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Instructed in complication of rheumatoid arthritis such as deformity and disability, infections and osteoporosis.
Instructed in factors that increase the risk of diarrhea such as drug side effects, food allergies, infections, ingestion of toxins, fecal impactions, radiation, laxative abuse, stress, lactose intolerance, or diseases like cancer, diverticulosis and others.
Instructed patient about skin infection signs, such as redness, skin breakdown, discharge, and blisters with purulent exudates. Contact MD immediately if any of these symptoms appear.
Patient was instructed on proper skin care after bathing. Do not put oils or creams between the toes. The extra moisture can lead to infection. Also don't soak the feet that can dry the skin.
Patient was instructed on precautions to prevent respiratory complications. Avoid persons with infections and wash hands frequently. Caution the patient to avoid the use of respiratory depressants.
Taught that blood pressure readings for people age 18-49 should not exceed 140/90.
Instructed patient Don't allow a humidifier to empty.
Instructed about diet as a major factor that can affect the stability of your Coumadin level. Explained about Vitamin K and its importance for blood to clot and why it's important in patients taking Coumadin, because high amounts of Vitamin K (e.g.green and leafy vegetables like lettuce, spinach and broccoli)can work against the drug. Instructed patient to eat what he normally eats just as long as he's consistent with his vitamin K foods. Verbalized understanding.
Instructed patient/caregiver on general precautions while taking aspirin: take with food, milk, or large glass of water to decrease gastric symptoms. (Enteric coated or buffered may be better tolerated.); avoid alcohol due to possible internal bleeding; only take the recommended amount; use cautiously with Asthma; observe and report s/s of bleeding (easy bruising, bleeding gums, black stools); discard medications if vinegar odor is present; do not take antacids due to decreased effectiveness; avoid chewing or crushing enteric coated.
SN instructed patient regarding medication Furosemide. SN informed patient that Furosemide is used to treat fluid retention and high blood pressure and it causes increased urination. SN instructed patient to watch out for side effects of this medication such as headache, dizziness, blurred vision, constipation, diarrhea, and numbness / burning / tingly feeling and to notify physician ( MD ) if experiencing these side effects persistently. SN informed that Lasix may deplete potassium in the body, thus needing potassium supplement or increased potassium intake ( oranges, bananas ). SN instructed patient / caregiver to report to physician ( MD ) if patient experiences vomiting, fast / uneven heartbeat, lightheadedness or increased weakness, muscle pains, or urinating less or not at all.