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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.
Patient was instructed on precautions regarding medications: Do not drink alcohol while taking medications. If the mouth becomes dry, sipping cool beverages or eating a hard candy may help.
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 peripheral arterial disease that is a hardening of the arteries that prevents proper blood flow. The improper flow is one of the risk factors for foot ulcers, which can lead to amputation.
Patient was instructed on diabetes. All body cells require glucose for energy. Glucose enters body cells with the help of a hormone called insulin, which acts somewhat like a gatekeeper. If the body becomes less responsive to insulin, or if the body is not producing insulin, glucose cannot pass through the cell wall and the cell "starves."
Instructed patient in the importance to use the ambulatory aids to prevent accidental falls.
Instructed on some measures aimed to controlling/managing Angina Pectoris, such as: avoid cigarette smoking (it constricts blood vessels) and take corresponding medications exactly as directed by MD, among others.
The patient was instructed in heart failure to take and record the pulse. The patient was advised to avoid hot, humid, weather. The patient was taught for home oxygen therapy.
Instructed patient how prevent infections: rub your hands together vigorously for at least 15 seconds. Make sure to rub the front and back of each hand up to the wrist, your fingers and fingernails, between the fingers, and each thumb. Rinse your hands with warm water. Dry your hands completely with a new, unused paper towel. Don’t use a cloth towel or other reusable towel. These can harbor germs.
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.