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Lactulose Teaching 2318

Lactulose is an ammonia reducer and laxative. It can treat constipation. It can also treat liver disease. Possible s/e If you notice these less serious side effects, talk with your doctor: Gas or burping, Nausea, vomiting, mild diarrhea, Stomach pain or cramps.

Duloxetine Teaching 2319

Patient instructed Duloxetine is used to treat major depressive disorder in adults. It is also used to treat general generalized anxiety disorder. It is also used in adults to treat fibromyalgia (a chronic pain disorder), or chronic muscle or joint pain (such as low back pain and osteoarthritis pain). Take duloxetine exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. You may take duloxetine with or without food. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole.

Clarithromycin Teaching 2328

SN instructed patient on new medications in the home. Instructed that Clarithromycin is used to treat a wide variety of bacterial infections. It works by stopping the growth of bacteria. Instructed that Diarrhea, nausea, vomiting, headache, and changes in taste may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Hypothyroidism Teaching 2337

SN also instructed pt on the disease process of hypothyroidism. The thyroid gland controls a lot of our body functions, when it is unable to produce the amount of thyroid hormone your body needs, you will need to take this hormone orally. Take this medication everyday as ordered by your MD. Report to SN or MD if you have sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, as these can be signs your medication is not the correct dose.

General information Teaching 2341

SN instructed on the need for adequate fluid intake, establishing a toilet schedule such as every 2 hours, or before or after activities, meals, sleep, and rest periods.

General information Teaching 2342

SN instructed patient / caregiver on proper incontinence care as to check every 2-3 hours if needed. Educated on pressure reduction measures as to change patient's position in bed/chair every 2-3 hours, avoid positioning on affected areas and use pressure reduction mattress or chair cushion.

Breathing Teaching 2346

SN instructed patient/ caregiver that Bradycardia can be a serious problem if the heart doesn't pump enough oxygen-rich blood to the body. For some people, however, bradycardia doesn't cause symptoms or complications.SN explained that If you have bradycardia, your brain and other organs might not get enough oxygen, possibly causing these symptoms: Near-fainting or fainting (syncope) Dizziness or lightheadedness, Fatigue, Shortness of breath, Chest pains, Confusion or memory problems, Easily tiring during physical activity.If you faint, have difficulty breathing or have chest pain lasting more than a few minutes, get emergency care or call 911 or your local emergency number.

Baclofen Teaching 2349

SN instructed patient/ caregiver about Baclofen.That it is a muscle relaxer and an antispastic agent. SN instructed to Get emergency medical help if you have signs of an allergic reaction to baclofen such as: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: weak or shallow breathing; confusion, hallucinations; or a seizure (convulsions). Common baclofen side effects may include: drowsiness, dizziness, weakness, tired feeling; headache; sleep problems (insomnia); nausea, constipation; or urinating more often than usual.

General information Teaching 2356

SN instructed on arteriosclerosis is hardening and thickening of the walls of the arteries. This condition can occur because of fatty deposits on the inner lining of arteries (atherosclerosis), calcification of the wall of the arteries, or thickening of the muscular wall of the arteries from chronically elevated blood pressure. When arteriosclerosis affects the coronary arteries that supply blood to the heart muscle, a shortage of oxygen delivered to the heart itself may lead to a heart attack.

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.