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Instructed in new medication Atenolol to manage hypertension. In addition, warned of possible S/E such as fatigue, lethargy, vertigo, drowsiness, dizziness, fever, bradycardia, hypotension, heart failure, intermittent claudication, nausea, diarrhea, thrombocytopenia, hyperkalemia, hypoglycemia, increased risk of developing type-two diabetes, dyspnea, bronchospasm, rash and leg pain. Instructed to take drug exactly as prescribed at the same time every day. Do not stop drug suddenly but do call prescriber if unpleasant adverse reactions occur. If pulse rate is below 60 beats/minute, stop taking drug and call prescriber. Women: notify prescriber if pregnancy occurs. Drug usage might be discontinued.
Instructed to post important telephone numbers, including MD, Home Health Agency, Friend/Relative and 911 for any emergency.
Instructed patient on how to properly use testing strips: wash hands with lukewarm water and mild soap, stick side of finger (not the tip), dry finger well before procedure, change fingers every test, and use the thinnest lancet, as that will give you the best drop of blood.
Patient was instructed on pain management. Acute pain such as occurs with trauma, often has a reversible cause and may require only transient measures and correction of under lying problem. In contrast, chronic pain often results from conditions that are difficult to diagnose and treat.
Instructed on some potential complications of hypertension, such as: hypertensive crisis (sharp rise in blood pressure to greater than 200/120, severe headache, vomiting), among others.
The patient was instructed in bunion hallux valgus in the importance of proper footware. The patient was advised in the proper application of felt rings or pads and other orthoses.
The patient was instructed in laminectomy in the use of antiembolism tube to stop thrombus formation. The patient was taught in techniques for ankle rotating and calf driving to increase venous movement in legs. The patient was reviewed in the use of braces or corsets. The patient was recommended in the use of assistive devices to help decrease trauma on the back, elevated toilet seats, tub railings. The patient was instructed to have the incision place clean and dry until sutures and staples are removed.
SN instructed patient/cg if you notice leakage of bile around the biliary tube, this may be a sign that the catheter is blocked, call your nurse.
Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.
Instructed patient and caregiver on Hypertensive urgency which is a situation where the blood pressure is severely elevated or higher for your diastolic pressure. That experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest pain, back pain, numbness/weakness, change in vision, difficulty speaking do not wait to see if your pressure comes down on its own. Seek immediately medical assistance and/or call 9-1-1.