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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 to use Biohazardous waste/sharps containers provided by Home Health Agency.
Instructed patient on how the most effective way to prevent infections is by frequent hand washing. That is the first line of defense that our body has. Hands may spread hundreds of microorganisms to our clothes, meals, environment or skin.
Instructed on the importance of avoiding crowds and poorly ventilated areas.
Taught that Hyzaar can infrequently raise or lower the potassium blood levels, which, in turn, rarely can cause serious side effects such as muscle weakness/cramping and/or very slow heartbeats.
Taught that, in Congestive Heart Failure (CHF), the decrease in the amount of blood pumped with each heart contraction causes an increase in circulatory pressure.
SN instructed patient about calcium channel blockers and how this prescription medications relax blood vessels and increase the supply of blood and oxygen to the heart while also reducing the heart's workload.
Instructed patient in medication Metoprolol is used to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.
Instructed patient When to seek medical care: Call your provider right away if you have any of the following: Pain or burning in your shoulder, chest, back, arm, or leg, Fever of 100.4°F (38.0°C) or higher, chills, signs of infection at the catheter site (pain, redness, drainage, burning, or stinging), Coughing, wheezing, or shortness of breath.
Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: you must notify your doctor before undergoing any invasive medical or dental procedures. All heart valve surgery patients will require antibiotic medications prior to certain dental or medical procedures to prevent a serious infection of the heart and valves called bacterial endocarditis.