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Instructed in new medication Wellbutrin to manage depression. In addition, warned of possible S/E such as headache, seizures, anxiety, confusion, delusions, euphoria, hostility, impaired sleep quality, insomnia, sedation, tremor, akinesia, akathisia, agitation, dizziness, fatigue, syncope, fever, arrhythmias, hypertension, hypotension, palpitations, tachycardia, auditory disturbances, blurred vision, dry mouth, taste disturbance, increased appetite, constipation, dyspepsia, nausea, vomiting, anorexia, diarrhea, impotence, menstrual complaints, urinary frequency, urine retention, weight loss, weight gain, arthritis, pruritus, rash, cutaneous temperature disturbance, excessive diaphoresis, chills and decreased libido. Advised to avoid prolonged sun exposure and to use sun block.
Instructed to patient to comply with diet, exercises and weight control in order to get the most benefit from the Atenolol.
Instructed patient about diuretics and how they should be taken in the morning to prevent nocturia.
Instructed patient about the importance of wearing a Medic Alert Bracelet.
Patient was instructed on Insulin. There are few types of insulin. The main difference between them is how quickly they work. A fast insulin is used before meals to work in the body for a few hours as digesting. Longer acting insulin gives the body a base level of insulin that last longer time. This helps the body handle blood sugar all day long.
Patient was instructed on hyperglycemia what to watch for: Paying attention to the early signs and symptoms of hyperglycemia can help in the treatment of this condition promptly. Watch for: Frequent urination, increased thirst, dry mouth, blurred vision, fatigue and nausea.
Taught the patient using heart models or diagrams the location of the aortic insufficiency and show the affected valve. Encouraged the patient the importance of avoiding strenuous activities. Advised the patient for frequent rest periods and avoid fatigue.
Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.
Instructed patient during periods of stress, the body releases so-called stress hormones, which cause a rise in blood glucose level. In the short term, this gives the body the extra energy it needs to cope with the stress. But if a person doesn’t have adequate insulin circulating in his bloodstream to enable his cells to use the extra energy, the result will be hyperglycemia. And if stress becomes chronic, hyperglycemia can also become chronic.
The patient was instructed to return to the emergency department if: your JP drain breaks or comes out. You have cloudy yellow or brown drainage from your JP drain site, or the drainage smells bad.