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Instructed in new medication Aspirin to manage rheumatoid arthritis. In addition, warned of possible S/E such as tinnitus, hearing loss, nausea, GI distress, occult bleeding, dyspepsia, GI bleeding, leukopenia, hepatitis, rash, urticaria and others.
Instructed in possible adverse reactions to Vasotec, including headache, dizziness, fatigue, drop in B/P, diarrhea, and nausea. Instructed to report any adverse reactions to MD.
Instructed patient about the importance of preventing dehydration when sick. This could be avoided drinking non-calorie liquids such as water and diet soft drinks in addition to the normal diet. Eat foods with high amounts of water like fruits and vegetables. Avoid drinks with alcohol. Patient verbalized understanding.
Patient was instructed on hypertension. Blood pressure commonly rises as getting older, but this increase occurs more quickly in people who already have high blood pressure. Untreated hypertension can damage the delicate lining of the blood vessels.
Patient was instructed on the importance to have a good blood sugar control to avoid future diabetes complications: Monitoring: keep track of the blood sugar every day, Meals: Plan healthy and enjoyable meals to help keep the blood sugar near goal, Moves (exercise): moving the body help lower the blood sugar by burning it for energy, Medicine: when Meals and Move are not enough.
Taught that Osteoarthritis can affect all mobile joints, especially weight-bearing joints.
Taught that blood pressure readings for people age 18-49 should not exceed 140/90.
Instructed patient in new medication side effects ; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.
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.
Instructed patient unlike gauze bandages that merely cover a wound, V.A.C. therapy actively works to help the wound healing process. The V.A.C.therapy system helps: promote wound healing, provide a moist wound healing environment, draw wound edges together, remove fluid and infectious materials, reduce wound odor, reduce the need for daily dressing changes.