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Instructed in new medication Bextra to manage osteoarthritis. In addition. warned of possible S/E such as dizziness, headache, cerebrovascular disorder, peripheral edema, hypertension, angina pectoris, arrhythmia, heart failure, aneurysm, sinusitis, abdominal fullness, abdominal pain, diarrhea, dyspepsia, flatulence, nausea, renal impairment, thrombocytopenia, leukopenia, anemia, hepatitis, hyperglycemia, hypercholesterolemia, hyperkalemia, hyperlipidemia, hyperuricemia, hypocalcemia, hypokalemia, increased or decreased weight, back pain, myalgia, upper respiratory tract infection, bronchospasm, rash, flu-like syndrome, accidental injury.
Instructed patient about proper storage and disposal of equipment: checking expiration date, keeping spare bottle in refrigerator, not changing the brand, match syringe type.
Instructed patient about the diagnosis of Angina, which is a temporary lack of oxygenated blood supply to a portion of the heart, causing pain.
Patient was instructed on Osteoporosis. Take steps to prevent falls that might result in broken bones. Have the vision and hearing checked regularly, and wear slippers or shoes with a nonskid sole. Do exercises that improve balance and coordination. Limit alcohol use that clearly increases the risk of falling.
Patient was instructed on skin care. Keep the skin clean and dry. When bathing or showering, use warm water and a mild, moisture-containing soap. After washing, make sure to rinse and dry the body well. (Pat the skin dry, do not rub). Check places where water can collect such as under the arms, between the legs and between the toes.
Instructed on some measures aimed to controlling/managing depression, such as: encourage patient to become involved in prior interests and activities, among others.
SN instructed patient that to reduce diarrhea, omit fiber and bulk from your meals and eat foods that thicken your stools, such as white rice, applesauce, bananas, creamy peanut butter, yogurt, pasta, and bread. Continued diarrhea can cause dehydration, so increase the amount of fluids in your diet.
Instructed patient Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition. Adequate protein and calories must be provided to maximize healing and minimize complications.
Instructed patient the following is a list of preventive measures that may help to avoid some problems: Make sure that the trach is open to air and that nothing is blocking it such as clothing or bedding. Always have a child nap or sleep with their apnea monitor or pulse oximeter on. Do not discontinue their use unless discussed with your ENT doctor.
SN instructed that the lisinopril is a drug of the angiotensin-converting enzyme inhibitor class used primarily in treatment of hypertension. If any of the following side effects occur please report to physician / nurse : Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, blistering, peeling, red skin rash, confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips, dark urine or pale stools.