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Instructed in new medication Metaproterenol sulfate, to manage bronchial asthma. In addition, warned of possible S/E such as vertigo, headache, nervousness, dry and irritated throat, vomiting, nausea, dry mouth, etc.
Instructed patient on important measures regarding diabetic's foot care such as: feet inspection daily, report any foot problems to podiatrist or physician, wash feet daily with warm soap and water and pat dry, especially between toes.
Patient was instructed on the importance of a good foot care. Do not treat calluses, corns or bunions without talking to the doctor or nurse before. Cut toenails straight across to avoid future complications.
Patient was instructed on some precautions to prevent diabetes complications. Elevate lower extremities whenever sitting or lying to promote venous return and this decrease and prevent edema.
Taught that resting in a lying or sitting position is aimed to reducing/controlling an episode of Angina Pectoris.
Instructed on the importance of having her feet inspected on a daily basis, as directed by MD.
Taught that Hyzaar is used to treat congestive heart failure and to help protect the kidneys from damage due to diabetes.
Instructed on some measures aimed to controlling/managing depression, such as: encourage patient to set realistic goals and recognize and praise even minor accomplishments, among others.
SN Instructed that Doxycycline is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. Possible side effects: Stomach upset, diarrhea, nausea, or vomiting may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: sunburn (sun sensitivity), painful/difficult swallowing, change in the amount of urine.
SN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain, numbness or severe weakness, change in vision or difficulty speaking. Patient and caregiver were advised to seek immediately medical assistance and/or call 9-1-1 if any of these signs or symptoms appear. Patient and caregiver verbalized understanding. Family is independent with hypertension process.