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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 traumatic wounds. Open wounds may be left heal
Patient was instructed on Hyperglycemia. Blood sugar can rise well above normal for significant periods without producing permanent effects or symptoms. Howeverchronic hyperglycemia at levels more slightly above normal can produce a very wide variety of serious complications over a period of years.
Patient was instructed on how to avoid hypoglycemia. Choose high fiber, low sugar bedtime snacks such as two graham crackers with 1/2 cup skim milk. Avoid eating excessive amounts of high sugar foods, which will make the blood sugar spike then plummets. When the blood sugar falls after a sugar high it tends to drop dramatically low.
Taught that indigestion, sweating and shortness of breath may constitute as signs and/or symptoms of Angina Pectoris.
Taught that Sensipar works by lowering the amount of a certain natural chemical and certain mineral in the body.
Instructed on some potential complications of hypertension, such as: hypertensive crisis (sharp rise in blood pressure to greater than 200/120, severe headache, vomiting), among others.
Instructed in new medication Zoloft to manage depression. In addition, warned of possible S/E such as headache, tremor, dizziness, insomnia, somnolence, paresthesia, hypoesthesia, fatigue, nervousness, anxiety, agitation, hypertonia, twitching, confusion, palpitations, chest pain, hot flashes, dry mouth, nausea, diarrhea, loose stools, dyspepsia, vomiting, constipation, thirst, flatulence, anorexia, abdominal pain, increased appetite, male sexual dysfunction, myalgia, rash, pruritus and diaphoresis.
The patient was instructed in craniectomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
SN instructed patient about ways to relieve muscle stiffness such as performing exercises including gentle muscle stretching as tolerated, obtaining adequate rest or uninterrupted sleep in order to reduce stress, massaging affected body parts if not contraindicated and to avoid lifting heavy objects. Instructed to inform doctor or skilled nurse if discomfort progress or when severe or unexplained pain is felt.