Welcome to NurseTeachings.com. Our website is the key to completing nurse progress notes quickly and efficiently. We offer over 2,600 teachings and growing. Each day more and more nurses are adding new teachings. You can also share your teachings. Our user friendly interface allows you to navigate this website without difficulty.
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 patient and/or SO to check cough evolution and notify any significant change.
Patient was instructed on how to prevent Hypoglycemia: Start off every morning with a healthy breakfast containing fruits, vegetables and high fiber foods such oatmeal. Eat healthy food without skipping any meals during the day.
Taught that Labetalol
SN instructed patient and caregiver that a sudden physical exertion may constitute as a precipitating factor of Angina Pectoris. Angina occurs when one or more of the coronary arteries become narrowed or blocked. Not be discouraged from exercising, but start slowly and do it regularly. Both patient and caregiver verbalized understanding.
Instructed on some potential factors of hyperglycemia (high blood sugar), such as not using enough insulin or oral diabetes medication, not injecting insulin properly or using expired insulin, not following your diabetes eating plan, being inactive, having an illness or infection and using certain medications, such as steroids.
The patient was instructed in torn knee cartilage/meniscectomy in the need to take shower with bactericidal soap. The patient was instructed that knee restoration is typically done on an outpatient basis but that more extensive repair may require a 1- to 2 day hospital stay. The patient was reviewed in the use of a hinged knee brace or knee immobilizer. The patient was recommended in the importance of the bandage applied to the knee and high support hose. The patient was encouraged in the importance of elevating the operational leg and applying ice bags to the working site to relieve inflammation.
SN instructed patient to report any symptoms of anxiety such as feeling apprehensive, feeling powerless, having a sense of impending danger, panic or doom, having an increased heart rate, breathing rapidly (hyperventilation), sweating, trembling, and or feeling weak or tired to SN or MD immediately to help prevent further complications.
Phlebitis, or an inflammation of the vein, may occur when receiving IV antibiotics which can be irritating to smaller veins. Symptoms of phlebitis include redness, tenderness and swelling. Education about recognition of these complications allows the patient to be involved and can help reduce the risk of further complications related to IV therapy.
SN instructed patient / caregiver on Xanax / Alprazolam Which is a medication in the class of benzodiazepines. Explained that this medication is indicated in the management of anxiety and panic attacks and that it works by acting on the CNS to decrease anxiety. Explained to patient that the side effects include: dizziness, drowsiness, lethargy, headache, rashes, nausea, vomiting. Explained that abrupt discontinuation of this medication can cause withdrawal symptoms such as: sweating, nausea, vomiting, muscle cramps, tremors and seizures. Instructed patient to avoid ETOH, CNS depressants, and grapefruit juice while taking Xanax. Instructed to notify Physician if experiencing unrelieved anxiety or if experiencing persistence or worsening of medication side effects