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Instructed in new medication Vioxx to manage osteoarthritis. In addition, warned of possible S/E such as headache, asthenia, fatigue, dizziness, aseptic meningitis, hypertension, lower-extremity edema, sinusitis, diarrhea, dyspepsia, epigastric discomfort, heartburn, nausea, abdominal pain, GI bleeding, urinary tract infection, hyponatremia, back pain, bronchitis, upper respiratory tract infection, pulmonary edema and flu-like syndrome. Patient 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. All NSAIDs including Rofecoxib may adversely affect the liver. Signs and symptoms of liver toxicity include nausea, fatigue, lethargy, itching, jaundice, right upper quadrant tenderness and flu-like syndrome. Instructed to stop therapy and call MD immediately if patient experiences these signs or symptoms. Women must inform MD if they become pregnant, or they are planning on becoming pregnant while taking drugs. This drug may be taken without regard to food although taking it with food may decrease GI distress. The most common adverse effects of this drug are dyspepsia, epigastric discomfort, heartburn and nausea. Taking drug with food may help minimize these effects.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood presence in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.
Instructed patient on monitoring DM, for example: testing blood sugar levels at least 3 times a day.
Patient was instructed on breathing methods. They are useful to settle the body and mind and induce a heightened sense of awareness. Breathing exercises have been practiced for thousands of years. Breathing exercises can be helpful for reducing anger, anxiety, depression, fatigue, irritability, muscular tension and stress.
Instructed on the importance of washing hands thoroughly as well as disposing used tissues properly in order to avoid the spread of infections.
SN put on non-sterile gloves. Remove old dressing. Remove gloves and place them in the trash bag, Wash hands and put on a clean pair of gloves. SN cleaned wound with NS solution using gauze pads, checked wound for signs of infection. Then opened new foam sponge dressing, cut it to size, and place it in the wound. Open the drape package. Cut the drape to the size needed. Place the drape over the wound site. Smooth the drape as you stick it around the wound to prevent any wrinkle that may leak. Connect the tubing to the sponge dressing and the tubing to the pump unit. Open the clamp on the tubing. Turn on the VAC pump. Listen and watch for leaks.
The patient was instructed in bone cancer that has undergone extremity save that he or she will no recover preoperative manner and will be partially disabled.
The patient was instructed in osteoporosis in the significance of creating home safety measures to prevent falls and injuries. The patient was advised to use ambulatory assist devices like cane or walker. The patient was reviewed of the need for sunlight (15 minutes/day) to let beginning of vitamin D. The patient was recommended to use of calcium supplements.
Instructed to help you prevent or manage high blood pressure: Start with understanding your condition, eat well to feel better, moderate exercise and stress-relieving techniques.
SN instructed patient that phantom pain is very real but not everyone who has an amputation has phantom pain. The pain may feel like cramping, burning, stabbing or shooting pain. Some things that can make the pain feel worse are being too tired, too much pressure on the amputated arm or leg, changes in the weather, stress and infection.