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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 in new medication Prednisone and in S/E such as euphoria, insomnia, psychotic behavior, vertigo, headache, paresthesia, seizures, pseudotumor cerebri, heart failure, hypertension, edema, arrhythmias, thrombophlebitis, thromboembolism, cataracts, glaucoma, peptic ulceration, GI irritation, increased appetite, pancreatitis, nausea, vomiting, menstrual irregularities, increased urine calcium levels, hypokalemia, hyperglycemia, carbohydrate intolerance, growth suppression in children, muscle weakness, osteoporosis, hirsutism, delayed wound healing, acne and various skin eruptions.
Instructed in measures to control rheumatoid arthritis such as adequate exercise, proper diet, stress control, pain control, physical or occupational therapy, self-help devices, emotional support and others.
Instructed patient about Avandia. This is an oral antidiabetic used to decrease blood sugar levels. Avandia is used in DM type II , alone or in combination of other oral antidiabetic drugs.
Instructed patient about the most common types of infection in diabetic patients, for example: skin, subcutaneous tissue, and renal and pulmonary infections.
Patient was instructed on the importance to have a good blood sugar control to avoid future diabetes complications. A great diabetes management plan includes
Instructed on the importance of decreasing cholesterol intake as a measure aimed to reducing the risk of developing atherosclerosis.
Instructed in factors that increase the risk of COPD such as respiratory infections, respiratory irritants (dust, smoking, cold, damp air, etc), possible family history, and poor defense system.
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.
SN instructed patient that to drink plenty of fluids ( fever, which may be related to the flu, can cause dehydration ). It is important to maintain hydration. Take acetaminophen ( but do not take aspirin unless your doctor tells ). SN instructed patient to get a flu shot each year and decrease the exposure to the flu.