low blood pressure
Seroquel is associated with an increased risk of developing high blood
sugar, which on rare occasions can lead to coma or death. See your doctor right away if you develop signs of high blood
sugar, including dry mouth, unusual thirst, increased urination, and tiredness. If you have diabetes or have a high risk of developing it, see your doctor regularly for blood
sugar testing
SN assessment done on all body systems. Checked blood
sugar daily monitoring on patient's log book, hydration, dietary, and medication compliance. Instructed patient on keeping blood
glucose within normal range and preventing the development of long-term complication. Careful monitoring of diet, exercise and blood
sugar levels are as important as the use of oral medications in preventing complications of diabetes. Also taught infection control, safety/fall precautions and preventions, and to contact MD for any emergency and/or medical concerns and changes.
SN instructed patient about Glimepiride is an oral blood
sugar-low
ering drug in a class of medicines for controlling diabetes. Glimepiride low
ers the sugar level in the blood
by stimulating insulin to be secreted from the pancreas into the blood
. Nausea and upset stomach may occur.
SN advised patient call your doctor or nurse call line now or seek immediate medical care if: You have new bruises that are away from the injection site or blood
spots under your skin, you have a nosebleed., you have blood
in your urine.Your stools are black and tar-like or have streaks of blood
, you have vaginal bleeding when you are not having your period, or heavy period bleeding.
SN instructed patient that the Xarelto is used to prevent or treat a type of blood
clot called deep vein thrombosis ( DVT ), which can lead to blood
clots in the lungs ( pulmonary embolism ). A DVT can occur after certain types of surgery. Xarelto is also used in people with atrial fibrillation ( a heart rhythm disorder ) to low
er the risk of stroke caused by a blood
clot. If you take Xarelto 1 time each day: Take the missed dose as soon as you remember. Take your next dose the follow
ing day and stay on your once-daily schedule. Do not take extra medicine to make up the missed dose.
SN instructed patient / caregiver regarding medication Coumadin / Warfarin. SN explained to patient / caregiver that Coumadin / Warfarin is an anticoagulant which is prescribed to people with an increased tendency for thrombosis or as secondary prophylaxis ( prevention of further episodes ) in those individuals that have already formed a blood
clot ( thrombus ). Explained that Warfarin treatment can help prevent formation of future blood
clots and help reduce the risk of embolism. Informed that Warfarin will prolong bleeding time, instructed to avoid activities that increase risks of trauma. SN explained to patient / caregiver that the adverse effects of this medication includes: hemorrhage, nosebleeds and blood
in urine or stool ( black tarry stools ). Instructed to notify physician if experiencing unusual bleeding while on this medication.
SN explain about a couple of things going on that make your glucose rise in the morning. One of these is insulin resistance, a condition that means your body's muscle and fat cells are unable to use insulin effectively to low
er blood
glucose. However, insulin resistance also affects how your liver processes, stores, and releases sugar, particularly at night. The liver is supposed to release small amounts of glucose when you're not eating. But in type 2 diabetes, the liver dumps more glucose than is needed into the blood
stream, especially at night. So, while your hormones are causing a natural rise in blood
glucose, your liver is releasing even more sugar into your system. Because your insulin resistance prevents your muscle and fat cells from using the sugar, your blood
glucose level rises.
SN instructed patient on Humalog 75-25, stated that it is used along with a proper diet and exercise program to control high blood
sugar in people with diabetes. This product is a combination of two man - made insulins: intermediate - acting insulin lispro protamine and rapid - acting insulin lispro. This combination starts working faster and lasts for a longer time than regular insulin. Insulin is a natural substance that allow
s the body to properly use sugar from the diet. It replaces the insulin that your body no longer produces, thereby low
ering your blood
sugar. Controlling high blood
sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. SN also instructed that pain, redness, swelling or itching at the injection site may occur. These effects usually go away after a few days or weeks. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
SN explained that the Diabetes can affect the small blood
vessels of the body that supply the skin with blood
. Changes to the blood
vessels because of diabetes can cause a skin condition called diabetic dermopathy. This appears as scaly patches that are light brown or red, often on the front of the legs.
SN explained that the symptoms / signs of congestive heart failure ( CHF ) may include: Shortness of breath ( also called dyspnea ) most commonly during activity, at rest, or while sleeping, which may come on suddenly and wake you up. You often have difficulty breathing while lying flat and may need to prop up the upper body and head on two pillow
s. You often complain of waking up tired or feeling anxious and restless. Blood
backs up in the pulmonary veins ( the vessels that return blood
from the lungs to the heart ) because the heart can't keep up with the supply. This causes fluid to leak into the lungs. Persistent coughing or wheezing, coughing that produces white or pink blood
- tinged mucus. Fluid builds up in the lungs. Buildup of excess fluid in body tissues ( edema ) swelling in the feet, ankles, legs or abdomen or weight gain. You may find that your shoes feel tight.