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Instructed in new medication Advair diskus to manage asthma. In addition, warned of possible S/E such as sleep disorders, tremor, hypnagogic effects, compressed nerve syndromes, headache, pain, palpitations, pharyngitis, sinusitis, hoarseness (or dysphonia), rhinorrhea, rhinitis, sneezing, nasal irritation, blood in nasal mucosa, keratitis, conjunctivitis, eye redness, viral eye infections, congestion, nausea, vomiting, abdominal pain and discomfort, diarrhea, gastroenteritis, oral discomfort and pain, constipation, oral ulcerations, oral erythema and rashes, oral candidiasis, appendicitis, dental discomfort and pain, unusual taste, muscular pain, arthralgia, articular rheumatism, muscle stiffness, tightness, rigidity, bone and cartilage disorders, upper respiratory tract infection, upper respiratory tract inflammation, lower respiratory tract viral infection, bronchitis, cough, pneumonia, urticaria, flakiness, disorders of sweat and sebum, sweating, hives, viral infections, chest symptoms, fluid retention, bacterial infections, allergic reactions.
Instructed in measures to prevent constipation: increasing fluids, eating a diet high in fiber, and avoiding foods with sugars (pasta, pastries, cheese, rice, etc.).
Instructed in other S/S of cardiac complications requiring medical intervention, such as, increased SOB, palpitations, uneven heart beat, faintness, and weakness.
Patient was instructed on shortness of breath that make people feel like they can't take enough air, the chest feel tight. Sometimes the feeling is worse when active or lying down flat. If experiencing other symptoms like cough, chest pain or a fever tell the nurse or doctor.
Patient was instructed on Osteoporosis. Limit alcohol use. Heavy alcohol use can decrease bone formation, and it clearly increases the risk of falling. However, some studies show moderate alcohol use (no more than 2 drinks a day for men and 1 drink a day for a women) is linked to higher bone density.
Taught that resting frequently during an activity to allow the heart to recover is a measure aimed to increasing tolerance in response to increased physical activity.
SN put on non-sterile gloves. Remove old dressing. Remove gloves and place them in the trash bag, Wash hands and put on a clean pair of gloves. SN cleaned wound with NS solution using gauze pads, checked wound for signs of infection. Then opened new foam sponge dressing, cut it to size, and place it in the wound. Open the drape package. Cut the drape to the size needed. Place the drape over the wound site. Smooth the drape as you stick it around the wound to prevent any wrinkle that may leak. Connect the tubing to the sponge dressing and the tubing to the pump unit. Open the clamp on the tubing. Turn on the VAC pump. Listen and watch for leaks.
Encouraged patient verbalization regarding fears and concerns about disease and prognosis. Taught patient how to help with reality orientation and stimulation.
SN advised patient do not use aspirin and other NSAIDs may enhance the risk of excessive bleeding.
Instructed patient / caregiver having a stoma is a major event and patients can become very anxious and depressed. Adequate counseling is vital and this may need to include mental health specialists.