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Instructed to take nitroglycerin at the first sign of angina, to rest in a lying or sitting position, to maintain a quiet enviroment and to get medical attention.
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.
Caregiver instructed to place a slip-resistant rug on the floor next to the bathtub. This will ensure that the patient can get in and out of the bathtub safely without the risk of slipping or falling on the wet floor.
Patient was instructed on Hyperglycemia. If the body doesn't produce enough insulin (which occurs in people with type 1 diabetes and a few people with type 2 diabetes), blood sugar levels may rise. This may cause high blood sugar in the morning before the person eats.
Taught that during times of stress, such as fever, infection, injury or surgery, it may be more difficult to control the blood sugar levels.
The patient was instructed in supraventricular dysrhythmia the importance of not smoking or using tobacco products. The patient was taught how to take the pulse for a full minute. The patient was advised the importance of leading a normal, productive life. The patient was instructed to understand what precautions to take at work and at home. The patient was advised the need to identify a health care facility near home and work.
SN instructed patient/CG keep the skin around your biliary catheter dry. You can take showers if you cover the area with plastic wrap. If the area does get wet, dry the skin completely after you shower.
SN instructed that Tradjenta is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used by people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke.
SN instructed patient about the Eliquis, also known as Apixaban is an anticoagulant. “ANTI” means against and “COAGULANT” refers to the clotting of blood. Apixaban is a medicine ordered by your doctor to prevent harmful blood clots from forming. It does not dissolve existing clots. Sometimes apixaban is referred to as a “blood thinner”, but it does not actually thin your blood. Apixaban is commonly prescribed to people with a heart rhythm problem called atrial fibrillation. Atrial fibrillation increases the risk of a clot forming in the heart. A clot in the heart can dislodge and cause a stroke. The role of apixaban in patients with atrial fibrillation is to prevent formation of a clot in the heart and lower the risk of stroke. Tell your doctor right away if you have these side effects: Unusual bleeding: Vomiting blood or brown material that looks like coffee grounds, Bleeding from cuts that do not stop with pressure, Frequent bleeding from Coughing up blood gums, Nose bleeds, Black or red tarry stools, Bruises that appear without injury, blood in your urine, excessive vaginal bleeding / menstrual flow, Weakness, lightheadedness, dizziness, or fainting Itching or hives, Swelling in your face, hands, mouth, or throat Difficulty breathing or chest tightness.
RN instructed on low fat diet for treatment of high cholesterol and triglyceride levels. RN explained patient to avoid foods that are rich in fat / cholesterol, choose only lean meat and avoid the fat, eat more fish and poultry, have baked / broiled red meats, fish or poultry instead of fried, use low-fat or fat-free milk, try fat-free or low fat cottage cheese or yogurt in place of cream and sour cream, have steamed vegetables and dress salads with lemon juice, fat free mayonnaise or fat free dressing. RN also instructed patient that Atorvastatin reduces levels of "bad" cholesterol and triglycerides in the blood, while increasing levels of "good" cholesterol and is used to lower cholesterol and triglycerides in the blood and therefore it is used to lower the risk of stroke, heart attack and other heart complications in people with diabetes, coronary heart disease or other risk factors.