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Instructed in new medication Aricept to manage moderate dementia of the Alzheimer type. In addition, warned of possible S/E such as headache, insomnia, dizziness, fatigue, depression, abnormal dreams, somnolence, seizures, tremor, irritability, paresthesia, aggression, vertigo, ataxia, restlessness, abnormal crying, nervousness, aphasia, syncope, pain, chest pain, hypertension, vasodilation, atrial fibrillation, hot flashes, hypotension, cataract, blurred vision, eye irritation, sore throat, nausea, diarrhea, vomiting, anorexia, fecal incontinence, GI bleeding, bloating, epigastric pain, frequent urination, ecchymosis, weight loss, dehydration, muscle cramps, arthritis, toothache, bone fracture, dyspnea, bronchitis, pruritus, urticaria, diaphoresis, influenza, and increased libido. The drug does not alter the underlying degenerative disease but can temporarily stabilize or relieve symptoms. Effective therapy depends on taking drug at regular intervals. Instructed to take drug in the evening, just before bedtime. Immediately report significant adverse effects or changes in overall health status. Inform health care team that patient is taking drug before he receives anesthesia. Avoid OTC cold or sleep remedies because of the potential for increased anticholinergic effects.
Instructed patient about the uses of Allopuriniol. This medication is used to treat Gout, hyperuricemia associated with malignancies and calcium calculi.
Patient was instructed on the importance of skin integrity to prevent future complication: Massage reddened skin gently al least 3 or 4 times daily. Keep the skin clean and dry and after use a protective ointment or spray.
Instructed patient to store insulin properly and to check expiration date. Advised not to use insulin that changed color or use any other brand other than the one ordered by MD.
Instructed on some signs/symptoms of activity intolerance in response to physical activity, such as: excessive increase/decrease in blood pressure.
Skilled nurse encourage patient to rise slowly from supine position and dangle feet prior to standing while taking alprazolam.
The patient was instructed in chronic bronchitis the importance of avoiding bronchopulmonary irritants such as cigarettes smoking, industrial air pollutants, dust, powders, perfumes, aerosol sprays. The patient was encouraged to use of bronchodilator nebulizers. The patient was taught in adaptive breathing techniques such as deep-breathing exercises, coughing techniques, pursed-lip breathing, and abdominal breathing. The patient was reviewed to avoid persons with infections, especially upper respiratory tract infections. The patient was advised the importance of taking vaccines for influenza and pneumococcal pneumonia. The patient was recommended on cleaning of all home respiratory equipment. The patient was taught in the importance of environmental control, avoid dry air, avoid going out in cold temperatures.
The patient was instructed in epididymitis in the use of ease ways, ice packs, and elevations of scrotum, loose, lightweight clothing, and scrotal support while walking. The patient was advised of informing all sexual partners if the inflammation is due to sexually transmitted disease.
The patient was instructed in hyperparathyroidism in the procedure of assistive devices like walker, cane. The patient was taught to level pain on a rule and to define pain so as to improved monitor pain and painkilling helpfulness. The patient was encouraged to pain medication on calendar moderately than as needed. The patient was advised in a plan for using other pain-relieving ways rather than depend on on pain medication. The patient was advised to elude using enemas or laxatives.
SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit. SN informed M.D. of patients elevated blood pressure and no new orders received, SN was advised to continue with patients current regimen.