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Instructed in new medication Advil and in S/E such as headache, dizziness, nervousness, aseptic meningitis, peripheral edema, fluid retention, tinnitus, epigastric distress, nausea, occult blood loss, peptic ulceration, diarrhea, constipation, dyspepsia, flatulence, heartburn, decreased appetite, acute renal failure, azotemia, cystitis, hematuria, prolonged bleeding time, anemia, neutropenia, pancytopenia, thrombocytopenia, aplastic anemia, leukopenia, agranulocytosis, hypoglycemia, hyperkalemia, hypouricemia, bronchospasm, pruritus, rash, urticaria and Stevens-Johnson syndrome.
Instructed patient in measures to prevent falls using a cane support during ambulation and transfers.
Patient was instructed on measures to prevent falls when bathing. Get into the shower/tub by putting the weaker leg in first. Get out of the tub / shower with the strong side first. Use a long handle brush or mittens with straps to help with bathing.
Patient was instructed on breathing methods. Deep relaxed breathing. Lie down on a blanket or rug on the floor. Place one hand on the abdomen and one hand on the chest. Inhale slowly and deeply through the nose into the abdomen to push up the hand as much as feels comfortable. The chest should move only a little and only with the abdomen. Do it for five minutes, when becoming more comfortable with this technique extend it up two minutes.
Instructed on the importance, when taking Hyzaar, of getting up slowly when rising from a seated or lying position, in order to minimize dizziness and light-headedness.
Taught that eating a well-balanced, low sodium diet is a measure aimed to controlling/managing Congestive Heart Failure (CHF).
Unlikely but serious side effects of isorsobide mn are: more frequent or worsening chest pain, flushing, unusually slow or fast heartbeat, fainting. A serious allergic reaction to this drug is unlikely, but seeks immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist immediately.
Infection control measures and proper hand washing techniques. Hand washing has to be done to prevent the growth of microorganisms on the nails, hands, and forearms. When hands are visibly dirty or contaminated with proteinaceous material or are visibly soiled with blood or other body fluids, wash hands with soap and water, if hands are not visibly soiled, use an alcohol-based hand rub for routinely decontaminating hands. Wash hands before eating and after using a restroom. Wash hands for at least 15 seconds, covering all surfaces of the hands and fingers, rinse hands with water and dry thoroughly with a disposable towel, use towel to turn off the faucet, use hand lotions or creams to minimize the occurrence of irritant contact dermatitis associated with hand antisepsis or hand washing.
Instructed patient / caregiver keep the insertion site and dressing dry, do not go swimming as swimming pools not only harbor bacteria but a wet dressing is an ideal medium for bacterial growth, do not allow pets or young children to play with the PICC line.
SN instructed about the Plaquenil. Some people taking this medication over long periods of time or at high doses have developed irreversible damage to the retina of the eye. Stop taking hydroxychloroquine and call your doctor at once if you have trouble focusing, if you see light streaks or flashes in your vision, or if you notice any swelling or color changes in your eyes.
