low sodium diet
SN instructed patient / caregiver that Actos is an antidiabetic med that is used to lower blood sugar. SN explained that it is important to not take medication when blood sugar is low. SN instructed to patient / caregiver to check blood sugar level before taking the medication to avoid hypoglycemia. SN instructed that side effects of the medication include: SOB, swelling or rapid weight gain, chest pain, N / V, jaundice, blurred vision, pale skin, easy bruising. SN instructed patient / caregiver to inform physician if experiencing any of these side effect.
Sn instructed patient about Bystolic. This is a prescription medicine that belongs to a group of medicines called “beta blockers.” The most common side effects people taking Bystolic report are headache, fatigue ( tiredness ), dizziness ( if you feel dizzy, sit or lie down and tell your doctor right away ), diarrhea, nausea, insomnia ( difficulty falling or staying asleep ), chest pain, bradycardia ( slow heartbeat ), dyspnea ( shortness of breath ), rash, and peripheral edema ( leg swelling due to fluid retention ). Other possible side effects include masking ( hiding ) the symptoms of low blood sugar and hyperthyroidism ( overactive thyroid ), especially a fast heartbeat. Tell your doctor if you gain weight or have trouble breathing while taking Bystolic. Patient verbalized fair understanding .
Sn instructed patient on managing hyperlipidemia means controlling cholesterol and triglycerides. Read food labels and choose foods with low cholesterol and saturated trans fat. For people who would benefit from lowering their cholesterol, the American Heart Association recommends aiming for a dietary pattern that limits saturated fat to 5 to 6 percent of daily calories and reduces the percent of calories from trans fat.
SN instructed patient / caregiver on medication Avandaryl. Explained that it is a medication indicated for Diabetes Mellitus ( DM ) type II to decrease the blood sugar by stimulating the production of insulin and increasing receptor site sensitivity. SN explained to patient / caregiver that the side effects include dizziness, photosensitivity, low blood sugar, constipation, nausea and vomiting. SN instructed patient / caregiver to monitor blood sugar daily and to not skip or double doses. SN instructed patient / caregiver to notify physician ( MD ) if experiencing unusual weight gain, swelling of ankles, drowsiness, dyspnea ( SOB ), muscle cramps, weakness, sore throat, rash, unusual bleeding or if bruising occurs.
SN instructed patient / caregiver regarding medication Benicar. Explained that this medication is a blood pressure lowering medication. Explained that the side effects includes hypotension ( low blood pressure ), dizziness, fatigue, headache and /or diarrhea. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence or worsening of side effects.
SN instructed patient / caregiver regarding medication Levothyroxine. SN taught patient / caregiver that Levothyroxine is a replacement for a hormone that is normally produced by the thyroid gland to regulate the body's energy and metabolism. SN explained that Levothyroxine is given when the thyroid does not produce enough of this hormone on its own. SN explained that Levothyroxine treats hypothyroidism ( low thyroid hormone ). SN explained that Levothyroxine is also used to treat / prevent goiter. SN taught patient / caregiver about the side effects of this medication such as headache, insomnia, nervous or irritable feeling, fever, hot flashes, sweating, changes in your menstrual periods, appetite changes and weight changes. SN Instructed patient / caregiver to notify physician ( MD ) if experiencing persistent or worsening of side effects.
SN instructed patient / caregiver regarding medication Metoprolol. Metoprolol is used for treating high blood pressure, heart pain, abnormal rhythms of the heart, and some neurologic conditions; it reduces the force of contraction of heart muscle and thereby lowers blood pressure. Side effects to report to physician ( MD ) when taking Metoprolol including diarrhea, constipation, fatigue, insomnia, nausea, depression, memory loss, fever, lightheadedness, slow heart rate, low blood pressure, cold extremities, sore throat, and shortness of breath or wheezing. If experiencing any of these side effects or when systolic BP is >160 or < 90 and / or diastolic BP is > 90 or < 60 notify physician ( MD )
SN instructed patient that fluid restrictions are usually necessary when dialysis is initiated, especially if dialysis only occurs three days a week and if urine production is decreased. Build up of fluid can lead to shortness of breath, swelling, and high blood pressure. There is a limit to the amount of fluid that can be safely removed during dialysis. If fluid limits are exceeded and extra water must be removed, negative effects such as muscle cramping, low blood pressure leading to nausea, weakness, dizziness, and possibly extra dialysis sessions to remove the fluid.
SN instructed patient on the diabetes. Make wise food choices. Choose fruits, vegetables, whole grains, fish, lean meats, and low - fat dairy products. Learn when to eat and how much to have.Be physically active for 30 to 60 minutes most days, such as taking a brisk walk as tolerated. Two times a week do activities to strengthen muscles and bone, such as lifting weights or sit - ups. Reach and stay at a healthy weight. Making wise food choices and being active can help you control your weight. Take your medicines as prescribed and keep taking them, even after you’ve reached your targets.
Instructed patient for the first 4-6 weeks after placement of a new PEG, bath water should not be so deep that the tube is
under the water. Shower water should fall on your back only. For a balloon, low profile, or older PEG tube you can take a
bath or shower as you normally do. Instructed patient call nurse or doctor if your body changes: your skin around tube has signs of infection: redness, warm to touch, firm to touch , tender.