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Instructed in new medication Temazepam to manage insomnia. In addition, warned of possible S/E such as drowsiness, dizziness, lethargy, disturbed coordination, daytime sedation, confusion, nightmares, vertigo, euphoria, weakness, headache, fatigue, nervousness, anxiety, depression, blurred vision, diarrhea, nausea, dry mouth, physical and psychological dependence. Avoid alcohol during therapy. Caution when performing activities that require mental alertness or physical coordination. Instructed not to discontinue drug abruptly if it is taken for 1 month or longer.
Instructed in possible adverse reactions of oral diabetic agents, which include nausea, vomiting, epigastric fullness, heartburn, hypoglycemia, rash, itching and facial flushing.
Instructed patient about the importance of injecting insulin not exactly in the same place each time, but move around in the same area so the insulin reaches the blood with the same speed with each shot.
Patient was instructed on depression as a diabetes complication. It is often a vicious cycle. Depression can get worse as the complications of diabetes get worse, and being depressed can stop people from managing their diabetes as effectively as they need to, which can lead to increased incidence of long-term complications of diabetes as neuropathy or nephropathy.
Instructed on some signs/symptoms of respiratory infection, such as: loss of appetite and rapid pulse and respirations, among others.
Instructed on some potential complications of Osteoporosis, such as: fractures and kyphosis (humpback), among others.
Patient was instructed that Diabetes Mellitus is a Syndrome in which insulin production is decreased or absent. Lack of insulin leads to elevated blood sugars.
Instructed patient about Midline activities to avoid do not lift heavy items or do very hard exercise, such as shoveling. Do not use sharp objects near the catheter to avoid cutting or damaging it. Remind caregivers not to check your blood pressure or give needles in the arm where the catheter is placed.
Instructed patient about lifestyle modifications: healthy life choices will improve your overall health and your heart health and can help you slow the progression of your heart disease. Some heart healthy choices include: healthy diet choices eating a low fat, low salt, low cholesterol diet while avoiding excessive intake of alcohol and caffeine, reduce stress through exercise - Increasing your physical activity is a great way to reduce stress, improve sleep, and lose weight.
Sn instructed patient on seizures and precautions for safety at home. replace glass tables or furniture with wood, glass can break and cause injury, leave interior doors open, don't take shower unless someone is in the house and make sure family and friends are aware of your seizures and know what to do to help if you have a seizure. Notify nurse or Physician if seizures occur. If a grand mal seizure occurs go to ED after recovery.