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Instructed in new medication Bactroban to manage wound care. In addition, warned of possible S/E such as headache, rhinitis, pharyngitis, burning or stinging with intranasal use, taste perversion, upper respiratory tract congestion, cough with intranasal use, burning pruritis, stinging, rash, pain, and erythema with topical use. Instructed to notify prescriber immediately if no improvement occurs in 3 to 5 days or if condition worsens. Advised not to use other nasal products with Bactroban. Warned patient about local adverse reactions related to drug use. Advised not to use cosmetics or other skin products on treated area.
Instructed patient about factors that can affect BS such as foods, exercises, illness, stress, quantity of insulin, and when and where insulin is administered.
Instructed patient about walking. It is a very good way to get regular exercise. Walking around the block for at least minutes every day is the ideal type of exercise. Always carry a snack.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Nerve damage occurs because excess sugar injures the walls of the tiny blood vessels (capillaries) that nourish the nerves.
Instructed in the importance of exercise. This avoids phlebitis, decubitus ulcer, pneumonia, fractures, depression, urinary complications, muscle weakness and atrophy and constipation.
Instructed on the importance of pacing herself between activities as a measure aimed to increasing tolerance to physical activities.
Taught that Sensipar helps to slow down the development of bone disease and prevents mineral imbalance.
Instructed on some measures aimed to controlling/managing depression, such as: allow time for responses and encourage patient to make decisions, among others.
Taught that setting realistic goals and balancing work with rest are measures aimed to preventing/controlling Osteoarthritis.
The patient was instructed in gastrointestinal bleeding in how to observer stools for blood and show stool occult blood test. The patient was instructed the status of smoking termination and complete abstinence from alcohol. The patient was advised to evade coughing, sneezing, lifting, straining during defecation, or vomiting. The patient was reviewed whether medicines should be taken with food or require an empty stomach. The patient was advised to evade use of aspirin having medications like ibuprofen and other nonsteroidal anti-inflammatory medicines. The patient was taught to design a diet high in vitamin K. The patient was instructed to eat small, frequent meals, to chew food well, and to eat slowly. The patient was instructed to drink water with meals. The patient was taught with a list of irritating foods and drugs to evade like coffee, tea, caffeine, spicy foods, rough foods, citric acid juices, hot foods. The patient was advised to evade milk because it occasionally gives to increase gastric acid secretion.