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Instructed in new medication Actos to improve glycemic control. In addition, warned of possible S/E such as headache, edema, heart failure, sinusitis, pharyngitis, tooth disorder, anemia, hypoglycemia (with combination therapy), aggravated diabetes mellitus, weight gain, myalgia and upper respiratory tract infection.
Instructed patient about how his/her body responds to the excess of calories and fat by creating an undesirable increase in blood sugar.
Instructed patient on diagnosis of Myocardial Infarction, which is a prolonged lack of oxygenated blood supply to a portion of the heart muscle, causing pain, and resulting in damage to that area of the heart.
Patient was instructed on foot care: a podiatrist can also fit patient with shoe inserts called orthotics to support the feet if have diabetic nerve pain or the muscles have become weak from nerve damage. If pain or weakness is so severe that it's too painful or even impossible to walk, a foot brace or orthopedic shoes might help. Further teaching is needed.
Patient was instructed on skin care. Drinks lots of fluids, especially water to keep the skin moist and healthy. To prevent dry skin when the temperature drops, use a room humidifier to add moisture to heated, indoor air.
Patient was instructed on some precautions to prevent diabetes complications. Elevate lower extremities whenever sitting or lying to promote venous return and this decrease and prevent edema.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if difficult and/or painful swallowing occur.
Instructed on some factors that may increase the risk of developing/exacerbating Coronary Artery Disease (CAD), such as: cigarette smoking and elevated blood pressure, among others.
SN instructed patient about prednisone is a corticosteroid and prevents the release of substances in the body that cause inflammation. It also suppresses the immune system and can make you prone to infections. Long term use may lead to bone loss and you should increase calcium and Vitamin D in your diet. S/E include anxiety, mood changes, irritability, headache, fast heart rate, weight gain, appetite increase, decreased urine.
SN instructed patient/ ALF that the dementia is not a specific disease. It's an overall term that describes a wide range of symptoms associated with a decline in memory or other thinking skills severe enough to reduce a person's ability to perform everyday activities.