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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.
Patient was instructed on measures to prevent falls at home: Keep a cordless phone and a flash light with new batteries by the bed. Walk on the grass when the sidewalks are wet or slippery.
Patient was instructed on personal hygiene. One of the most effective ways to protect ourselves from illness, or infections is a good personal hygiene. This means not only washing the hands but also the body. Hygiene also means being careful not to cough or sneeze on others, cleaning things that touched when ill, putting items such as tissues into a bin.
Patient was instructed on the importance of not miss any meals during the day. It is better to eat at regular intervals, having 3 meals per day and 3 snacks and to avoid consuming sweet / high carbohydrate foods content.
Instructed on the importance of having safety measures implemented throughout the apartment/house in order to reduce the risk of falls/injuries.
Instructed on the importance of never attempting to force anything into the mouth of a person that is experiencing a seizure episode.
Taught that avoiding situations that may cause stress is a measure aimed to preventing/controlling Osteoarthritis.
SN advised patient don't rub the injection site. This could cause bruising. Don't push air bubbles out of the syringe unless your doctor tells you to. Each syringe comes with air bubbles. Call 911 anytime you think you may need emergency care. For example, call if: You cough up blood.You vomit blood or what looks like coffee grounds.You pass maroon or very bloody stools.
SN instructed patient about that swelling of ankle or hands or increased dyspnea ( SOB ) or moist coughing is a sign of congestive heart failure ( CHF ) and contact with physician is needed reporting symptoms. Patient was able to be taught back.
SN instructed patient / caregiver that Guaifenesin is an expectorant used to help clear mucous and congestion and codeine is used to quiet to cough. SN instructed patient / caregiver to take as directed and with food if stomach upset occurs. Informed that drowsiness, constipation, stomach upset, nausea, vomiting, dizziness or headache may occur the first several days the body adjusts to the medication, call physician ( MD ) if these effects continue or become bothersome or if developing skin rash, itching or rapid heart rate. SN instructed patient / caregiver to take the needed cough medication and stop when symptoms clear up.