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Instructed in new medication Allopuriniol and in S/E such as drowsiness, fever, headache, paresthesia, peripheral neuropathy, neuritis, hypersensitivity vasculitis, necrotizing angiitis, epistaxis, nausea, vomiting, diarrhea, abdominal pain, gastritis, taste loss (or perversion, dyspepsia), renal failure, uremia, agranulocytosis, anemia, aplastic anemia, thrombocytopenia, leukopenia, leukocytosis, eosinophilia, hepatitis, hepatic necrosis, hepatomegaly, cholestatic jaundice, arthralgia, myopathy, rash, exfoliative, urticarial, and purpuric lesions, erythema multiforme, severe furunculosis of nose, ichthyosis, alopecia, toxic epidermal necrolysis, ecchymoses, chills.
Taught that sitting to perform an activity rather than stand, if possible, is a measure aimed to increasing tolerance in response to increased physical activity.
Taught that Plavix works by blocking certain blood cells called platelets and prevents them from forming harmful blood clots.
Calcium absorption is increased in an acidic environment, so tablets should be taken with meals
Instruct the patient in the aplastic anemia and its causes. Encouraged the importance to avoiding contact to persons known to have serious infections, trauma, abrasions, and breakdown of the skin which could lead to infection. Encouraged that antibiotics must be taken for the entire period prescribed. Encouraged the need to maintain a well-balanced diet.
The patient was instructed in encephalitis and meningitis to swim only in chlorinated water to evade amebic infection. In this case for a patient with bacterial meningitis encourage to inform all friends to be evaluated for recognition and treatment. The patient was advised to prophylactic procedures to prevent bacterial transmission, immunization may be indicated for close contacts.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, this medication is used to treat CHF, tachy arrhythmias, atrial fibrillation and atrial flutter (slows ventricular rate).
Instructed patient and caregiver about Tramadol. It is an opioid pain medication used to treat moderate to moderately severe pain. Serious side effects of Tramadol may include: seizures, increased risk of serotonin syndrome, decreased alertness, and drug addiction. Common side effects include: constipation, itchiness and nausea, etc. A change in dosage may be recommended in those with kidney or liver problems.
Instructed patient when skin redness where the tape or dressing was the nurse may need to change the dressing size or the type of tape or dressing used. Call home care nurse.
SN instructed patient / caregiver about the medication Isosorbide. SN explained that Isosorbide is a medication given to reduce the blood pressure and that it also reduces the heart rate. SN explained that the side effects of this medication includes fatigue, anxiety, weakness, dizziness, tachycardia, pulmonary edema, constipation and dry mouth. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of side effects or if experiencing blurred vision, difficulty breathing, wheezing, dizziness, light - headedness, confusion, depression or dry mouth.