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Instructed in possible adverse reactions to Persantine, including diarrhea headache, weakness, flushing, dizziness, drop in B/P, nausea, vomiting, and skin rash. Instructed to take with meals if GI distress occurs and to watch for signs of bleeding.
Patient was instructed on a healthy mouth. Poor oral mouth can make diabetes more difficult to control. Infections may cause the blood sugar to rise and require more insulin to keep it under control. In addition diabetes can diminish the ability to taste sweets influencing and changing food choices in favor of additional sweeter tasting foods, thereby affecting the dental health.
Patient was instructed on the importance of skin integrity to avoid future complication. With a good skin care it is possible to prevent most pressure sore (bed sores), that can develop quickly in people who are very thin or obese, or who collect fluids in their tissues, who have poor nutrition, who are elderly.
Patient was instructed on pain management. Diabetes can destroy small blood vessels, which in turn can damage the nervous system, and these damaged nerves can cause pain. The pain arises from the nerves that are injured or malfunctioning that can be from the tip of the toe to the brain.
Instructed patient Don't let condensation accumulate in the oxygen delivery tubing.
Instructed on some signs/symptoms of depression, such as: guilty feelings and insomnia or excessive sleeping, among others.
Instructed on some measures aimed to managing/controlling Emphysema, such as: use effective coughing methods and do chest percussion and postural drainage, as directed by MD.
Patient was instructed to drink more water. Water helps remove the excess glucose from your urine and helps you avoid dehydration. Exercise more. Exercise will help to lower your blood glucose, (blood glucose over 300 mg/dL do NOT exercise). Change your eating habits. Make sure you are following your meal plan, exercise program and medicine schedule.
The patient was instructed in coronary artery disease the importance of no smoking or using tobacco products, the effect nicotine has on the cardiac system causing the heart to work faster, constricting blood vessels, and decreasing the amount of oxygen delivered to the heart, and in the presence of coronary artery disease, increasing the probability of chest pain. The patient was advised that the role that stress plays in aggravating coronary artery disease. The patient was recommended the benefits of exercise, increase in high-density lipoproteins, which lowers blood pressure, weight loss, improved cardiovascular status.
SN instructed patient about on gastric ulcer. Gastric ulcers occur on the inside of the stomach. Pain is the most common symptom. The pain is caused by the ulcer and is aggravated by stomach acid coming in contact with the ulcerated area. The pain typically may: Be felt anywhere from your navel up to your breastbone. Be worse when your stomach is empty. Flare at night. Often be temporarily relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication. Disappear and then return for a few days or weeks. See your doctor: If vomiting of blood — which may appear red or black. Dark blood in stools or stools that are black or tarry. Nausea or vomiting. Unexplained weight loss. Appetite changes.