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Instructed in new medication Pred Forte to manage inflammation of palpebral and bulbar conjunctiva, cornea and anterior segment of globe. In addition, warned of possible S/E, such as, increased intraocular pressure, thinning of cornea, interference with corneal wound healing, increased susceptibility to viral or fungal corneal infections, corneal ulceration, discharge, discomfort, foreign body sensation, glaucoma exacerbation, cataracts, visual acuity and visual field defects, optic nerve damage with excessive or long-term use, systemic effects, and adrenal suppression with excessive or long-term use. Instructed to wash hands before and after installation and warned not to touch tip of dropper to eye or surrounding area. Apply light finger pressure on lacrimal sac for 1 minute after installation. On long-term therapy, have frequent tests of intraocular pressure. Instructed not to share drug, washcloths, or towels with family members, and notify MD if anyone develops same signs or symptoms. Stress importance of compliance with recommended therapy. Notify MD if improvement does not occur within several days or if pain, itching, or swelling of eye occurs. Instructed not to use leftover drug for new eye inflammation because serious problems may occur.
Instructed patient about Osteoarthritis. This is a degenerative non-inflammatory joint disease and it can affect all mobile joints, especially weight-bearing joints.
Instructed patient that depression is more frequent in people with chronic or severe medical illness and also with substance abuse.
Patient was instructed on hand-eye coordination. It
Instructed on some signs/symptoms of respiratory infection, such as: cough (may be productive) and malaise, among others.
Instructed on some measures aimed to controlling/managing depression, such as: encourage patient to become involved in prior interests and activities, among others.
Taught that most people with high cholesterol or triglycerides do not feel sick.
Instructed on the importance of having her/his feet washed daily with warm soap and water; also, instructed on the importance of having them patted dry, especially between toes.
The patient was instructed in endocarditis that can lead to bacteremia and reinfection by poor oral hygiene, dental work, cleaning, gum treatment, extractions, gastrointestinal, genitourinary procedures, vaginal deliveries, furuncles, staphylococcal infections, surgical procedures. The patient was advised the need for antibiotic prophylaxis before a procedure that may cause bacteremia.
SN instructed patient and caregiver that Zithromax (Azithromycin) is an antibiotic useful for the treatment of bacterial infections. Most common side effects are diarrhea , nausea, abdominal pain and vomiting. Nervousness, dermatologic reactions, and anaphylaxis have been reported. As with all antimicrobial agents, pseudomembranous colitis can occur during and up to several weeks after azithromycin therapy.