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Instructed in washing hands well before touching the catheter and use soap and water to wash the area around the catheter.
Instructed in new medication Vioxx to manage osteoarthritis. In addition, warned of possible S/E such as headache, asthenia, fatigue, dizziness, aseptic meningitis, hypertension, lower-extremity edema, sinusitis, diarrhea, dyspepsia, epigastric discomfort, heartburn, nausea, abdominal pain, GI bleeding, urinary tract infection, hyponatremia, back pain, bronchitis, upper respiratory tract infection, pulmonary edema and flu-like syndrome. Patient may experience signs and symptoms of GI bleeding, including bloody vomitus, blood in urine and stool and black, tarry stools. Advised to call MD if he experiences these signs or symptoms. Report rash, unexplained weight gain or edema. Avoid aspirin and products containing aspirin unless prescriber has instructed otherwise. Avoid OTC anti-inflammatories such as ibuprofen (Advil) unless prescriber has instructed it. All NSAIDs including Rofecoxib may adversely affect the liver. Signs and symptoms of liver toxicity include nausea, fatigue, lethargy, itching, jaundice, right upper quadrant tenderness and flu-like syndrome. Instructed to stop therapy and call MD immediately if patient experiences these signs or symptoms. Women must inform MD if they become pregnant, or they are planning on becoming pregnant while taking drugs. This drug may be taken without regard to food although taking it with food may decrease GI distress. The most common adverse effects of this drug are dyspepsia, epigastric discomfort, heartburn and nausea. Taking drug with food may help minimize these effects.
Instructed in diagnosis of Angina. This is a temporary lack of oxygenated blood supply to a portion of the heart, causing pain.
Instructed patient about factors that can affect BS such as foods, exercises, illness, stress, quantity of insulin, and when and where insulin is administered.
Advised using salt substitutes (if permitted by MD), by seasoning food with condiments, such as lemon, parsley, cinnamon, etc.
Patient was instructed on passive range of motion exercises, also called ROM exercises. ROM exercises can be active o passive. Active ROM is done when a person can do the exercises by himself. Active-assisted ROM is done by a person and a helper. Passive ROM exercises are done for a person by a helper. The helper does the ROM because the person cannot do them by himself.
Patient was instructed on depression as a diabetes complication. Treating depression, getting help for depression not only improves a person's quality of life, it also can help people manage their diabetes better by giving them more energy and a more hopeful outlook.
Instructed on the importance of avoiding/decreasing sodium intake in order to decrease retention of fluid and the workload of the heart.
The patient was instructed in myasthenia gravis in finding required helpful equipment and procedures as the disease progresses. The patient was advised to use an eye patch over the affected eye or an ice-covered lens to improve vision if diplopia continues. The patient was taught to put on artificial tears to keep the corneas humid and free of abrasions.
Instructed caregiver the patient are at high risk if the patient have or do the following: Neuropathy, Poor circulation, A foot deformity (e.g., bunion, hammer toe), Wear inappropriate shoes, Uncontrolled blood sugar, History of a previous foot ulceration.