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Instructed in new medication Allegra to manage allergic rhinitis. In addition, warned of possible S/E such as fatigue, drowsiness, nausea, dyspepsia, dysmenorrhea, and viral infection.
Instructed in how to recognize signs and symptoms of diabetes such as excesive thirst, fatigue, increased urination, increased appetite, slow healing wounds, itching, changes in vision, weight loos.
Instructed in possible complication of urinary incontinence such as urinary tract infections (cloudy, foul-smelling, urine), depression and loss of self-esteem, skin breakdown, etc.
Skilled Nurse instructed caregiver get at least 4 pillows, include one of those long body pillows since you can and place them between the knees, ankles, under the arms and behind the back when the patient is laid on her side.
Instructed on the importance, when taking Levothyroxine, of not changing brands of thyroid preparations, as this may affect drug bioavailability.
Ingesting too much calcium in a misguided attempt to build skeleton may cause kidney stones, milk-alkali syndrome, or interference with iron absorption.
The patient was instructed in craniotomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
The patient was instructed in endocarditis that can lead to bacteremia and reinfection by poor oral hygiene, dental work, cleaning, gum treatment, extractions, gastrointestinal, genitourinary procedures, vaginal deliveries, furuncles, staphylococcal infections, surgical procedures. The patient was advised the need for antibiotic prophylaxis before a procedure that may cause bacteremia.
PATIENT IS INSTRUCTED THAT Rather than avoiding vitamin K, PATIENT should maintain a consistent intake of vitamin K by maintaining a consistent diet. In other words, from week to week, you should eat the same types of foods. THERE ARE MANY FOOD RICH IN VITAMIN K SUCH AS green vegetables, especially leafy green vegetables, and certain oils have a high content of vitamin K. Most fruits, meats, dairy products, and grains are low in vitamin K.
SN instructed patient / caregiver that urine drainage bag of the catheter should always be suspended below the level of the pubic bone, including during walking or sitting. Cleaning the groin and buttock areas regularly will decrease contamination of the catheter and the risk of infection. Anchoring the catheter to the leg with the provided strap prevents tugging injuries of the urethra.