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Instructed in new medication Wellbutrin to manage depression. In addition, warned of possible S/E such as headache, seizures, anxiety, confusion, delusions, euphoria, hostility, impaired sleep quality, insomnia, sedation, tremor, akinesia, akathisia, agitation, dizziness, fatigue, syncope, fever, arrhythmias, hypertension, hypotension, palpitations, tachycardia, auditory disturbances, blurred vision, dry mouth, taste disturbance, increased appetite, constipation, dyspepsia, nausea, vomiting, anorexia, diarrhea, impotence, menstrual complaints, urinary frequency, urine retention, weight loss, weight gain, arthritis, pruritus, rash, cutaneous temperature disturbance, excessive diaphoresis, chills and decreased libido. Advised to avoid prolonged sun exposure and to use sun block.
Patient was instructed on Osteoporosis. Take steps to prevent falls that might result in broken bones. Have the vision and hearing checked regularly, and wear slippers or shoes with a nonskid sole. Do exercises that improve balance and coordination. Limit alcohol use that clearly increases the risk of falling.
Patient was instructed on list of precautions regarding medications: Dispose of discarded medications in a sink or toilet. Never place medications in the trash within the reach of children. Store safely. Refrigerate drugs that require it.
Patient was instructed on hypoglycemia. Normally, blood glucose levels increase slightly after you eat a meal. When blood sugar rises, cells in the pancreas release insulin, causing the body to absorb glucose from the blood and lowering the blood sugar level to normal.
People with long-standing diabetes develop a condition known as hypoglycemia unawareness or hypoglycemia without warning, in which they no longer develop the usual symptoms that herald the onset of hypoglycemia. This condition can be reversed by maintaining higher blood sugar levels for a short period of time (about two weeks) and scrupulously avoiding low blood sugar.
Instructed on some signs and/or symptoms of low blood sugar, such as: hunger and impaired vision, among others.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if dark urine and/or persistent fatigue occur.
The patient was instructed in gastroenteritis obtaining appropriate supplies, such as oral glucose electrolyte solutions. The patient was taught in defensive actions, like wash hands before eating and after toileting, drink pasteurized milk and chlorinated water; maintain foods at the appropriate hot or cold temperatures. The patient was advised that gastroenteritis is transmissible although the organisms are present in the feces.
Patient was given teaching on good body mechanics to avoid injury such as: keep your back straight as you walk and also when lifting making sure to never bend at the waist. If sitting put a pillow or rolled towel to support your lower back.
SN instructed patient that people with heart and/or lung failure can benefit from energy conservation techniques like pace activities and spread them throughout the day/week, plan the day in advance so that you won’t feel rushed, break up tasks into small steps and rest in between, sit down instead of standing for most any activity, and work with arms below the shoulders as overhead activities are more taxing.