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Instructed in new medication Starlix to manage diabetes. In addition, warned of possible S/E such as dizziness, diarrhea, hypoglycemia, back pain, arthropathy, upper respiratory tract infection, bronchitis, coughing, flu symptoms and accidental trauma. Instructed to take drug 1 to 30 minutes before a meal. Notify MD for persistent hypoglycemia or hyperglycemia.
Instructed patient about depression risk factors for suicide. Women are 3 times more likely than men to attempt suicide, but men are 3 times more likely to complete suicide.
Instructed patient Don't cut gauze and place it under the tracheostomy tube flanges; inhalation could draw fibers into the patient\'s trachea. Use a manufactured split sponge.
Patient was instructed on respiratory infection, usually known as the common cold, is a highly contagious, viral infectious disease of the upper respiratory system, It is the most common infectious disease in humans. Common symptoms are sore throat, runny nose, nasal congestion, sneezing and coughing.
Patient was instructed about the skin damage: the skin may be dry and cracked because of high glucose levels, and cracked skin means it's easier for bacteria to get under the skin and harder for infections to heal. Use a small amount of skin lotion daily, to be sure the feet feel dry - not damp or sticky - afterwards. Try not to get the lotion in between the toes. Keep the toenails trimmed and filed smooth to avoid ingrown toenails. Further teaching is needed.
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.
Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes that include: illnesses and other health conditions. Hypoglycemia may occur when other diseases and disorders affect the body's sugar metabolism. These can include disorders of the pancreas and endocrine system; diseases of the liver, adrenal glands (such as Addison's disease), or kidneys; heart failure, which can impair liver function; and sepsis. In very rare cases, nonpancreatic tumors cause hypoglycemia.
Patient was instructed on Lorazepam a benzodiazepines a medication used to treat anxiety disorder. Patient was instructed to take medication exactly as indicated by physician and to avoid the consumption of alcohol. Patient was instructed on side effects such as: •drowsiness, dizziness, tiredness;blurred vision;sleep problems (insomnia);muscle weakness, lack of balance or coordination;amnesia or forgetfulness, trouble concentrating;nausea, vomiting,constipation;appetite changes; or skin rash. If side effect become persistent or worsen contact physician immediately.
Caregiver/A.L.F's staff was instructed in new medication Zitromax, give it to take an hour before eating any food, and the most common side effects such as; diarrhea or loose stools, nausea, abdominal pain, and vomiting.
SN instructed that Torsemide is a loop diuretic. It works by making the kidney eliminate larger amounts of electrolytes ( especially sodium and potassium salts ) and water than normal ( diuretic effect ). It is used to treat edema ( swelling ) associated with heart, kidney, or liver failure, or with conditions in which there is excess body water. It is also used alone or with other medicines to treat high blood pressure. Torsemide may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep, try to take your dose before 6 pm. If you also take cholestyramine, do not take it within 4 hours before or after taking torsemide. may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. Torsemide may affect your blood sugar. Check blood sugar levels closely. Weight should be monitored while taking this medication.