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Instructed patient on oral diabetic agents. When properly used, these agents stimulate insulin release from the pancreas to help control glucose levels.
Patient was instructed on prevention to avoid hyperglycemia: take the medication as directed. Eat less. Sometimes it helps to eat less and avoid sugary beverages. Responding in changes in blood sugar can help in the prevention of long-term complications of diabetes.
Taught that transient ischemic attacks (TIA), which are temporary impairment of blood flow to the brain, may precede a cerebrovascular accident (stroke).
Simvastatin is a cholesterol- lowering medicine. It inhibits the production of cholesterol by the liver.
The patient was instructed in endocarditis that can lead to bacteremia and reinfection by poor oral hygiene, dental work, cleaning, gum treatment, extractions, gastrointestinal, genitourinary procedures, vaginal deliveries, furuncles, staphylococcal infections, surgical procedures. The patient was advised the need for antibiotic prophylaxis before a procedure that may cause bacteremia.
The patient was instructed in osteoporosis in the significance of creating home safety measures to prevent falls and injuries. The patient was advised to use ambulatory assist devices like cane or walker. The patient was reviewed of the need for sunlight (15 minutes/day) to let beginning of vitamin D. The patient was recommended to use of calcium supplements.
Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Protect the Skin patient from injury - Avoid massaging the skin on bony parts of the patient body. Limit pressure on bony areas by changing positions frequently. If the patient in a bed, preferably every 2 hours.
Patient was instructed about another reason to get your blood sugar levels under control and keep them that way doing so can help you avoid many diabetes skin problems, still, skin conditions related to this disease are common. As many as 1 out of 3 people with diabetes will have one. Fortunately, most can be or successfully treated before they turn into a serious problem.
SN instructed that the Loss of appetite can be a serious problem; it can lead to malnutrition and severe weight loss. Eating enough of the right kinds of foods can be difficult when you do not feel like eating at all. Here are some tips to help you increase your appetite: Avoid drinking liquids before a meal, because they can fill you up. If you want to drink, then drink juices or milk—something nutritious. Eat with family or friends if possible. Eat a variety of foods. Spice up your food with herbs, spices, and sauces. Use butter, bacon bits, croutons, wine sauces, and marinades to provide taste-pleasing meals. Do not fill up on salads or “diet” foods. Eat vegetables and fruits along with meats, poultry, and fish to make sure you get enough calories and nutrition. Eat smaller meals more often, especially if you fill up before you’ve eaten all your dinner.
SN instructed patient / caregiver on Xanax / Alprazolam Which is a medication in the class of benzodiazepines. Explained that this medication is indicated in the management of anxiety and panic attacks and that it works by acting on the CNS to decrease anxiety. Explained to patient that the side effects include: dizziness, drowsiness, lethargy, headache, rashes, nausea, vomiting. Explained that abrupt discontinuation of this medication can cause withdrawal symptoms such as: sweating, nausea, vomiting, muscle cramps, tremors and seizures. Instructed patient to avoid ETOH, CNS depressants, and grapefruit juice while taking Xanax. Instructed to notify Physician if experiencing unrelieved anxiety or if experiencing persistence or worsening of medication side effects