including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Instructed what can you do to manage shortness of breath (SOB) share your feelings shortness of breath can make you feel worried and anxious. Share your feelings with family, friends and your health care team. Use abdominal breathing when walking up slopes, climbing stairs or standing up. To climb stairs: stand close to the stairs with one hand on the railing beside you. Breathe in as you lift your leg up. Breathe out as you place your leg on the step and raise yourself up. Change the way you eat chew your food slowly, taking breaks in between bites. Try smaller meals more often. If you are having trouble eating, ask your health care team about trying nutrition drinks.
Educated patient on what can be eaten on a mechanical soft diet. Here are some examples of foods you can eat while on a mechanical soft diet: All dairy products except non-shredded hard cheeses, ground meats, flaky fish, eggs tofu, nut butters, soft cooked vegetables and no seeds or skins, soups with finely chopped vegetables.
Instructed in that "oxygen therapy" is the administration of oxygen at a higher concentration than what is found in the environment. It can be given via cannula, mask catheter, etc. Oxygen must be ordered by a MD and administered exactly as prescribed.
Instructed in that Osteoarthritis is a degenerative noninflammatory joint disease and it can affect all mobile joints, especially weight-bearing joints.
Instructed in new medication Protonix to manage esophagitis. In addition, warned of possible S/E such as headache, insomnia, asthenia, dizziness, chest pain, pharyngitis, rhinitis, sinusitis, diarrhea, flatulence, abdominal pain, eructation, constipation, nausea, vomiting, urinary frequency, hyperglycemia, back pain, neck pain, hypertonia, rash, bronchitis, increased cough, etc. The drug can be taken without regard to meal.
Instructed in new medication Levaquin to manage infection. In addition, warned of possible S/E such as headache, insomnia, dizziness, encephalopathy, chest pain, palpitations, vasodilation, nausea, diarrhea, vomiting, abdominal pain, dyspepsia, flatulence, vaginitis, eosinophilia, hypoglycemia, back pain, tendon rupture, rash, pruritus, hypersensitivity reactions, etc. Instructed to take drug as prescribed, even if signs and symptoms disappear. Take drug with plenty of fluids and avoid antacids, sucralfate, and products containing iron or zinc for at least 2 hours before and after each dose. Avoid excessive sunlight, use sun block, and wear protective clothing when outdoors. Stop drug usage and notify prescriber if rash or other S/S of hypersensitivity develop. Notify prescriber if patient experiences pain or inflammation. Tendon rupture can occur with drug. Instructed to Diabetic patient to monitor glucose level and notify prescriber if a hypoglycemia reaction occurs. Notify prescriber if loose stools or diarrhea occurs.
Instructed in new medication Aricept to manage moderate dementia of the Alzheimer type. In addition, warned of possible S/E such as headache, insomnia, dizziness, fatigue, depression, abnormal dreams, somnolence, seizures, tremor, irritability, paresthesia, aggression, vertigo, ataxia, restlessness, abnormal crying, nervousness, aphasia, syncope, pain, chest pain, hypertension, vasodilation, atrial fibrillation, hot flashes, hypotension, cataract, blurred vision, eye irritation, sore throat, nausea, diarrhea, vomiting, anorexia, fecal incontinence, GI bleeding, bloating, epigastric pain, frequent urination, ecchymosis, weight loss, dehydration, muscle cramps, arthritis, toothache, bone fracture, dyspnea, bronchitis, pruritus, urticaria, diaphoresis, influenza, and increased libido. The drug does not alter the underlying degenerative disease but can temporarily stabilize or relieve symptoms. Effective therapy depends on taking drug at regular intervals. Instructed to take drug in the evening, just before bedtime. Immediately report significant adverse effects or changes in overall health status. Inform health care team that patient is taking drug before he receives anesthesia. Avoid OTC cold or sleep remedies because of the potential for increased anticholinergic effects.
Instructed patient about the importance of having basic hurricane supplies. Water, can food, yogurt, batteries, and corded phone should be at hand in case of hurricane ocurrence.
Instructed patient about Allopuriniol, and why it should be administered with foods to decrease gastrointestinal discomforts. It can be crushed and mixed with foods to help patients with swallowing difficulties.
Instructed patient about how overeating can affect his/her sugar levels, it does not matter if what he/she ate in excess was healthy or not.