diabetic-foot-care!
Medications
Instructed in new medication Levaquin to manage infection. In addition, warned of possible S/E such as headache, insomnia, dizziness, encephalopathy, chest pain, palpitations, vasodilation, nausea, diarrhea, vomiting, abdominal pain, dyspepsia, flatulence, vaginitis, eosinophilia, hypoglycemia, back pain, tendon rupture, rash, pruritus, hypersensitivity reactions, etc. Instructed to take drug as prescribed, even if signs and symptoms disappear. Take drug with plenty of fluids and avoid antacids, sucralfate, and products containing iron or zinc for at least 2 hours before and after each dose. Avoid excessive sunlight, use sun block, and wear protective clothing when outdoors. Stop drug usage and notify prescriber if rash or other S/S of hypersensitivity develop. Notify prescriber if patient experiences pain or inflammation. Tendon rupture can occur with drug. Instructed to Diabetic patient to monitor glucose level and notify prescriber if a hypoglycemia reaction occurs. Notify prescriber if loose stools or diarrhea occurs.
Instructed patient about how Atenolol may mask symptoms of hypoglycemia in diabetic patients.
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.
SN instructed patient about Gabapentin ( Neurontin ). It is a medication used to treat epilepsy, neuropathic pain and hot flashes. It is also used for restless leg syndrome. It is a first line agent for the treatment of neuropathic pain arising from diabetic neuropathy, post-herpetic neuralgia, and central neuropathic pain. Most common side effects of gabapentin in adult patients include dizziness, fatigue, drowsiness, weight gain, and peripheral edema. It may also produce sexual dysfunction in some patients, symptoms of which may include loss of libido, inability to reach sexual climax, and erectile dysfunction. It should be used carefully in patients with renal impairment due to possible accumulation and toxicity. Warning of an increased risk of depression and suicidal thoughts and behaviors in patients taking gabapentin. Report to Physician or nurse if any of those side effect / adverse reaction occurs.
SN instructed patient / caregiver regarding medication Metformin. SN explained to patient / caregiver that metformin is an oral anti - diabetic medication and is used to treat type 2 diabetes mellitus. SN explained that it is the first - line drug of choice for the treatment of type 2 diabetes, particularly in overweight and obese people. SN explained that using metformin alone will help to lower blood sugar when it is too high and help restore the way food is used to make energy. SN instructed patient to notify physician ( MD ) if experiencing symptoms / signs ( S / S ) of hypoglycemia such as shakiness, nervousness, sweating associated with dizziness / lightheadedness.
SN instructed patient about type 2 diabetes and to use oral hypoglycemics long term. Oral hypoglycemics are anti-diabetic drugs designed to help people with type 2 diabetes manage their condition. You should not stop eating a healthy diet and doing regular exercise, and your healthcare professional should be able to teach you how to get the balance right. Testing blood sugar regularly, eating well and exercising daily are all important aspects of diabetes management.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, instruct to take medication exactly as directed, at the same time each day. Missed doses should be taken within 12 hr of scheduled dose or not taken at all. Do not double doses. Consult health care professional if doses for 2 or more days are missed. Do not discontinue medication without consulting health care professional.
Fludrocortisone is a corticosteroid. It works by causing the kidneys to retain sodium and acting as a replacement for cortisone when the body does not produce enough.Carry an ID card at all times that says you take fludrocortisone. Tell your doctor or dentist that you take fludrocortisone before you receive any medical or dental care, emergency care, or surgery.Fludrocortisone may cause an increase in blood pressure, salt and water retention, and calcium and potassium loss. Talk with your doctor to see if you need to decrease the amount of salt in your diet or take a calcium or vitamin D supplement. Check with your doctor if any of these most common side effects persist or become bothersome:Difficulty sleeping; dizziness or lightheadedness; headache; increased appetite; increased sweating; indigestion; nervousness
SN instructed patient that Xifaxan is used for cessation of traveler's diarrhea and the reduction in risk of overt hepatic encephalopathy. Side effects are dizziness and peripheral edema. SN instructed patient to take rifaximin as directed and to complete therapy, even if feeling better. Caution patient to stop taking rifaximin if diarrhea symptoms get worse, persist more than 24–48 hr or are accompanied by fever or blood in the stool. Consult health care professional if these occur. Advise patient not to treat diarrhea without consulting health care professional. May occur up to several weeks after discontinuation of medication. Caution patient to avoid driving and other activities requiring alertness until response to medication is known.
SN instructed patient / caregiver regarding Metoprolol Tartrate, which is in a group of drugs called beta - blockers. That is affect the heart and circulation ( blood flow through arteries and veins ). Metoprolol is used to treat angina ( chest pain ) and hypertension ( high blood pressure ). It is also used to treat or prevent heart attack. Call your doctor at once if you have any of these serious side effects: chest pain, pounding heartbeats or fluttering in your chest, feeling light - headed, fainting; feeling short of breath, even with mild exertion, swelling of your hands or feet, nausea, upper stomach pain, itching, loss of appetite, dark urine, clay - colored stools, jaundice ( yellowing of the skin or eyes ), easy bruising, unusual bleeding ( nose, mouth, vagina, or rectum ), purple or red pinpoint spots under your skin, wheezing, trouble breathing. Less serious side effects may include: dry mouth, constipation, heartburn, vomiting, diarrhea, headache, drowsiness, tired feeling, sleep problems ( insomnia ), or anxiety, nervousness. Do not suddenly stop taking metoprolol tartrate. Sharp chest pain, irregular heartbeat, and sometimes heart attack may occur if you suddenly stop metoprolol tartrate. The risk may be greater if you have certain types of heart disease. Tell your doctor or dentist that you take metoprolol tartrate before you receive any medical or dental care, emergency care or surgery.