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Instructed in new medication Actos to improve glycemic control. In addition, warned of possible S/E such as headache, edema, heart failure, sinusitis, pharyngitis, tooth disorder, anemia, hypoglycemia (with combination therapy), aggravated diabetes mellitus, weight gain, myalgia and upper respiratory tract infection.
Instructed patient on important measures regarding diabetic's foot care such as: feet inspection daily, report any foot problems to podiatrist or physician, wash feet daily with warm soap and water and pat dry, especially between toes.
Instructed patient about the importance of site rotation at the time of the subcutaneous injection.
Instructed patient that depression is an abnormal and persistent mood state. It is characterized by sadness, melancholy, slowed mental processes and changes in physical patterns such as eating and sleeping.
Patient was instructed on how to avoid hypoglycemia. Start off every day with a healthy breakfast containing fruits, vegetables and high fiber foods such as oatmeal. Eat frequent small meals (rich in complex carbs, protein and fiber) throughout the day.
Instructed on some potential complications of Congestive Heart Failure (CHF), such as: acute pulmonary edema and pneumonia, among others.
Normal intake of protein, fats and acidic food help calcium absorption, however high levels of these same sources increase calcium loss.
Patient assessment done with special attention on neuro-musculoskeletal and general status. Vital signs monitored.
Instructed patient about external fistulas cause discharge through the skin. They are accompanied by other symptoms, including: abdominal pain, painful bowel obstruction, fever, elevated white blood cell count. Prevent skin maceration and breakdown from corrosive effluent and wound infection. Patient comfort, accurate measurement of effluents, patient mobility protect skin from damage from effluent, containment of effluent, odor control.
SN instructed patient about Forteo: Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit. Forteo is a clear and colorless liquid. Do not use if solid particles appear or if the solution is cloudy or colored.