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rewrite this Sn visited patient home and was greeted by patient at the door, Patient alert and oriented, vitals WNL per patient base line denied pain on this visit, but complain of generalized weakness. Patient had a new change of medication, she was taking Carvedilol but now change to Metoprolol 25mg half a table in the morning. SN provided teaching on new medication, advise patient to always check her blood pressure before taking this medication due to the fact it can drop down blood pressure and can cause dizziness and fall, Instructed patient rising slowly from a sitting or lying position may help ease symptoms. Avoiding alcohol, drink plenty of water, and eating small, low-carbohydrate meals along with fruits and vegetables may also help. See a doctor immediately if you Faint, Break out in cold sweats, breathe rapidly and shallowly, or if she notice blood in her stool to report due to the fact she is taking Aspirin. Patient was also advise she may experience signs and symptoms of GI bleeding, including bloody vomitus, blood in urine and stool and black, tarry stools. Advised to call MD if he experiences these signs or symptoms. Report rash, unexplained weight gain or edema. Avoid aspirin and products containing aspirin unless prescriber has instructed otherwise. Avoid OTC anti-inflammatories such as ibuprofen (Advil) unless prescriber has instructed it. Patient new medication has been updated on patient medication list. SN also provided teaching on proper hand washing an

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