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Instructed patient to never go barefoot or wear thigh garters. Do not wear thigh worn boots for long periods of times. Never let feet get dry and cracked, severe infections may develop. Do not use hot water pads, iodine, hot water bottles or rubbing alcohol. Never use razors, knives or corn remedies.
Instructed to patient about eating well with diabetes: eating habits do not have to change if you have diabetes. Your dietitian will help you to develop a meal plan that suits your taste and lifestyle. This plan will help you to keep your blood sugar in your target range. The result will be an eating plan you can enjoy.
Patient was instructed on precautions regarding medications list Always check expirations date on medications. Take exactly as ordered. Do not take any one else prescription. Never give a family member or friend a drug prescribed for another person.
Patient was instructed on how to avoid hypoglycemia. Start off every day with a healthy breakfast containing fruits, vegetables and high fiber foods such as oatmeal. Eat frequent small meals (rich in complex carbs, protein and fiber) throughout the day.
Taught that Levothyroxine is a hormone used as a replacement or substitution therapy in diminished or absent thyroid function of many causes.
SN instructed patient and caregiver that myocardial infarction and angina pectoris are potential complications of Coronary Artery Disease (CAD). Symptoms for myocardial infarction tightness or pain in the chest, neck, back, or arms. Angina symptoms squeezing, pressure, heaviness, tightness, or pain in the chest. Call your doctor immediately for any symptoms. Both patient and caregiver verbalized understanding.
Instructed on some measures aimed to managing/controlling hypertension, such as: have blood pressure monitored regularly and take corresponding medications exactly as directed by MD.
Instructed to help you prevent or manage high blood pressure: Start with understanding your condition, eat well to feel better, moderate exercise and stress-relieving techniques.
Instructed patient about Losartan, it is used toTreat hypertension and reducing the risk of stroke in patients with hypertension and left ventricular hypertrophy. Possible SE/AR may include, Diarrhea, Muscle cramps, Dizziness, Insomnia, Nasal congestion. Losartan also may cause: A persistent cough, an increase serum potassium and Impotence.
SN instructed patient about Gabapentin ( Neurontin ). It is a medication used to treat epilepsy, neuropathic pain and hot flashes. It is also used for restless leg syndrome. It is a first line agent for the treatment of neuropathic pain arising from diabetic neuropathy, post-herpetic neuralgia, and central neuropathic pain. Most common side effects of gabapentin in adult patients include dizziness, fatigue, drowsiness, weight gain, and peripheral edema. It may also produce sexual dysfunction in some patients, symptoms of which may include loss of libido, inability to reach sexual climax, and erectile dysfunction. It should be used carefully in patients with renal impairment due to possible accumulation and toxicity. Warning of an increased risk of depression and suicidal thoughts and behaviors in patients taking gabapentin. Report to Physician or nurse if any of those side effect / adverse reaction occurs.