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Instructed in new medication Amitriptyline to manage depression. In additon, warned of possible S/E such as coma, seizures, hallucinations, delusions, disorientation, ataxia, tremor, peripheral neuropathy, anxiety, insomnia, restlessness, drowsiness, dizziness, weakness, fatigue, headache, extrapyramidal reactions, MI, stroke, arrhythmias, heart block, orthostatic hypotension, tachycardia, ECG changes, hypertension, edema, blurred vision, tinnitus, mydriasis, increased intraocular pressure, dry mouth, nausea, vomiting, anorexia, epigastric distress, diarrhea, constipation, paralytic ileum, urine retention, agranulocytosis, thrombocytopenia, leukopenia, eosinophilia, hypoglycemia, hyperglycemia, rash, urticaria, photosensitivity, diaphoresis and hypersensitivity reaction. Instructed to take full dose at bedtime but warned patient of possible morning orthostatic hypotension. Avoid alcohol during drug therapy. Consult MD before taking other medications. Avoid activities that require alertness and good psychomotor coordination until CNS effects of drug are known. Drowsiness and dizziness usually subside after a few weeks. Dry mouth may be relieved with sugarless hard candy or gum. Saliva substitutes may be needed. Instructed to use a sun block, wear protective clothing and avoid prolonged exposure to strong sunlight. To prevent photosensitivity reactions. Do not stop drug therapy abruptly.
Patient was instructed on factors that may contribute to chronic wounds is old age. The skin of older people is more easily damaged, and older cells do not proliferate as fast and may not have an adequate response to stress in terms of gene up regulation of stress related proteins. In older cells, stress response genes are over expressed when the cell is not stressed, but when it is, the expression of these proteins is not regulated by as much as in younger cells.
Patient was instructed about foot care, trying non-impact exercise such as swimming, cycling, yoga, and tai chi are increasingly popular ways to exercise - with minimal impact on the feet. Talk with the doctor before starting an exercise program. Further teaching is needed.
Patient was instructed on Hyperglycemia. Drink plenty of liquids. If the blood sugar levels are above the target range, drink extra liquids to replace the fluids lost through the urine. Waters and diet drinks are best. Avoid caffeinated drinks, alcohol, and soda pop and other liquids that contain a lot of sugar.
Instructed on some signs/symptoms of Rheumatoid Arthritis, such as: loss of appetite and low-grade fever, among others.
Taught that lung infections and some diseases are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
Instructed on the importance of having her/his feet washed daily with warm soap and water; also, instructed on the importance of having them patted dry, especially between toes.
Caregiver A.L.F's staff was instructed in Hypothyroidism disease; on how symptoms differ among individuals, depending on the severity of the case: sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, lack of facial expression, enlarged tongue.
Pantoprazole is used to treat gastroesophageal reflux. Pantoprazole may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: headache,nausea and vomiting.
Instructed patient about vacuum assisted closure ( VAC ) therapy the length of time to heal a wound is different for every patient. General conditions, size and location of the wound, and nutritional status can affect the time it takes for a wound to heal. Your clinician will discuss when and why V.A.C. therapy may begin and end.