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Instructed in new medication Glucovance to improve glycemic control in patients with type-two diabetes whose hyperglycemia cannot be controlled with diet and exercise alone. In addition, warned of possible S/E such as headache, dizziness, diarrhea, nausea, vomiting, abdominal pain, hypoglycemia, lactic acidosis, or upper respiratory tract infection. Instructed to take one daily with breakfast and, if twice daily, then at breakfast and dinner. Stop drug and tell prescriber of unexplained hyperventilation, myalgia, malaise, unusual somnolence, or other symptoms of early lactic acidosis. GI symptoms are common with initial drug therapy but GI symptoms that occur after prolonged therapy may be related to lactic acidosis or other serious disease and should be reported promptly. Instructed not to take any other drugs, including OTC drugs, without checking with prescriber.
Instructed patient on how hypothyroidism is a condition resulting from a deficiency of the thyroid hormone.
Instructed patient about symptoms of stroke: weakness or numbness on one side of the face or body, including a leg or an arm. Sudden trouble seeing with one or both eyes. Double vision. Trouble talking, such as slurred speech. Problems understanding or using words. Severe headache. Dizziness or loss of balance. Any of these symptoms can come and go without warning.
Taught that Sensipar is to be taken by mouth, with food or shortly after a meal.
Instructed on some signs/symptoms of depression, such as: decreased ability to concentrate and physical complaints, among others.
Instructed on some signs/symptoms of Emphysema, such as: loss of appetite and weight loss, among others.
Taught that Osteoarthritis is a degenerative, non-inflammatory joint disease.
The patient was instructed in bone marrow suppression that will be more susceptible to infection, bleeding, and anemia. The patient was encouraged in the prevention of the infection by eating healthy meals, keep mouth, teeth and gums clean, avoid people who are sick. The patient was encouraged in the prevention of the bleeding avoiding physical activities that could cause injuries. The patient was encouraged in the prevention in the anemia by eating a high-protein diet, and multivitamin supplement with minerals.
Instructed patient eat foods like fish, onions, garlic, broccoli, asparagus, and cabbage produce odor. Although your pouch is odor-proof, if you eat these foods you may notice a stronger odor when emptying your pouch. If this is a concern, you may want to limit these foods in your diet.
Instructed patient when you have a stoma that drains urine or loose stool you may want to consider using an extended wear skin barrier because it will give your skin added protection. Itching or burning under the skin barrier may indicate that you have leakage, a skin rash, or a skin infection. You need to remove your pouching system as soon as possible to check your skin for any irritation.