low fat diet
Medications
SN instructed patient / caregiver on medication Avandaryl. Explained that it is a medication indicated for Diabetes Mellitus ( DM ) type II to decrease the blood sugar by stimulating the production of insulin and increasing receptor site sensitivity. SN explained to patient / caregiver that the side effects include dizziness, photosensitivity, low blood sugar, constipation, nausea and vomiting. SN instructed patient / caregiver to monitor blood sugar daily and to not skip or double doses. SN instructed patient / caregiver to notify physician ( MD ) if experiencing unusual weight gain, swelling of ankles, drowsiness, dyspnea ( SOB ), muscle cramps, weakness, sore throat, rash, unusual bleeding or if bruising occurs.
SN instructed patient / caregiver regarding medication Benicar. Explained that this medication is a blood pressure lowering medication. Explained that the side effects includes hypotension ( low blood pressure ), dizziness, fatigue, headache and /or diarrhea. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence or worsening of side effects.
SN instructed patient / caregiver regarding medication Levothyroxine. SN taught patient / caregiver that Levothyroxine is a replacement for a hormone that is normally produced by the thyroid gland to regulate the body's energy and metabolism. SN explained that Levothyroxine is given when the thyroid does not produce enough of this hormone on its own. SN explained that Levothyroxine treats hypothyroidism ( low thyroid hormone ). SN explained that Levothyroxine is also used to treat / prevent goiter. SN taught patient / caregiver about the side effects of this medication such as headache, insomnia, nervous or irritable feeling, fever, hot flashes, sweating, changes in your menstrual periods, appetite changes and weight changes. SN Instructed patient / caregiver to notify physician ( MD ) if experiencing persistent or worsening of side effects.
SN instructed patient / caregiver regarding medication Metoprolol. Metoprolol is used for treating high blood pressure, heart pain, abnormal rhythms of the heart, and some neurologic conditions; it reduces the force of contraction of heart muscle and thereby lowers blood pressure. Side effects to report to physician ( MD ) when taking Metoprolol including diarrhea, constipation, fatigue, insomnia, nausea, depression, memory loss, fever, lightheadedness, slow heart rate, low blood pressure, cold extremities, sore throat, and shortness of breath or wheezing. If experiencing any of these side effects or when systolic BP is >160 or < 90 and / or diastolic BP is > 90 or < 60 notify physician ( MD )
Patient instructed Duloxetine is used to treat major depressive disorder in adults. It is also used to treat general generalized anxiety disorder. It is also used in adults to treat fibromyalgia (a chronic pain disorder), or chronic muscle or joint pain (such as low back pain and osteoarthritis pain). Take duloxetine exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. You may take duloxetine with or without food. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole.
Metolazone is used to treat fluid retention (edema) in people with congestive heart failure, or a kidney disorder such as nephrotic syndrome. Metolazone is also used to treat high blood pressure (hypertension). Possible side effects to be aware of include low potassium, headache, constipation, diarrhea, dizziness, drowsiness and blurred vision.
The medication Procrit is used to treat anemia(low red blood cell count) in people with long-term serious kidney disease ,people receiving chemotherapy for some types of cancer. It may also used in anemic patient to reduce the need for blood transfusions. Procrit works by signaling the bone marrow to make more red blood cells.
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 to patient to comply with diet, exercises and weight control in order to get the most benefit from the Atenolol.
Taught that Folic Acid is used to treat certain anemias caused by poor diet, liver disease, certain stomach/intestinal problems or other conditions.