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Instructed in new medication Sulfaprim and in S/E such as headache, mental depression, aseptic meningitis, tinnitus, apathy, seizures, hallucinations, ataxia, nervousness, fatigue, vertigo, insomnia, thrombophlebitis, nausea, vomiting, diarrhea, abdominal pain, anorexia, stomatitis, pancreatitis, pseudomembranous colitis, toxic nephrosis with oliguria and anuria, crystalluria, hematuria, interstitial nephritis, agranulocytosis, aplastic anemia, megaloblastic anemia, thrombocytopenia, leukopenia, hemolytic anemia, jaundice, hepatic necrosis, arthralgia, myalgia, muscle weakness, pulmonary infiltrates, erythema multiforme, Stevens-Johnson syndrome, generalized skin eruption, toxic epidermal necrolysis, exfoliative dermatitis, photosensitivity, urticaria, pruritus, hypersensitivity reactions, serum sickness, drug fever and anaphylaxis.
Instructed patient to increase liquids intake during Allopuriniol treatment.
Patient was instructed on pain management. Diabetes alters sensation in the smallest nerves, which happen to lie at the end of the peripheral nervous system, in the hands and feet. Diabetes starves these tiny nerves. As a result the nervous system becomes confused about what is and isn
Patient was instructed on tips for a good personal hygiene. Use talcum or some other wetness-absorbing powder. Use talcum immediately after taking a bath wherever there are major sweat glands, i.e
Patient was instructed on diabetes with injury. People who have diabetes are vulnerable to nerve and vascular damage that can result in loss of protective sensation in the feet, poor circulation, and poor healing of foot ulcers. Careful attention needs to be paid to any abrasion or wound to ensure the quickest healing possible. It is important for people with diabetes to routinely inspect feet, in particular, to check for any issues.
SN instructed patient and caregiver that Plavix is used to prevent heart attacks and strokes in persons with heart disease, recent stroke and/or blood circulation disease (peripheral vascular disease). Easy bleeding/bruising, stomach upset/pain, diarrhea, and constipation may occur.
Instructed patient to eat before each dentist visit, to prevent hypoglycemia.
Instructed patient through the use of negative pressure wound therapy, a standard surgical drain, and optimized nutrition, fistula drainage was redirected and the abdominal wound healed, leaving a drain controlled enterocutaneous fistula. Patient control of fistula drainage and protection of surrounding tissue and skin is a principle of early fistula management.
Instructed patient in some cases of colostomy, skin irritation or infection can result from stool that leaks under the bag. A hernia can develop around a colostomy, and the bowel may become narrow. Taking good care of your stoma and eating a balanced diet can help you avoid these problems. Pouching systems are waterproof. However, you may feel more secure if you wear an ostomy belt or put tape around the edges of your skin barrier when you are in the water.
SN instructed that the blood glucose monitors or glucose meters are devices individuals with diabetes use to monitor their blood sugar levels daily. Glucose meters give readings within five seconds of applying the test strip to a blood sample. For accurate readings, it is important to calibrate the blood glucose meter. Calibrating a meter is making sure the meter has the correct code to match the test strip. Some meters code automatically. Others, you must code or calibrate manually.