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Instructed in measures to prevent foot problem; always wear properly fitted shoes and examine the feet every day for sores and signs of infections. Diabetes, and aging are also contributors to foot problems. Keep feet clean and dry. Visit your doctor for regular foot exams. Before and after physical activity stretch the foot thoroughly and wear supportive shoes. Patient verbalized understanding.
Instructed in possible adverse reactions to Verapamil, including, dizziness, headache, fatigue, intermittent decrease in B/P and heart rate, nausea, and constipation.
Instructed in a safe, hazard free enviroment, to keep clear pathways, remove scatter rugs, and provide adequate lighting.
Instructed patient to choose a diet that emphasizes eating vegetables, fruits and whole grains.
Instructed patient about the appropriate measures to prevent foot problems, such as: always wear properly fitted shoes and examine feet every day for sores and signs of infections. Check for blisters, cuts, sores and/or cracked skin. Check for pebbles, rough seams or anything else that might irritate your foot. Patient verbalized understanding.
Patient was instructed on how to inject. To pinch the skin properly squeeze a couple of inches of skin between the thumb and two fingers. Insert the needle. Hold the pinch so the needle does not go into the muscle. Push the plunger to inject the insulin. Release the grip on the skin fold. Remove the needle from the skin.
Taught that lowering high blood pressure helps prevent strokes, heart attacks and kidney problems.
SN advised patient do not use aspirin and other NSAIDs may enhance the risk of excessive bleeding.
SN instructed patient about some things that he can do to help control your blood pressure , including: Eat a heart-healthy diet, including potassium ( bananas ) and fiber ( cereals,beans ) , drink plenty of water, exercise regularly : walking for a few minutes every day , limit the amount of sodium ( salt ) you eat ( avoid canned foods ), reduce stress by trying to avoid things that cause you stress.
SN instructed patient / caregiver regarding medication Lantus insulin. SN instructed patient / caregiver that insulin is used by the body to remove and use glucose from the blood and produce energy and that it is used in type 2 diabetes to overcome the resistance of the cells to insulin. SN explained that Lantus insulin starts working after 1 - 2 hours and peaks after 6 hours after injection, and has a duration of 18 - 26 hours. SN informed that hypoglycemia is the most common side effect that may occur during insulin therapy. SN instructed patient / caregiver to rotate insulin injection sites to avoid bruising and injury.