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Instructed in new medication Temazepam to manage insomnia. In addition, warned of possible S/E such as drowsiness, dizziness, lethargy, disturbed coordination, daytime sedation, confusion, nightmares, vertigo, euphoria, weakness, headache, fatigue, nervousness, anxiety, depression, blurred vision, diarrhea, nausea, dry mouth, physical and psychological dependence. Avoid alcohol during therapy. Caution when performing activities that require mental alertness or physical coordination. Instructed not to discontinue drug abruptly if it is taken for 1 month or longer.
Instructed patient that depression is more frequent in people with chronic or severe medical illness and also with substance abuse.
Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes, that include: Medicines. Some medicines used to treat conditions other than diabetes can cause hypoglycemia or hide its symptoms.
Instructed on some potential complications of constipation, such as: valsalva maneuver (may be caused by straining, causing a slowed pulse, decreased blood return and increased venous pressure).
teach patient proper technique and placement of injection
The patient was instructed in multiple sclerosis disseminated sclerosis in the need to control bath water temperature because of the loss of sense of temperature. The patient was advised to evade persons with upper respiratory infections. The patient was recommended to get suitable devices like assistive aids for ambulation and self-care. The patient was advised to use incontinence pads.
SN advised patient and caregiver to report any signs and symptoms of ototoxicity or nephrotoxicity. Caregiver verbalizzed understanding of instructions given.
Instructed caregiver the patient are at high risk if the patient have or do the following: Neuropathy, Poor circulation, A foot deformity (e.g., bunion, hammer toe), Wear inappropriate shoes, Uncontrolled blood sugar, History of a previous foot ulceration.
Instructed patient watch for signs of problems. Pay attention to how much of the catheter sticks out from your skin. If this changes at all, let your health care provider know. Also watch for cracks, leaks, or other damage. And if the dressing becomes dirty, loose, or wet, change it or call your health care team right away.
SN instructed that the ibuprofen at low doses it does not appear to increase the risk of myocardial infarction; however, at higher doses it may. It may result in worsened asthma. Like other NSAIDs it works by inhibiting the synthesis of prostaglandins, which are fat-like molecules that are derived from the omega-6 fatty acid, arachidonic acid, which are involved in mediating inflammation, pain and fever. Patient verbalized understanding of given information.