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Instructed in new medication Pred Forte to manage inflammation of palpebral and bulbar conjunctiva, cornea and anterior segment of globe. In addition, warned of possible S/E, such as, increased intraocular pressure, thinning of cornea, interference with corneal wound healing, increased susceptibility to viral or fungal corneal infections, corneal ulceration, discharge, discomfort, foreign body sensation, glaucoma exacerbation, cataracts, visual acuity and visual field defects, optic nerve damage with excessive or long-term use, systemic effects, and adrenal suppression with excessive or long-term use. Instructed to wash hands before and after installation and warned not to touch tip of dropper to eye or surrounding area. Apply light finger pressure on lacrimal sac for 1 minute after installation. On long-term therapy, have frequent tests of intraocular pressure. Instructed not to share drug, washcloths, or towels with family members, and notify MD if anyone develops same signs or symptoms. Stress importance of compliance with recommended therapy. Notify MD if improvement does not occur within several days or if pain, itching, or swelling of eye occurs. Instructed not to use leftover drug for new eye inflammation because serious problems may occur.
Taught that lowering high blood pressure helps prevent strokes, heart attacks and kidney problems.
Instructed on some measures aimed to controlling/managing Coronary Artery Disease (CAD), such as: avoid/decrease cholesterol intake and avoid/decrease stress, among others.
Instructed on some signs/symptoms of activity intolerance in response to physical activity, such as: shortness of breath and/or increased weakness, among others.
Patient was given teaching on good body mechanics to avoid injury such as: keep your back straight as you walk and also when lifting making sure to never bend at the waist. If sitting put a pillow or rolled towel to support your lower back.
Instructed in medication Famotidine is used to treat ulcers gastroesophageal reflux. Swallow the tablets and capsules with a full glass of water. Side effects can this medication cause: Tell your doctor if any of these symptoms are severe or do not go away: headache, dizziness, constipation. Take Famotidine 20 MG one tablet by mouth daily.
Instructed patient classic barriers to spontaneous closure include distal obstruction, mucocutaneous continuity (ie, a short or epithelialized tract), and infection or malignancy in the tract. Comprehensive and effective management of the patient with fistula requires attention to fluid and electrolyte replacement, per fistula, skin, protection, infection control.
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.
SN instructed patient that eliquis could cause bruising, internal bleeding, increased bleeding time so if any falls, severe cuts or unexplained pain or pain pressure 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. Patient was able to be taught back.
SN instructed patient that to drink plenty of fluids ( fever, which may be related to the flu, can cause dehydration ). It is important to maintain hydration. Take acetaminophen ( but do not take aspirin unless your doctor tells ). SN instructed patient to get a flu shot each year and decrease the exposure to the flu.