bedbound-patients
Instructed patient on the reason why patients with an internal pacemaker must avoid extraneous activities.
Instructed patient about the most common types of infection in diabetic patients, for example: skin, subcutaneous tissue, and renal and pulmonary infections.
Instructed patients on important routines regarding diabetic foot care, such as: always wear shoes which offer good foot support and fit properly, wear clean socks which also fit properly and avoid going barefooted.
Patient was instructed on treating painful wounds. Persistent pain associated with non-healing wounds is caused by tissue or nerve damage and is influenced by dressing changes and chronic inflammation. Chronic wounds take long time to heal and patients can suffer from chronic wounds for many years.
Patient was instructed on Hyperglycemia. The basic defect in all patients with diabetes is the decreased ability of insulin to induce cells of the body to remove glucose (sugar) from the blood.
Isosorbide is used to prevent chest pain (angina) and reduce strain on the heart in patients with heart disease (coronary artery disease). Isosorbide mononitrate relaxes and widens blood vessels so blood can flow more easily. This medication will not relieve chest pain once it occurs. This medication may also be used in addition to other drugs to improve the symptoms of congestive heart failure (e.g., trouble breathing).
Calcium supplementation also may lead to constipation, so patients should ingest adequate amounts of fiber
Advised hypertensive patients to keep blood pressure under control and alleviate excessive pressure on the vessels, including the site of repair the aortic aneurysm.
Instructed about diet as a major factor that can affect the stability of your Coumadin level. Explained about Vitamin K and its importance for blood to clot and why it's important in patients taking Coumadin, because high amounts of Vitamin K (e.g.green and leafy vegetables like lettuce, spinach and broccoli)can work against the drug. Instructed patient to eat what he normally eats just as long as he's consistent with his vitamin K foods. Verbalized understanding.
Instructed patient in new medication side effects ; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.