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Instructed in new medication Atenolol to manage hypertension. In addition, warned of possible S/E such as fatigue, lethargy, vertigo, drowsiness, dizziness, fever, bradycardia, hypotension, heart failure, intermittent claudication, nausea, diarrhea, thrombocytopenia, hyperkalemia, hypoglycemia, increased risk of developing type-two diabetes, dyspnea, bronchospasm, rash and leg pain. Instructed to take drug exactly as prescribed at the same time every day. Do not stop drug suddenly but do call prescriber if unpleasant adverse reactions occur. If pulse rate is below 60 beats/minute, stop taking drug and call prescriber. Women: notify prescriber if pregnancy occurs. Drug usage might be discontinued.
Instructed patient about not using OTC chemicals on corns, calluses or warts since they are often too strong to use in diabetics.
Instructed patient to contact doctor if any of the following occur: an illness lasting one or two days without improvement; vomiting/diarrhea that continue longer than 6 hours, blood tests that continue to run higher that 240 after taking medications, S/S of high blood sugar.
Instructed patient on diagnosis of Pulmonary Edema, which is very likely to occur when there is an accumulation of fluid in the lungs, causing difficulty breathing. Contact your primary care physician if the condition worsens, or if you exhibit other symptoms.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Damage to the nerve that control the bladder, digestive tract and reproductive organ is called autonomic neuropathy and it can cause problems with nausea, vomiting, diarrhea and constipation.
Patient was instructed on Hyperglycemia why blood sugar rise: The most common culprits flu or infection, emotional stress, such include, eating too much, exercising less that planned to, physical stress, such as a cold, the as family conflict, forgetting to take the medication.
Instructed on the importance/need of using good body mechanics when either exercising or moving around.
Taught that decreased appetite, nausea and/or vomiting may constitute as signs/symptoms of constipation.
Taught that scheduling activity when most tolerated (after rest periods and, at least, one hour after meals) is a measure aimed to increasing tolerance in response to increased physical activity.
SN Instructed the patient about Colostomy Care and healthy eating. Healthy foods include: fruits, vegetables, whole - grain breads, low - fat dairy products, and lean meats. Do not eat foods that give you cramps or diarrhea.