including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Instructed in new medication Amitriptyline to manage depression. In additon, warned of possible S/E such as coma, seizures, hallucinations, delusions, disorientation, ataxia, tremor, peripheral neuropathy, anxiety, insomnia, restlessness, drowsiness, dizziness, weakness, fatigue, headache, extrapyramidal reactions, MI, stroke, arrhythmias, heart block, orthostatic hypotension, tachycardia, ECG changes, hypertension, edema, blurred vision, tinnitus, mydriasis, increased intraocular pressure, dry mouth, nausea, vomiting, anorexia, epigastric distress, diarrhea, constipation, paralytic ileum, urine retention, agranulocytosis, thrombocytopenia, leukopenia, eosinophilia, hypoglycemia, hyperglycemia, rash, urticaria, photosensitivity, diaphoresis and hypersensitivity reaction. Instructed to take full dose at bedtime but warned patient of possible morning orthostatic hypotension. Avoid alcohol during drug therapy. Consult MD before taking other medications. Avoid activities that require alertness and good psychomotor coordination until CNS effects of drug are known. Drowsiness and dizziness usually subside after a few weeks. Dry mouth may be relieved with sugarless hard candy or gum. Saliva substitutes may be needed. Instructed to use a sun block, wear protective clothing and avoid prolonged exposure to strong sunlight. To prevent photosensitivity reactions. Do not stop drug therapy abruptly.
Patient was instructed on wounds contributing facts. In addition to poor circulation, neuropathy, and difficulty moving, factors that contribute to chronic wounds include systemic illness, age and repeated trauma.
Instructed caregiver the patient are at high risk if the patient have or do the following: Neuropathy, Poor circulation, A foot deformity (e.g., bunion, hammer toe), Wear inappropriate shoes, Uncontrolled blood sugar, History of a previous foot ulceration.
SN instructed patient / caregiver about Bethanechol. Sometimes given orally or subcutaneously to treat urinary retention resulting from general anesthetic, diabetic neuropathy of the bladder, or a side effect of antidepressants or to treat gastrointestinal atony (lack of muscular tone). Adverse reaction are rare following oral administration of Bethanechol, but are more common following subcutaneous injection. Adverse reactions are more likely to occur when dosage is increased. Adverse reactions that have been observed: Body as a Whole: malaise; Digestive: abdominal cramps or discomfort, colicky pain, nausea and belching, diarrhea, borborygmi, salivation; Renal: urinary urgency; Nervous System: headache; Cardiovascular: a fall in blood pressure with reflux tachycardia, vasomotor response; Skin: flushing producing a feeling of warmth, sensation of heat about the face, sweating; Respiratory: bronchial constriction, asthmatic attacks; Special Senses: lacrimation, miosis.
Neuropathy assessment and teaching on management, medication, and alternative therapies to alleviate pain.
Patient was instructed on peripheral arterial disease that is a hardening of the arteries that prevents proper blood flow. The improper flow is one of the risk factors for foot ulcers, whichcanlead to amputation.
SN instructed patient that Zocor( Simvastatin) may infrequently cause muscle problems , whichcan rarely lead to very serious conditions called rhabdomyolysis and autoimmune myopathy. Daily use of alcohol may increase your risk for liver problems, especially when combined with simvastatin.
SN instructed patient that High blood pressure makes your heart work harder than it needed to before. Over the space of many years, this extra effort canlead to the heart muscle becoming thicker and less effective at pushing the blood round. This allows fluid to build up in your lower legs and ankles, which causes them to swell up.
Sn instructed patient that venelex ointment contains balsam peru 87.0mg and castor oil usp 788.0mg in an ointment base of glyceryl monostearate and trypsin. It promotes debridement of eschar and other necrotic tissue. Balsam peru is a effective capillary bed stimulant used to increase circulation in the wound site area. Also, balsam peru has a mildly bactericidal action. Castor oil improves epithelialization by reducing premature epithelial desiccation and cornification. Also, it can act as a protective covering and aids in the reduction of pain. Venelex ointment is used to promote wound healing and the treatment of decubitus ulcers, varicose ulcers and dehiscent wounds. Venelex™ ointment is easy to apply and quickly reduces odors frequently accompanying a decubitus ulcer. The wound may be left open or appropriate dressing applied. Please note that wounds generally heal poorly in the presence of hemoglobin or zinc deficiency. Venelex™ ointment can relieve pain and promote healing. Venelex ointment is for external use only. Do not apply to fresh arterial clots. Avoid contact with eyes. Keep this and all other medications out of reach of children. Keep tightly closed. Use only as directed by a physician. When applied to a sensitive area, a temporary stinging may occur. Apply a thin film of venelex™ ointment topically a minimum of twice daily or as often as necessary. Wound may be left unbandaged or appropriate dressing can be applied. To remove, wash gently with an appropriate wound cleanser.
Instructed in visiting an ophthalmologist, an MD who specializes in eye care inmediately if there are any of these symptoms of eye damage: blurred or double vision, narrowed field of vision, seeing dark spots, feeling of pressure or pain in the eyes and difficulty seeing in dim light.