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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 home ambulation with cane, clear pathways, falls precautions, good lighting, non skid shoes, etc.
Instructed in factors that may increase the risk of osteoarthritis such as trauma, advancing age, poor body posture, genetic tendency, metabolic or endocrine abnormalities, and others.
Instructed patient on how sometimes blood flows with enough force to weaken a vessel wall. If the vessel is small or damaged, the wall can break. When this happens blood leaks into nearby tissue and kills cells. Other cells may die because blood cannot reach them.
Patient was instructed on how to remove bubble from the syringe. Draw up the insulin slowly and steadily. When bubbles are forming in the syringe means that the drawing has been done too fast, so push the insulin back into the bottle and re-draw. Patient was told to do this many times as needed until the bubbles are gone.
Taught that, when taking Renal Caps, if taking a time-released capsule or tablet, it should be swallowed whole.
Instructed on the importance of having both her blood sugar level and blood pressure monitored on a daily basis, as directed by MD.
Instructed on some signs/symptoms of Osteoporosis, such as: loss of height and decreased density of bones, among others.
The patient was instructed in head trauma in the importance of the wound/incision care in any laceration or medical cut. The patient was advised that possible remaining effects like dizziness, headaches, memory loss can be continue for up to 3 to 4 months after trauma. The patient was reviewed that may experience variations in character, inappropriate social behavior, hallucinations. The patient was taught in finding assistive devices for ambulation. The patient was reviewed in concussion to evade Valsalva maneuvers like pulling during defecation, coughing, nose blowing, sneezing.
SN instructed patient psychological stresses such as difficulties with relationships, job pressures, financial strain, and even concerns about self-worth can contribute to hyperglycemia. If these issues become overwhelming, decreased attention to the diabetes treatment plan may also contribute to hyperglycemia.
