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Vitamin B12 Teaching 2353

Patient instructed cyanocobalamin is a form of vitamin B12. Vitamin B12 is used to treat vitamin B12 deficiency in people with pernicious anemia and other conditions. Other drugs may interact with cyanocobalamin, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

Constipation Teaching 2357

SN instructed patient/ CG about Miralax to relieve constipation. SN instructed that MiraLax is used as a laxative to treat occasional constipation or irregular bowel movements. Common MiraLax side effects may include: bloating, gas, upset stomach; dizziness; or increased sweating.Get emergency medical help if you have any signs of an allergic reaction to MiraLax such as: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop taking this medicine and call your doctor at once if you have: severe or bloody diarrhea; rectal bleeding; blood in your stools; or severe and worsening stomach pain.

Hypertension Teaching 2358

Patient has Dx of hypertensive heart disease without heart failure. Hypertensive heart disease refers to heart conditions caused by high blood pressure. The heart working under increased pressure causes some different heart disorders. Hypertensive heart disease can cause thickening of the heart muscle, coronary artery disease, and other conditions such as heart failure if not controlled. Follow your MD's orders for diet and medications closely

Colostomy Teaching 2360

Instructed patient/caregiver about some things you can do to help move things through your ostomy: Watch for swelling of 
the stoma and adjust the opening of the wafer as needed until the swelling goes down.

Colostomy Teaching 2361

Instructed patient/caregiver about some things you can do to help move things through your ostomy: Take a warm bath to 
relax your abdominal muscles, fluids can be taken if there is some stool output: solid foods should be avoided.

Colostomy Teaching 2362

Instructed patient/caregiver about some things you can do to help move things through your ostomy: Sometimes changing 
your position, such as drawing your knees up to your chest, may help move along the food in your gut.

Colostomy Teaching 2363

Instructed patient/caregiver about some things you can do to help move things through your ostomy: do not take laxative.

Colostomy Teaching 2364

Instructed patient caregiver If you keep having pain and cramping with no output from your stoma for more than 2 hours, 
and you can’t reach your doctor or ostomy nurse, go to the emergency room. Take all your ostomy supplies with you.


Colostomy Teaching 2365

Instructed patient caregiver dehydration is also a serious concern. Symptoms include increased thirst, dry mouth, decreased urine output, feeling light-headed, and feeling tired. If you get dehydrated, you’ll need to drink more fluids.

Colostomy Teaching 2366

Instructed patient caregiver avoid dehydration, you should try to drink 8 to 10 eight-ounce glasses of fluid a day. If you have diarrhea, you may need more. Drinks such as Gatorade®, PowerAde, or Pedialyte contain potassium and sodium. But any liquid containing water (soda, milk, juice, tea, etc.) helps to meet your daily need for fluid.