low blood pressure
SN instructed patient to follow a low purine diet to help minimize acute gout attacks by limiting meat, poultry and fish. Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily. SN instructed pt/cg to cut back on fat since saturated fat lowers the body's ability to eliminate uric acid. Also instructed patient Limit or avoid foods sweetened with high-fructose corn syrup. Fructose is the only carbohydrate known to increase uric acid. It is best to avoid beverages sweetened with high-fructose corn syrup, such as soft drinks or juice drinks. Juices that are 100 percent fruit juice do not seem to stimulate uric acid production as much. SN also discussed to choose complex carbohydrates and explained to patient/cg that pt will need to eat more whole grains and fruits and vegetables and fewer refined carbohydrates, such as white bread, cakes and candy. SN advised CG to ensure that pt. drinks plenty of fluids, particularly water. Fluids can help remove uric acid from your body.
Skilled nurse instructed patient about medication Dexamethasone is a corticosteroid that prevents the release of substances in the body that cause inflammation. Dexamethasone is also used to treat certain types of cancer. Your doctor may instruct you to follow a low-sodium, low-salt, potassium-rich, or high-protein diet. Follow these directions. Dexamethasone may cause an upset stomach. Take dexamethasone with food or milk. Dexamethasone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: upset stomach, stomach irritation, vomiting, headache, dizziness.
SN instructed patient / caregiver that Aldactone is a potassium - sparing diuretic ( water pill ) that prevents the body from absorbing too much salt and keeps potassium levels from getting too low, treating congestive heart failure. SN instructed patient / caregiver to take Aldactone as prescribed by the doctor and do not use salt substitutes or low - sodium milk products that contain potassium, because it may increase potassium levels too much. SN explained that side effects may include mild nausea, dizziness, headache, gastric pain. SN instructed to report to physician ( MD ) if patient experiences an allergic reaction, numbness, muscle pain or weakness, irregular heartbeats, urinating less, shallow breathing or tremors.
SN instructed about avoid convenience foods such as canned soups, entrees, vegetables, pasta and rice mixes, frozen dinners, instant cereal and puddings, and gravy sauce mixes. Select frozen meals that contain around 600 mg sodium or less. Use fresh, frozen, no-added-salt canned vegetables, low-sodium soups, and low-sodium lunch-meats.
Instructed patient caregiver Loss of appetite, drowsiness, and leg cramps may be signs of sodium loss. Fatigue, muscle weakness, and shortness of breath may be signs of potassium loss. Dehydration, low sodium, and low potassium can all be dangerous and should be treated right away. Call your doctor or 911 right away if you are dizzy, weak, or having other serious symptoms.
Educated PT on diet for MS patients. PT was explained that overall, people with MS need a balanced, low-fat and high-fiber diet. Unprocessed or naturally processed foods are preferred to processed foods. This is similar to the Mediterranean diet, and the same healthy diet that's recommended for the general population. Also consider limiting alcohol as much as possible. Understanding was verbalized.
Patient was instructed checking the blood sugar is a simple process using a lancing device, lancet, test strip and a meter. The following are general instructions for using a blood glucose meter.Wash the hands or clean finger or other site with alcohol. If are using alcohol, let it dry before prick the finger,Prick the site with a lancing device,Put a little drop of blood on a test strip.Insert the test strip into the blood glucose meter,In seconds, the blood glucose meter reads the blood sugar level.
Patient was instructed on supplies that will use for blood glucose meter - reads blood sugar Test strip - collects blood sample. Lancet or small needle -fits into lancing device, pricks finger, and provides small drop of blood for glucose strip. Lancing device - pricks finger when button is pressed. Most devices have dials to select how deep the needle goes into the skin. Start with middle depth. If get more blood than needed, dial the number down so the lancet does not go as deep. If get less blood, dial the number up so lancet goes deeper. Alcohol wipes or soap and water - to clean fingers or other testing site.
Patient was instructed on hypertension. It is possible to lower blood pressure by making healthy changes in the lifestyle. There are 6 lifestyle changes that can help to prevent this disease such as loosing extra weight, eating less salt, exercising, limiting alcohol drinks at 2 daily, getting potassium every day, following a diet rich in fruits, vegetables and low-fat dairy products.
More common side effects of seroquel may include abdominal pain, constipation, diminished movement, dizziness, drowsiness, dry mouth, excessive muscle tone, headache, indigestion, lowblood pressure (especially upon standing), nasal inflammation, neck rigidity, rapid or irregular heartbeat, rash, sleepiness, tremor, uncontrollable movements, weakness.