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Instructed patient not to have open flames, such as pilot lights of gas stoves or water heaters, within 12 feet of any oxygen equipment.
Patient was instructed on the importance of an appropriate nutrition to keep blood sugar levels as near to normal as possible. Read Nutrition Facts on food labels and if the serving has too much carbohydrate, the size of serving will need to be adjusted.
Patient was instructed on nerve damage as a complication of diabetes. Because of the lost sense of feeling in the extremities it is possible to not feel any discomfort in the feet, and it is also possible to develop sores that can turn into skin ulcers without being aware of it.
Instructed on the importance of having her/his feet washed daily with warm soap and water; also, instructed on the importance of having them patted dry, especially between toes.
If you miss a dose of isorsobide mn take it as soon as you remember, but not if it is within 2 hours of the next dose. If it is within 2 hours of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
The patient was advised to avoid lifting/stooping in order to decrease back pain. The patient was encouraged to avoid or stop smoking (nicotine decreases diskal circulation).
SN instructed patient that Zocor( Simvastatin) may infrequently cause muscle problems , which can rarely lead to very serious conditions called rhabdomyolysis and autoimmune myopathy. Daily use of alcohol may increase your risk for liver problems, especially when combined with simvastatin.
SN instructed patient that Robitussin its used as a cough medicine, and it is sell over the counter. It contains (Dextromethorphan and guaifenesin) a combination medicine used to treat cough and chest congestion caused by the common cold, infections, or allergies. Common side effects may include: dizziness, drowsiness; sleep problems (insomnia); diarrhea; or feeling nervous, restless, anxious, or irritable. Robitussin Overdose may cause breathing problems and cardiac arrhythmia.
SN instructed patient about medication Tramadol a narcotic - like pain reliever. You should not take tramadol if you are allergic to it, or if you have: severe asthma or breathing problems; a blockage in your stomach or intestines; if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications. Patient verbalized understanding the teaching. Those teaching will be reinforced.
SN instructed patient / caregiver regarding medication Diovan. Explained that diovan is used to treat high blood pressure ( hypertension ) and heart failure. Explained that the high blood pressure reduction helps prevent strokes, heart attacks, and kidney problems and that this drug works by blocking the hormone angiotensin thereby relaxing blood vessels, causing them to widen. SN explained to patient / caregiver that side effects of this medication includes dizziness, lightheadedness, tiredness, or blurred vision as your body adjusts to the medication. SN instructed that if any of these effects persist or worsen, to notify doctor immediately.