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Instructed in storage and disposal of equipment: check expiration date, keep spare bottle in refrigerator, do not change brand, match syringe type.
Instructed in new medication Prednisone and in S/E such as euphoria, insomnia, psychotic behavior, vertigo, headache, paresthesia, seizures, pseudotumor cerebri, heart failure, hypertension, edema, arrhythmias, thrombophlebitis, thromboembolism, cataracts, glaucoma, peptic ulceration, GI irritation, increased appetite, pancreatitis, nausea, vomiting, menstrual irregularities, increased urine calcium levels, hypokalemia, hyperglycemia, carbohydrate intolerance, growth suppression in children, muscle weakness, osteoporosis, hirsutism, delayed wound healing, acne and various skin eruptions.
Instructed in new medication Levaquin to manage infection. In addition, warned of possible S/E such as headache, insomnia, dizziness, encephalopathy, chest pain, palpitations, vasodilation, nausea, diarrhea, vomiting, abdominal pain, dyspepsia, flatulence, vaginitis, eosinophilia, hypoglycemia, back pain, tendon rupture, rash, pruritus, hypersensitivity reactions, etc. Instructed to take drug as prescribed, even if signs and symptoms disappear. Take drug with plenty of fluids and avoid antacids, sucralfate, and products containing iron or zinc for at least 2 hours before and after each dose. Avoid excessive sunlight, use sun block, and wear protective clothing when outdoors. Stop drug usage and notify prescriber if rash or other S/S of hypersensitivity develop. Notify prescriber if patient experiences pain or inflammation. Tendon rupture can occur with drug. Instructed to Diabetic patient to monitor glucose level and notify prescriber if a hypoglycemia reaction occurs. Notify prescriber if loose stools or diarrhea occurs.
Instructed in safe transfers, using proper body mechanics to avoid injury.
Instructed patient on monitoring DM, for example: testing blood sugar levels at least 3 times a day.
Patient was instructed on the importance of a good foot care. Keep the blood sugar level as normal as possible. Wash the feet every day with lukewarm water and mild soap. Dry them well, especially between the toes. Pat gently.
Patient was instructed on the importance to have a good blood sugar control to avoid future diabetes complications: Monitoring: keep track of the blood sugar every day, Meals: Plan healthy and enjoyable meals to help keep the blood sugar near goal, Moves (exercise): moving the body help lower the blood sugar by burning it for energy, Medicine: when Meals and Move are not enough.
Instructed on the importance of remaining calm if experiencing a seizure episode.
Patient was instructed on respiratory infection. Sometimes accompanied by 'pink eye', muscle aches, fatigue, malaise, headaches, muscle weakness, uncontrollable shivering, and loss of appetite, fever and extreme exhaustion are rare during a cold and are more usual in influenza. The symptoms of a cold usually resolve after about one week, but can last up to two.
Patient was educated about potassium 10 meq 1 tablet oral daily and it's side effects such as: confusion, restlessness, weakness, abdominal pain , diarrhea , flatulence , nausea , vomiting, and the importance to notified immediately nurse/ agency/ doctor/ 911 if any of this persist.