patient-unable
Patient instructed uncontrollable risk factors for high cholesterol are age, family history, and gender. Instructed risk factors that he can control are weight, diet, and activity. Instructed patient to maintain ideal weight, avoid foods high in cholesterol and exercise for at least 30 minutes per day to lower risk of high cholesterol. Patient verbalized understanding.
SN instructed patient and caregiver in medication Famotidine is used to treat ulcers gastroesophageal reflux. Both the patient and the caregiver verbalized understanding.. Both the patient and the caregiver verbalized understanding.
SN educated patient on sucralfate medication. Patient was instructed that this medication is used to treat and prevent ulcers in the intestines. Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly. Patient verbalized understanding.
Patient and caregiver educated on precautions to be exercised while taking Topiramat (Topamax). Topamax can induce extreme dry mouth and diarrhea. Sucking on a sugar free hard candy can help with symptomatic relief of dry mouth. Proper hydration measures and compliance with daily fluid intake recommendations can help with fluid supplementation. Topamax intake can induce some dizziness. Also, Topamax use can result in a side-effect of increased ammonia in the blood, which also contributes to increased nausea, confusion, and dizziness. Patient instructed to avoid activities where loss of consciousness (passing out) could result in serious danger to self or those around you (including swimming, driving a car, climbing in high places, etc.). Patient instructed to talk to his doctor before engaging in such activities.
Patient recently discharge from acute hospital s/p intracranial hemorrhage and SN educated patient on s/s such as Weakness., Tingling, weakness, or paralysis (loss of movement) on one side of the body. Difficulty speaking, disorientation and confusion, loss of or change in vision, difficulty swallowing, change in level of consciousness (alertness) and advised patient and caregiver to contact medical professional if any noted.
SN instructed patient to keep pre-filled syringes at room temperature. SN instructed/demonstrated patient / caregiver on proper administration of Lovenox. SN informed that the most common side effect associated with Lovenox is bleeding. Patient was instructed to call Physician (MD) they experience any increased pain signs or symptoms of excessive bleeding/bruising. SN Informed that mild localized irritation, pain, hematoma, ecchymosis may occur at the site of injection.
Instructed in new medication Vioxx to manage osteoarthritis. In addition, warned of possible S/E such as headache, asthenia, fatigue, dizziness, aseptic meningitis, hypertension, lower-extremity edema, sinusitis, diarrhea, dyspepsia, epigastric discomfort, heartburn, nausea, abdominal pain, GI bleeding, urinary tract infection, hyponatremia, back pain, bronchitis, upper respiratory tract infection, pulmonary edema and flu-like syndrome. Patient may experience signs and symptoms of GI bleeding, including bloody vomitus, blood in urine and stool and black, tarry stools. Advised to call MD if he experiences these signs or symptoms. Report rash, unexplained weight gain or edema. Avoid aspirin and products containing aspirin unless prescriber has instructed otherwise. Avoid OTC anti-inflammatories such as ibuprofen (Advil) unless prescriber has instructed it. All NSAIDs including Rofecoxib may adversely affect the liver. Signs and symptoms of liver toxicity include nausea, fatigue, lethargy, itching, jaundice, right upper quadrant tenderness and flu-like syndrome. Instructed to stop therapy and call MD immediately if patient experiences these signs or symptoms. Women must inform MD if they become pregnant, or they are planning on becoming pregnant while taking drugs. This drug may be taken without regard to food although taking it with food may decrease GI distress. The most common adverse effects of this drug are dyspepsia, epigastric discomfort, heartburn and nausea. Taking drug with food may help minimize these effects.
Instructed in new medication Levaquin to manage infection. In addition, warned of possible S/E such as headache, insomnia, dizziness, encephalopathy, chest pain, palpitations, vasodilation, nausea, diarrhea, vomiting, abdominal pain, dyspepsia, flatulence, vaginitis, eosinophilia, hypoglycemia, back pain, tendon rupture, rash, pruritus, hypersensitivity reactions, etc. Instructed to take drug as prescribed, even if signs and symptoms disappear. Take drug with plenty of fluids and avoid antacids, sucralfate, and products containing iron or zinc for at least 2 hours before and after each dose. Avoid excessive sunlight, use sun block, and wear protective clothing when outdoors. Stop drug usage and notify prescriber if rash or other S/S of hypersensitivity develop. Notify prescriber if patient experiences pain or inflammation. Tendon rupture can occur with drug. Instructed to Diabetic patient to monitor glucose level and notify prescriber if a hypoglycemia reaction occurs. Notify prescriber if loose stools or diarrhea occurs.
Instructed patient not to use more than 50 feet of tubing between the oxygen source and the patient. Do not place oxygen tanks within 1/2 feet of windows/doors or items.
Instructed patient about the importance of preventing dehydration when sick. This could be avoided drinking non-calorie liquids such as water and diet soft drinks in addition to the normal diet. Eat foods with high amounts of water like fruits and vegetables. Avoid drinks with alcohol. Patient verbalized understanding.