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Instructed in new medication Protonix to manage esophagitis. In addition, warned of possible S/E such as headache, insomnia, asthenia, dizziness, chest pain, pharyngitis, rhinitis, sinusitis, diarrhea, flatulence, abdominal pain, eructation, constipation, nausea, vomiting, urinary frequency, hyperglycemia, back pain, neck pain, hypertonia, rash, bronchitis, increased cough, etc. The drug can be taken without regard to meal.
Instructed patient about factors that increase risk for pneumonia, such as smoking and air pollution, upper respiratory infections, prolonged immobility, malnutrition; chronic diseases: diabetes, cancer, renal disease, cardiac disease; exposure to cold, damp weather, inhalation of noxious substances, use of immunosuppressive drugs; age: very young or very old, frequent intoxication from alcohol.
Instructed on the importance of avoiding/decreasing sodium intake in order to decrease retention of fluid and the workload of the heart.
Taught that putting most frequently used items within easy reach is a measure aimed to increasing tolerance in response to increased physical activity.
Taught that stopping exercise, if pain occurs, is a measure aimed to preventing/controlling Osteoarthritis.
Instructed on the importance of avoiding going barefooted.
Taught that blood pressure readings for people age 18-49 should not exceed 140/90.
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.
Instructed patient when should you contact your caregiver: you have little or no urine draining from the nephrostomy tube, you have nausea and are vomiting, the black mark on your tube has moved or is longer than when it was put in ,you have questions or concerns about your condition or care.
SN instructed about the Plaquenil. Some people taking this medication over long periods of time or at high doses have developed irreversible damage to the retina of the eye. Stop taking hydroxychloroquine and call your doctor at once if you have trouble focusing, if you see light streaks or flashes in your vision, or if you notice any swelling or color changes in your eyes.