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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 in foods low in cholesterol such as fish, fruits, vegetables, egg substitutes, poultry, lean meats, grains, etc.
Instructed patient about how when suffering from osteoarthritis the weight-bearing larger joints, including those of the hips, knees, neck and lower spine are the most commonly affected. The small finger joints can be involved too.
Patient was instructed on appropriate nutrition. Include fish in the meals (2-3 times a week). Choose lean meats like cuts of beef and pork that end in
Patient was instructed on foot care: a podiatrist can also fit patient with shoe inserts called orthotics to support the feet if have diabetic nerve pain or the muscles have become weak from nerve damage. If pain or weakness is so severe that it's too painful or even impossible to walk, a foot brace or orthopedic shoes might help. Further teaching is needed.
Taught that Levothyroxine is a hormone used as a replacement or substitution therapy in diminished or absent thyroid function of many causes.
Instructed on some factors that may increase the risk of developing/exacerbating Osteoporosis, such as: family history of the disease and inadequate dietary intake, among others.
Taught that Congestive Heart Failure (CHF) is a syndrome in which the heart is unable to pump an adequate supply of blood to meet the oxygen and nutritional needs of the body.
Instructed on some signs/symptoms of high blood sugar (hyperglycemia), such as: frequent urination and excessive thirst, among others.
Instructed patient about Pentoxifillyne, Do not break, crush, or chew the tablets; swallow them whole. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take pentoxifylline exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.