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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 patient to attend all psychiatrist appointments.
Patient was instructed on food not allowed on a healthy nutrition, such as whole milk, cheeses, yogurt, ice cream, fruits and vegetables that are creamed, fried or au gratin. Breads and cereals, egg noodles, doughnuts, griddle cakes, waffles and pastries.
Patient was instructed on measures for fire safety. If someone gets burned, immediately place the wound under cool water for two minutes. If the burn blisters or chars, see a doctor immediately.
Patient was instructed on factors that contributes to poor skin integrity, such as, immobilization, poor circulation, moisture, heat, anemia, shearing forces poor nutritional status, etc.
Patient was instructed on skin care. Drinks lots of fluids, especially water to keep the skin moist and healthy. To prevent dry skin when the temperature drops, use a room humidifier to add moisture to heated, indoor air.
Patient was instructed on Hyperglycemia. The symptom of being frequently thirsty is due to the fact that the body can sense the excess water that is being lost because of the frequent urinating and the normal response is to become thirsty.
Instructed on the importance of reporting changes in sputum characteristics or cough pattern.
The patient was instructed in thrombolytic therapy in the need that bed rest will be continued during the process and for 12 hours after an intracoronary infusion. The patient was advised that common blood sampling will be done to monitor coagulation times and that signs and symptoms of successful myocardial reperfusion, coronary reocclusion and bleeding will be checking. The patient was reviewed that signs of bleeding below the skin are probable and will clear with time.
SN instructed patient that Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat some types of cancer, but has significant adverse effects. It is used for many different indications including: Pericarditis, multiple sclerosis, nephrotic syndrome, to relieve the effects of shingles, lupus, myasthenia gravis, poison oak exposure, meniere's disease and as part of a drug regimen to prevent rejection after organ transplant. Possible side effect may include: Abdominal pain, peptic ulcer, painful hips or shoulders, steroid-induced osteoporosis, stretch marks, osteonecrosis - same as avascular necrosis, insomnia, severe joint pain, cataracts or glaucoma, anxiety, black stool, stomach pain or bloating, severe swelling among others. Take prednisone as ordered.