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Instructed patient on new medication Ciprofloxacin HCL, which is used to manage tract infection. In addition, warned of possible S/E, such as, headache, restlessness, tremor, dizziness, fatigue, drowsiness, insomnia, depression, light-headedness, confusion, hallucinations, seizures, paresthesia, thrombophlebitis, edema, nausea, diarrhea, vomiting, abdominal pain or discomfort, oral candidiasis, pseudomembranous colitis, dyspepsia, flatulence, constipation, crystalluria, interstitial nephritis, eosinophilia, leukopenia, neutropenia, thrombocytopenia, arthralgia, arthropathy, joint or back pain, joint inflammation, joint stiffness, tendon rupture, aching, neck or chest pain, rash, photosensitivity, Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis, burning, pruritus, erythema, hyperpigmentation.
Patient was instructed on Osteoporosis. Exercises that improve balance and coordination that can also reduce your risk of falling. You can also make changes in your home to prevent falls.
Patient was instructed about how to check both feet daily looking over them carefully every day, and be sure check between all of the toes. Blisters and infections can start between the toes, and with diabetic neuropathy, may not feel them until they've become irritated or infected. If physical challenges occur, ask a family member to help. Further teaching is needed.
Patient was instructed on skin care. Keep the skin clean and dry. When bathing or showering, use warm water and a mild, moisture-containing soap. After washing, make sure to rinse and dry the body well. (Pat the skin dry, do not rub). Check places where water can collect such as under the arms, between the legs and between the toes.
Patient was instructed on diabetes. Diabetes mellitus, often simply called diabetes, is a common disorder in which the body cannot properly use the carbohydrates (starches and simple sugars), fats and proteins in foods.
Patient was instructed on stress. When stress occurs the body prepares to take action. In people who have diabetes this response does not work well. Insulin is not always able to let the extra energy into cells, so glucose piles up in the blood.
Instructed on some measures aimed to controlling/managing depression, such as: encourage verbalization of feelings and allow patient some degree of control, among others.
Citalopram is an antidepresed and it produce side effects such as nausea, vomiting, diarrhea, loss of appetite, feeling unsteady, loss of coordination; or headache, trouble concentrating, memory problems, weakness, confusion, hallucinations, fainting, seizure, shallow breathing or breathing that stops and drowsiness.
Patient with biliary catheter instructed patient do not eat after midnight on the night before your procedure. You may have sips of water with your medicines
Instructed patient / caregiver having a stoma is a major event and patients can become very anxious and depressed. Adequate counseling is vital and this may need to include mental health specialists.