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Instructed patients on important routines regarding diabetic foot care, such as: always wear shoes which offer good foot support and fit properly, wear clean socks which also fit properly and avoid going barefooted.
Patient was instructed on list of measures to prevent falls at home: If feel dizzy and lose the vision checked regularly. With poor vision condition patient may lose important cues that help to avoid objects and keep the balance.
Taught that lowering high blood pressure helps prevent strokes, heart attacks and kidney problems.
Taught that Hyzaar is used to treat congestive heart failure and to help protect the kidneys from damage due to diabetes.
Instructed on some potential factors of hypertension (high blood pressure), such as: cigarette smoking, obesity and a sedentary life-style, among others.
Taught that seeing physician, dentist and eye doctor regularly is a measure aimed to managing/controlling Diabetes Mellitus (DM).
Encouraged patient the necessity to maintain good oral and eye hygiene. Advised patient the need for oral suctioning as the disease progresses.
SN instructed patient and caregiver that Zithromax (Azithromycin) is an antibiotic useful for the treatment of bacterial infections. Most common side effects are diarrhea , nausea, abdominal pain and vomiting. Nervousness, dermatologic reactions, and anaphylaxis have been reported. As with all antimicrobial agents, pseudomembranous colitis can occur during and up to several weeks after azithromycin therapy.
SN educated caregiver on Hypertensive urgency which is a situation where the blood pressure is severely elevated or higher for your diastolic pressure an that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest pain, back pain, numbness/weakness, change in vision, difficulty speaking do not wait to see if your pressure comes down on its own. SN advised caregiver to seek immediately medical assistance and/or call 9-1-1 if listed above occurs or worsen with patient. Caregiver verbalized understanding of all teachings during visit.
Instructed caregiver inspect patient's feet every day—especially the sole and between the toes—for cuts, bruises, cracks, blisters, redness, ulcers, and any sign of abnormality. Each time you visit a health-care provider, remove your shoes and socks so your feet can be examined. Any problems that are discovered should be reported to patient's podiatrist as soon as possible; no matter how simple they may seem to you.