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Instructed in new medication Singulair and in S/E such as headache, dizziness, fatigue, asthenia, fever, nasal congestion, dental pain, dyspepsia, infectious gastroenteritis, abdominal pain, pyuria, cough, rash, trauma, and influenza.
Instructed patient to discuss the use of vitamins, minerals or herbal supplements with a doctor since they may interact with diabetic medication.
Instructed patient about diet plans for diabetics and how this diet translates into eating a variety of food in moderate amounts and following regular meal times.
Instructed patient on how to recognize the signs and symptoms of angina such as: SOB, chest pain, anxiety, indigestion, sweating, and shortness of breath. Contact your primary care physician if the condition worsens, or if you exhibit other symptoms.
Patient was instructed on depression as a diabetes complication. It is important recognizing the symptoms of depression to get help that is needed. Feeling sad for a prolonged period of time - feeling restless or anxious for non apparent reason - feeling hopeless, helpless or worthless - not being able to concentrate.
Patient was instructed about the feet care: always wear shoes or slippers. Always wear socks with the shoes, since leather, plastics, and manmade shoe materials can irritate your skin and quickly bring on blisters. While the Diabetic patient might prefer the look of hose, nylon knee-highs, or thin socks, may find that these doesn't give to the toes or heels enough protection. Wear thicker socks to pad the feet and cushion any calluses or sore spots. Further teaching is needed.
Taught that lung infections and some diseases are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
Instructed patient Don't allow a humidifier to empty.
The patient was encouraged importance of keeping the extremity elevated above heart level on firm pillows and the need for applying ice bags to the surgical arthroscopy to control swelling and relieve pain. The patient was advised not to apply the ice pack directly to the skin, but to wrap the ice in a small towel. The patient was instructed avoid bathing until able to stand for 10 to 15 minutes, then showering with the extremity covered by a plastic bag may be permitted. The patient was instructed the use of hot tubs, whirlpool baths, and heating pads should be avoided. The patient was encouraged of moving extremities to improve circulation and prevent blood clots. The patient was instructed physical therapy exercises needed for a gradual increase in strength and mobility.
SN instructed patient / caregiver instructed on medication Ketorolac. SN explained that Ketorolac is a non - opioid anti - inflammatory drug that works to decrease pain by inhibiting prostaglandin synthesis and producing peripherally mediated analgesia. SN explained that the side effects of this medication includes drowsiness, gastrointestinal bleeding, diarrhea, dry mouth and constipation. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of side effects or if rash, itching, weight gain, edema, black stools, headache, or chills fever or muscle pain develops.