including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Medications
SN instructed that the ibuprofen at low doses it does not appear to increase the risk of myocardial infarction; however, at higher doses it may. It may result in worsened asthma. Like other NSAIDs it works by inhibiting the synthesis of prostaglandins, which are fat-like molecules that are derived from the omega-6 fatty acid, arachidonic acid, which are involved in mediating inflammation, pain and fever. Patient verbalized understanding of given information.
SN instructed patient and caregiver about Clonidine, it is used alone or with other medications to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It works by relaxing blood vessels so blood can flow more easily. Possible SE/AR may include: dizziness, lightheadedness, drowsiness, dry mouth, or constipation may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute. Tell your doctor right away if you have any serious side effects, including: fainting, slow/irregular heartbeat, mental/mood changes like, irritability, depression.
SN instructed in possible adverse reactions to Lasix, including dehydration, orthostatic hypotension, loss of potassium and other electrolytes, weakness, and fatigue. Lasix is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Lasix is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt.
SN instructed patient / caregiver about Diphenhydramine( Benadryl). It is a first-generation antihistamine used to treat a number of conditions including allergic symptoms and itchiness, the common cold, insomnia, motion sickness, and extrapyramidal symptoms. It is a potent anticholinergic agent. This activity is responsible for multiples side effects such as: dry mouth and throat, increased heart rate, pupil dilation, urinary retention, constipation, and, at high doses, hallucinations or delirium. Other side effects include motor impairment, flushed skin, blurred vision at near point owing to lack of accommodation, abnormal sensitivity to bright light (photophobia), sedation, difficulty concentrating, short-term memory loss, visual disturbances, irregular breathing, dizziness, irritability, itchy skin, confusion, increased body temperature, temporary erectile dysfunction, and excitability, and although it can be used to treat nausea, higher doses may cause vomiting. Report any Side effect / Adverse reaction to Physician / Nurse as needed.
SN instructed patient on proper use of insulin such as keeping currently in use vials in refrigerator not in freezer, take insulin exactly as prescribed and never to adjust dose without orders from physician ( MD ), and to never use insulin that has changed color or consistency. SN educated patient on sites of body that insulin can be administered including abdomen, upper arms, thighs or buttocks. Patient verbalized understanding.
Taught that Hyzaar can infrequently raise or lower the potassium blood levels, which, in turn, rarely can cause serious side effects such as muscle weakness/cramping and/or very slow heartbeats.
Instructed in new medication Glucovance to improve glycemic control in patients with type-two diabetes whose hyperglycemia cannot be controlled with diet and exercise alone. In addition, warned of possible S/E such as headache, dizziness, diarrhea, nausea, vomiting, abdominal pain, hypoglycemia, lactic acidosis, or upper respiratory tract infection. Instructed to take one daily with breakfast and, if twice daily, then at breakfast and dinner. Stop drug and tell prescriber of unexplained hyperventilation, myalgia, malaise, unusual somnolence, or other symptoms of early lactic acidosis. GI symptoms are common with initial drug therapy but GI symptoms that occur after prolonged therapy may be related to lactic acidosis or other serious disease and should be reported promptly. Instructed not to take any other drugs, including OTC drugs, without checking with prescriber.
Instructed in possible adverse reactions to Potassium including nausea, vomiting, abdominal pain and diarrhea. Instructed to always take with a full glass of liquid, and with food to prevent GI upset.
Instructed in possible adverse reactions to Vasotec, including headache, dizziness, fatigue, drop in B/P, diarrhea, and nausea. Instructed to report any adverse reactions to MD.
Instructed in possible adverse reactions to Verapamil, including, dizziness, headache, fatigue, intermittent decrease in B/P and heart rate, nausea, and constipation.