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Instructed in new medication Amoxicillin and in S/E such as lethargy, hallucinations, seizures, anxiety, confusion, agitation, depression, dizziness, fatigue, nausea, vomiting, diarrhea, glossitis, stomatitis, gastritis, abdominal pain, enterocolitis, pseudomembranous colitis, black tongue, interstitial nephritis, nephropathy, vaginitis, anemia, thrombocytopenia, thrombocytopenic purpura, eosinophilia, leukopenia, hemolytic anemia, agranulocytosis, hypersensitivity reactions, anaphylaxis, and overgrowth of nonsusceptible organisms. Notify MD if rash, fever, or chills develop. A rash is the most common allergic reaction, especially if allopurinol is also being taken.
Instructed in foods low in cholesterol such as fish, fruits, vegetables, egg substitutes, poultry, lean meats, grains, etc.
Instructed patient on oral diabetic agents. When properly used, these agents stimulate insulin release from the pancreas to help control glucose levels.
Patient was instructed on Hyperglycemia. Diabetes is currently a chronic disease with no cure. There is an exceptionally important role for patient education, diabetic support, self monitoring of blood glucose with the goal of keeping it within acceptable bounds.
Instructed on some measures aimed to controlling/managing Parkinson
Instructed patient in medications Vancomycin and Cefepime treats bacterial infections. Instructed patient about Midline activities to avoid Bathing: Caregivers may tell you to take showers rather than baths to help prevent infection. When bathing, keep the area where the catheter is inserted covered and sealed with plastic wrap. This will keep the area of skin and the bandage dry, and help prevent an infection.
Instructed patient when should I call my clinician when on V.A.C. Therapy: immediately report to your clinician if you have any of these symptoms: fever over 102°, diarrhea, headache, sore throat, confusion, sick to your stomach or throwing up, dizziness or feel faint when you stand up, redness around the wound, skin itches or rash present, wound is sore, red or swollen, pus or bad smell from the wound, area in or around wound feels very warm.
SN instructed patient on high carbohydrate foods. SN instructed avoiding large quantities of carbohydrates for main foods: Potatoes, rice, pasta, bread, desserts, sugary drinks. SN instructed that these items should be no more than a palm full and main food should be meat and vegetables at meals.
SN instructed that check the access for signs of infection or problems with blood flow before each hemodialysis treatment, even if the patient is inserting the needles. Keeping the access clean at all times. Using the access site only for dialysis. Being careful not to bump or cut the access. Checking the thrill in the access every day. The thrill is the rhythmic vibration a person can feel over the vascular access. Watching for and reporting signs of infection, including redness, tenderness, or pus. Not letting anyone put a blood pressure cuff on the access arm. Not wearing jewelry or tight clothes over the access site. Not sleeping with the access arm under the head or body. Not lifting heavy objects or putting pressure on the access arm.
SN instructed patient / caregiver on medication Avandaryl. Explained that it is a medication indicated for Diabetes Mellitus ( DM ) type II to decrease the blood sugar by stimulating the production of insulin and increasing receptor site sensitivity. SN explained to patient / caregiver that the side effects include dizziness, photosensitivity, low blood sugar, constipation, nausea and vomiting. SN instructed patient / caregiver to monitor blood sugar daily and to not skip or double doses. SN instructed patient / caregiver to notify physician ( MD ) if experiencing unusual weight gain, swelling of ankles, drowsiness, dyspnea ( SOB ), muscle cramps, weakness, sore throat, rash, unusual bleeding or if bruising occurs.