chest pain
Instructed what can you do to manage shortness of breath (SOB) do things in ways that use less energy sit down when doing chores and getting dressed. Rest as much as you need to. Avoid heavy lifting. Carry things at your waist or hold them close to your chest
. Use a backpack to carry things and only fill bags half-way. Keep your phone close by and stop to catch your breath when you are having a conversation. A standing or sitting position may be more comfortable during sexual activity with your partner.
Instructed patient you should drain fluid as directed by your doctor, usually every one to two days. You should not drain more than 1000mL per drainage. The catheter will be in your chest
until fluid stops draining.
Educated patient on new medication Cyproheptadine hydrochloride (CH) is a first-generation antihistamine which is used as an appetite stimulant.Side effects of Cyproheptadine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:dry mouth, nose, and throat, drowsiness, dizziness, nausea, chest
congestion, headache, excitement (especially in children), muscle weakness. Understanding was verbalized.
Instructed in new medication Pulmicort to manage asthma. In addition, warned of possible S/E such as headache, pain
, insomnia, asthenia, rhinitis, voice alteration, sinusitis, pharyngitis, dry mouth, nausea, vomiting, abdominal pain
, taste perversion, cought, etc.
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 Singulair and in S/E such as headache, dizziness, fatigue, asthenia, fever, nasal congestion, dental pain
, dyspepsia, infectious gastroenteritis, abdominal pain
, pyuria, cough, rash, trauma, and influenza.
Instructed in new medication Plavix to reduce atherosclerotic events. In addition, warned of possible S/E such as headache, dizziness, fatigue, depression, pain
, edema, hypertension, rhinitis, epistaxis, abdominal pain
, gastritis, constipation, diarrhea, ulcers, arthralgia, coughing, rash, pruritus and others.
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 various factors that help alleviate pain
without, or in addition to, analgesics such as frequent position changes, relaxation techniques, heat or cold, regular rest periods, pillows to support pain
ful area, etc.
Patient was instructed on Passive exercises or ROM exercises. All exercises are done smoothly and gently. Never force, jerk or over-stretch a muscle. This can hurt the muscle or joint instead of helping. Move the joint slowly. This is especially important when having muscle spasms. ROM exercises should never cause pain
or go beyond the normal movement of the joint. Stop them if the person feels pain
.