rheumatoid arthritis such as deformity and disability, infections and osteoporosis.
Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.
Patient was instructed on symptoms of leg edema. If having leg edema feet and legs will initially appear swollen as the day progresses. After a period of time, however, the swelling will set in first thing in the morning and worsen throughout the day. Over time other symptoms will develop: High blood pressure, headaches, increased urination, palpitations, swollen hands and/or wrists, puffy eyes, weight gain.
Instructed on some factors that may increase the risk of exacerbating Epilepsy, such as: metabolic and nutritional disorders, among others.
Instructed on some signs/symptoms of Osteoporosis, such as: backache and frequent fractures, among others.
Taught that stopping exercise, if pain occurs, is a measure aimed to preventing/controlling Osteoarthritis.
Instructed patient about your Foley catheter daily Care: Keep your skin and catheter clean. Clean the skin around your catheter at least once each day. Clean your skin area and catheter after every bowel movement. Always keep your urine bag below the level of your bladder. Keeping the bag below this level will prevent urine from flowing back into your bladder from the tubing and urine bag. Back flow of urine can cause an infection. These will help prevent a bladder or kidney infection and will keep you more.
SN instructed patient / caregiver regarding medication Diltiazem. Explained that Diltiazem is a calcium channel blocker that is used in the treatment of hypertension, angina pectoris, and some types of arrhythmia. Explained that the side effects of this medication includes stuffy nose, skin rash or itching, dizziness, headache, tired feeling, nausea or warmth, itching, redness, or tingly feeling under your skin. Instructed to notify Physician if experiencing persistence or worsening of medication side effects.
SN instructed patient / caregiver regarding medication Benicar. Explained that this medication is a blood pressure lowering medication. Explained that the side effects includes hypotension ( low blood pressure ), dizziness, fatigue, headache and /or diarrhea. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence or worsening of side effects.