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Metoprolol Teaching 2164

SN instructed patient / caregiver regarding Metoprolol Tartrate, which is in a group of drugs called beta - blockers. That is affect the heart and circulation ( blood flow through arteries and veins ). Metoprolol is used to treat angina ( chest pain ) and hypertension ( high blood pressure ). It is also used to treat or prevent heart attack. Call your doctor at once if you have any of these serious side effects: chest pain, pounding heartbeats or fluttering in your chest, feeling light - headed, fainting; feeling short of breath, even with mild exertion, swelling of your hands or feet, nausea, upper stomach pain, itching, loss of appetite, dark urine, clay - colored stools, jaundice ( yellowing of the skin or eyes ), easy bruising, unusual bleeding ( nose, mouth, vagina, or rectum ), purple or red pinpoint spots under your skin, wheezing, trouble breathing. Less serious side effects may include: dry mouth, constipation, heartburn, vomiting, diarrhea, headache, drowsiness, tired feeling, sleep problems ( insomnia ), or anxiety, nervousness. Do not suddenly stop taking metoprolol tartrate. Sharp chest pain, irregular heartbeat, and sometimes heart attack may occur if you suddenly stop metoprolol tartrate. The risk may be greater if you have certain types of heart disease. Tell your doctor or dentist that you take metoprolol tartrate before you receive any medical or dental care, emergency care or surgery.

Care of teeth Teaching 2172

SN instructed about Care of teeth. Brush twice daily. After getting up from bed and before going to the bed. Rinse mouth after taking food. Once in year dental check up. Clean the tongue with tongue cleaner after brushing. Neem stick, salt or charcoal can be used for brushing.

Colostomy care Teaching 2191

Ostomy care Instructed patient limit foods such as broccoli, cabbage, onions, fish, and garlic in your diet to help reduce odor.

Colostomy care Teaching 2192

Ostomy care Instructed patient the materials you use to wash your stoma and the skin around it should be clean, but they do not need
 to be sterile.

Colostomy care Teaching 2195

Ostomy care It is not necessary to use soap to clean around your stoma. But if you prefer to use soap, use a very mild soap. Avoid using soaps and cleansers with oils, per - fumes, or deodorants since these can sometimes cause skin problems or keep your skin barrier from sticking.

Colostomy care Teaching 2196

Ostomy care Rinse the soap off the skin around your stoma very well because the residue may keep your skin barrier from sticking and may also cause skin irritation.

Colostomy care Teaching 2197

Colostomy care Instructed patient caregiver If there are no problems, wipe around the stoma with the skin wipes. If the skin is a little wet,
 sprinkle some stoma powder on the wet area. Let the area air dry for a few minutes.

Colostomy care Teaching 2198

Colostomy Care Instructed patient caregiver check the stoma and skin around the stoma to make sure there are no problems.

Colostomy care Teaching 2199

Colostomy care Instructed patient caregiver put your soiled pouching system into a plastic bag and throw it away in your household
 garbage. It is recommended to empty your pouch into the toilet first.

Colostomy care Teaching 2200

Ostomy care instructed patient unless recommended, do not apply powders or creams to the skin around your 
stoma because they can keep your skin barrier from sticking.