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Teachings for Nurses & Patients

Hurricane Teaching 227

Instructed patient not to go outside during hurricane conditions. If a safe place to stay is not available consider going to a shelter in advance.

Osteoporosis Teaching 530

Patient was instructed on Osteoporosis. Don't drink more than 2 alcoholic drinks a day if you are a man, or 1 alcoholic drink a day if you are a woman. Drinking more than this puts you at higher risk for osteoporosis.

Blood Sugar Teaching 714

Patient was instructed on supplies that will use for blood glucose meter - reads blood sugar Test strip - collects blood sample. Lancet or small needle -fits into lancing device, pricks finger, and provides small drop of blood for glucose strip. Lancing device - pricks finger when button is pressed. Most devices have dials to select how deep the needle goes into the skin. Start with middle depth. If get more blood than needed, dial the number down so the lancet does not go as deep. If get less blood, dial the number up so lancet goes deeper. Alcohol wipes or soap and water - to clean fingers or other testing site.

Diabetes Teaching 855

Instructed on the importance of having her nails clipped straight across and gently filed with an emery board.

Rheumatoid arthritis Teaching 1059

Taught that, in Rheumatoid Arthritis, the joints most affected are knees, hands and feet.

Osteoarthritis Teaching 1196

Instructed on some signs/symptoms of Osteoarthritis, such as: heberdens nodes (nodular bony enlargements within the joint).

Congestive Heart Failure Teaching 1255

Taught that maintaining body weight under control is a measure aimed to controlling/managing Congestive Heart Failure (CHF).

PICC Line Teaching 1877

Instructed patient if you have fever, chills, tenderness, redness, or pus at the catheter site or swollen arm,check your child’s temperature, and all the doctor right away.

Pantoprazole Teaching 1945

SN instructed about Pantoprazole or Protonix , it is used for short-term treatment of erosion and ulceration of the esophagus caused by gastroesophageal reflux disease. Pantoprazole may also be used in combination with antibiotics to treat ulcers caused by helicobacter pylori. Possible side effect / adverse reaction may include, Infection: Stomach acid plays a role in killing ingested bacteria. Use of pantoprazole may increase the chance of developing infections such as pneumonia, particularly in hospitalized patients. Gastrointestinal: abdominal pain , diarrhea , flatulence. Neurologic: headache. Serious side effect : Gastrointestinal: atrophic gastritis, clostridium difficile diarrhea; Hematologic: thrombocytopenia; Immunologic: Stevens-Johnson syndrome, toxic epidermal necrolysis; Musculoskeletal: Muscle disorders, bone fracture and infection, clostridium difficile infection, osteoporosis-related hip fracture, rhabdomyolysis; Renal: interstitial nephritis (rare), Nutrition: may reduce the absorption of important nutrients, vitamins and minerals, as well as medications.

Bystolic Teaching 2068

Sn instructed patient about Bystolic. This is a prescription medicine that belongs to a group of medicines called “beta blockers.” The most common side effects people taking Bystolic report are headache, fatigue ( tiredness ), dizziness ( if you feel dizzy, sit or lie down and tell your doctor right away ), diarrhea, nausea, insomnia ( difficulty falling or staying asleep ), chest pain, bradycardia ( slow heartbeat ), dyspnea ( shortness of breath ), rash, and peripheral edema ( leg swelling due to fluid retention ). Other possible side effects include masking ( hiding ) the symptoms of low blood sugar and hyperthyroidism ( overactive thyroid ), especially a fast heartbeat. Tell your doctor if you gain weight or have trouble breathing while taking Bystolic. Patient verbalized fair understanding .