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Instructed in new medication Actos to improve glycemic control. In addition, warned of possible S/E such as headache, edema, heart failure, sinusitis, pharyngitis, tooth disorder, anemia, hypoglycemia (with combination therapy), aggravated diabetes mellitus, weight gain, myalgia and upper respiratory tract infection.
Instructed patient on factors that may increase the risk of osteoarthritis, such as, trauma, advancing age, poor body posture, genetic tendency, metabolic or endocrine abnormalities, and others.
Patient was instructed on pain caused by pressure ulcers. Pain can be classified as acute or chronic. Cyclic acute pain, which is periodic and corresponds to the pain experienced during repeated management, such as dressing changes or patient repositioning and non-cyclic acute pain, which is accidental, including pain experienced during occasional procedures such as debridement or drain removal.
Patient was instructed on peripheral arterial disease that is a hardening of the arteries that prevents proper blood flow. The improper flow is one of the risk factors for foot ulcers, which can lead to amputation.
Instructed on some signs/symptoms of activity intolerance in response to physical activity, such as: shortness of breath and/or increased weakness, among others.
Taught that the diastolic reading (the bottom number) represents the pressure on the blood vessel wall while the heart is at rest.
SN instructed pt on medication Lisinopril 20mg PO daily for HTN. Side effects include: dizziness due to a drop in blood pressure. Lisinopril can cause nausea, headaches, anxiety, insomnia, drowsiness, nasal congestion, and sexual dysfunction, and Severe allergic reactions (anaphylaxis) and hives may result. Contact the MD as soon as the above signs/symptoms occur.
Instructed patient How can a urostomy fit into you lifestyle: Reduce odor. Some foods, such as asparagus, cheese, and eggs may cause your urine to have a strong odor. Vitamin C may help to decrease urine odor. Drink liquids as directed. Most people should drink at least 8 (8-ounce) cups of liquids each day.
Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: you will be encouraged to walk, gradually increasing the distance and frequency. Your doctor may recommend an outpatient cardiac rehabilitation program for exercise and education, you will have soreness and bruising around the incision site. You will be given pain medication to keep you comfortable.
SN instructed patient that bleeding is frequently associated with any non-tunneled catheter insertion. More frequent dressing changes and/or a mild pressure dressing may be required. Excessive bleeding or bleeding that persists for more than 24 hours is not normal. Excessive bleeding may be caused by coagulation disorders, vigorous physical activity, or a traumatic insertion procedure.