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Instructed in new medication Alprazolam to manage anxiety. In addition, warned of possible S/E such as drowsiness, light-headedness, headache, confusion, tremor, dizziness, syncope, depression, insomnia, memory impairment, nervousness, minor changes in EEG patterns, hypotension, tachycardia, blurred vision, nasal congestion, dry mouth, nausea, vomiting, diarrhea, constipation, increased salivation, weight gain or loss, muscle rigidity, dermatitis. Avoid hazardous activities that require alertness and good psychomotor coordination until CNS effects of drug are known. Avoid alcohol while taking drug. Smoking may decrease effectiveness of drug. Do not stop using drug abruptly because withdrawal symptoms or seizures may occur.
Instructed patient to maintain a diabetic record of blood sugars and any adverse reactions. Records should include date, time, and any other pertinent information.
Patient was instructed on the importance of a good foot care. Wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid walking barefoot.
Patient was instructed on hypoglycemia. If having hypoglycemia during the night, people may wake up tired or with a headache. And it
Patient was instructed on list of measures to prevent falls at home: If use a cane put rubber tips on it. Keep the house well lit especially stairways, porches and outside walkways. Use night lights in areas such as hallways and bathroom.
Taught that Hyzaar is used to treat high blood pressure (hypertension).
Taught that setting realistic goals and balancing work with rest are measures aimed to preventing/controlling Osteoarthritis.
Taught that Diabetes Mellitus (DM) is a syndrome in which insulin production is decreased or absent.
Patient was instructed that stress management is important because stress can contribute to high blood pressure.
SN Instructed the patient about Colostomy Care and healthy eating. Healthy foods include: fruits, vegetables, whole - grain breads, low - fat dairy products, and lean meats. Do not eat foods that give you cramps or diarrhea.