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Instructed in new medication Plavix to reduce atherosclerotic events. In addition, warned of possible S/E such as headache, dizziness, fatigue, depression, pain, edema, hypertension, rhinitis, epistaxis, abdominal pain, gastritis, constipation, diarrhea, ulcers, arthralgia, coughing, rash, pruritus and others.
Instructed to perform oral inhalation correctly: Shake the inhaler. Clear nasal passages and throat. Breathe out, expelling as much air from lungs as possible. Place mouthpiece well into mouth as dose from inhaler is released and inhale deeply. Hold breath for several seconds, remove mouthpiece and exhale slowly. Or, inhaler may be held about 1 inch (two finger widths) from open mouth; inhale while dose is released.
Instructed patient about how in many cases this condition produces some amount of short-lived discomfort that disappears within a year. Limited and minor pain of osteoarthritis may occur at intervals of a few months or a year and can be treated putting the joint to rest, applying heat and taking non-steroidal anti-inflammatory medications such as Aspirin, Ibuprofen or Naproxen.
Patient was instructed about protection against the swine flu. Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. If you don't have a tissue, cough into your elbow.
Patient was instructed on leg edema. Swollen feet and legs, referred to medically as leg edema, occur when fluid is retained in the spaces between body cells. As leg edema typically affects the feet, ankles and lower legs, but can also impact any areas of the body, causing systemic symptoms.
Taught that Fosamax is to be taken by mouth, after getting up for the day and before taking his/her first food, beverage or other medication.
SN advised patient to report signs or symptoms or ototoxicity or nephrotoxicity during gentamycin therapy.
SN instructed patient that people with heart and/or lung failure can benefit from energy conservation techniques like pace activities and spread them throughout the day/week, plan the day in advance so that you won’t feel rushed, break up tasks into small steps and rest in between, sit down instead of standing for most any activity, and work with arms below the shoulders as overhead activities are more taxing.
SN instructed patient about how the thyroid hormone helps regulate metabolism. When this hormone is abnormally low the energy production decreases, disrupting many vital functions. This can include skin issues such as: Coldness in the fingers and feet with pale and dry coarse skin, eczema, a yellowish hue to the skin, sparse and brittle hair, which comes out in handfuls, loss of hair in the outer third of eyebrows, slow growing, ridged and brittle nails, edema in face, eyelids, hands and feet, and delayed wound healing. Some of these things can be avoided if you are taking your replacement medication daily as ordered and are getting regular blood work to assure the medication is at the correct dose.
SN instructed patient / caregiver on medication Flomax. SN explained that Flomax is indicated for urinary retention such as the case in people who have prostate enlargement. SN explained that side effects of Flomax includes arthralgia, dizziness, flushing, headache, nausea and vomiting. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistent urinary retention and if experiencing the side effects of this medication persistently.