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Instructed in new medication Allegra to manage allergic rhinitis. In addition, warned of possible S/E such as fatigue, drowsiness, nausea, dyspepsia, dysmenorrhea, and viral infection.
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 need for proper nutrition to promote wound healing, including foods high in Vitamin C and protein.
Instructed patient that a diabetic diet doesnt exist by itself, a healthy diet, which can be shared with the other family members,will prevent increases in blood sugar.
Taught that lack of oxygen may cause damage to the heart.
Instructed on potential complications of Rheumatoid Arthritis, such as: deformity and disability, infections and osteoporosis, among others.
Instructed on some signs/symptoms of low blood sugar (hypoglycemia), such as: tremors and pale, moist skin, among others.
SN instructed patient to eat foods at a regular time each day. Eating 4 to 6 smaller meals may help to promote a regular bowel pattern.
The patient was instructed in frostbite indicating the application of dry, sterile dressings to small, open areas. The patient was advised the importance of protecting the extremity from temperature extremes and rapid changes in temperature because the tissue is delicate to temperature changes and refreezing causes tissue damage. The patient was explained to elude fitted, constrictive clothing or pressure to an area that might cut circulation. The patient was recommended defensive procedures to avoid future incidents or reinjury of the frostbitten part, protective, multilayered, warm, nonconstrictive clothing avoiding of cold temperatures, exhaustion, and malnutrition. The patient was advised that there may be long-term remaining effects, increased sensitivity to cold, burning and itchy, and increasing sweating. The patient was explained that lower extremities are affected, to avoid weight bearing and offer instruction in the use of ambulatory aids. The patient was taught in the importance of elevating the affected extremity. The patient was advised in range-of-motion exercises to prevent contractures.
The patient was instructed in spinal cord injury to use a mirror to check skin for break. The patient was instructed on perineal care after removal. The patient was taught in intermittent self-catheterization. The patient was taught in the attention of the indwelling urinary catheter. The patient was taught in the need to use anesthetic jelly abundantly for urinary catheterization and insertion of suppository or enema. The patient was advised in the importance of following the prescribed rehabilitation program.