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Instructed in new medication Atorvastatin to reduce cholesterol levels. In addition, warned of possible S/E such as headache, asthenia, insomnia, peripheral edema, rhinitis, pharyngitis, sinusitis, abdominal pain, dyspepsia, flatulence, nausea, constipation, diarrhea, urinary tract infection, arthritis, arthralgia, myalgia, bronchitis, rash, infection, flu-like syndrome, and allergic reaction.
Patient was instructed about the swine flu. Spread of this swine influenza A (H1N1) virus is thought to spread in the same way as the seasonal flu virus. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza. Sometimes a person may become infected by touching something with flu viruses on it and then touching their mouth or nose.
Patient was instructed on wound healing. Healing time depends on a variety of factors, such as wound size and location, pressure on the wound from walking or standing, swelling, circulation, blood glucose levels, wound care, and what is being applied to the wound. Healing may occur within weeks or require several months.
Patient was instructed on the importance to recognize the symptoms of depression to take action right away. Inability to remember things - fatigue or lost of energy, feeling "dragged out" and tire - lack of appetite or eating too much with accompanying weight changes - no interest in the things that used to bring pleasure - not sleeping at night or sleeping too much.
Taught that avoiding excess sugar and salt intake is a measure aimed to controlling/managing Rheumatoid Arthritis.
Instructed on some potential factors of hypertension (high blood pressure), such as: age, race and high sodium intake, among others.
The patient was instructed in coronary artery bypass graft surgery that complete curative and recovery take 8 to 12 weeks. The patient was informed that the sternum was wired together and that a feeling of movement or a clicking sound is normal during the healing period. The patient was taught that minor itching, redness, numbness, soreness, swelling, or a drawing feeling is normal during the healing period. The patient was advised to avoid lifting or carrying heavy objects or performing isometric activities.
Instructed patient assess PICC line site, line note any leakage from catheter or around the site. Note any redness, drainage or pain at the site.
Instructed about diet as a major factor that can affect the stability of your Coumadin level. Explained about Vitamin K and its importance for blood to clot and why it's important in patients taking Coumadin, because high amounts of Vitamin K (e.g.green and leafy vegetables like lettuce, spinach and broccoli)can work against the drug. Instructed patient to eat what he normally eats just as long as he's consistent with his vitamin K foods. Verbalized understanding.
Instructed patient and caregiver on Hypertensive urgency which is a situation where the blood pressure is severely elevated or higher for your diastolic pressure. That experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest pain, back pain, numbness/weakness, change in vision, difficulty speaking do not wait to see if your pressure comes down on its own. Seek immediately medical assistance and/or call 9-1-1.