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Teachings for Nurses & Patients

Vioxx Teaching 79

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.

Atenolol Teaching 220

Instructed patient about Atenolol and why it should be stored away from light, moisture and should be placed in a cool enviroment.

Hypertension Teaching 495

Patient was instructed on hypertension. Callor other emergency services immediately if having any of the following symptoms: a sudden, severe headache, chest pain (angina), other symptoms of heart attack, symptoms of a stroke.

Angina pectoris Teaching 840

Taught that some potential factors of Angina Pectoris are sudden physical exertion and emotional stress, among others.

Constipation Teaching 1020

Instructed on some factors that may increase the risk of developing/exacerbating constipation, such as: organic problems, inactivity and chronic use of laxatives and enemas, among others.

Thrombolytic Therapy Teaching 1536

The patient was instructed in thrombolytic therapy in the need that bed rest will be continued during the process and for 12 hours after an intracoronary infusion. The patient was advised that common blood sampling will be done to monitor coagulation times and that signs and symptoms of successful myocardial reperfusion, coronary reocclusion and bleeding will be checking. The patient was reviewed that signs of bleeding below the skin are probable and will clear with time.

Amlodipine-Benaz Teaching 1602

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). SN instructs the patient about the new medication Amlodipine / Benaz may cause dizziness, lightheadedness, or fainting, especially when you get up suddenly from a lying or sitting position, if you feel dizzy, lie down so you do not faint. Then sit for a few moments before standing to prevent the dizziness from returning. If you faint, call your doctor right away.

PICC Line Teaching 1818

Instructed patient check your skin where the 
catheter enters it every day. Look for signs of infection and other problems. Instructed patient call your health care provider if you: Have bleeding, redness or swelling at the PICC line or Midline site, have pain near the site or in your arm, have signs
 of infection (fever, chills), are short of breath.

Heart Surgery Teaching 1889

Instructed patient a particular diet, it's important that you follow it. If a special diet has not been recommended, balanced, heart-healthy nutrition can speed healing and lessen fatigue. Patient weight control is also important for your heart health; excess weight increases the work of the heart and slows recovery.

Albuterol Teaching 1953

SN instructed patient thas the albuterol it is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. SN instructed patient that albuterol belongs to a class of drugs known as bronchodilators. It works in the airways by opening breathing passages and relaxing muscles. Side effects: Nervousness, shaking (tremor), headache, nausea or dizziness may occur. Understanding was verbalized.