diabetic diet/1000
SN instructed patient regarding medication Lipitor. SN informed patient / caregiver that Lipitor is a medication that reduces levels of bad cholesterol ( LDL ) and triglyceride in the blood while increasing the level of good cholesterol ( HDL ). SN explained that this medication is used to treat high cholesterol and to lower risk of stroke, heart attack or other heart complication in people with type 2 diabetes. SN informed patient / caregiver that patient should eat low cholesterol diet and avoid drinking alcoholic beverages when taking lipitor because it increase risk of liver damage. SN explained to patient / caregiver that side effects to watch out for are unexplained muscle pain, fever and dark colored urine, swelling urinating less than usual and weight gain. SN instructed patient / caregiver to report any persistence or worsening of side effects.
SN teaching about Gastroesophageal reflux disease ( GERD ). Examples of things to reduce or steer clear of in your diet include: high fat foods, caffeine products, chocolate, onions, peppermint, carbonated beverages, citrus and tomato products. Do not lie down immediately after eating, avoid late evening snacks, avoid tight clothing and bending over after eating. Elevate the head of the bed six to eight inches to prevent reflux when sleeping. Extra pillows, by themselves, are not very helpful.
SN instructed about the use of Januvia ( Sitagliptin ) is used along with diet and exercise and sometimes with other medications to lower blood sugar levels in patients with type 2 diabetes. It works by increasing the amounts of certain natural substances that lower blood sugar when it is high. Over time, people who have diabetes and high blood sugar can develop serious or life - threatening complications, including heart disease, stroke, kidney problems, nerve damage, and eye problems. Taking medication,making lifestyle changes, and regularly checking your blood sugar may help to manage your diabetes and improve your health. This therapy may also decrease your chances of having a heart attack, stroke, or other diabetes - related complications such as kidney failure, nerve damage, eye problems, including changes or loss of vision, or gum disease.
Physical assessment done to patient after chemotherapy . Medication checked and reconciled. Hydration and nutritional status checked. Diet reviewed. Denies chest pain. Tube care done per physician ( MD ) order. Dressing changed. Still complained in pain in fingers, patient taught that one side effect of chemotherapy is pain in fingers which is called peripheral neuropathy, it results from some type of damage to the peripheral nerves. Certain chemotherapy drugs can cause peripheral neuropathy such as Vinca alkaloids ( vincristine ), cisplatin, Paclitaxel, and the podophyllotoxins ( etoposide and tenoposide) . Other drugs used to treat cancer such as thalidomide and interferon also can cause peripheral neuropathy.
SN instructed patient on wound care. The patient should be sure to have a well-balanced diet. This include protein, vitamins and iron. Note: using a blender or chopping food does not change the nutritional value of the food.
SN instructed patient on spontaneous coronary artery dissection ( SCAD ) and stent placement. A stent is a small rod made out of metal or fabric. It is inserted into a coronary artery when there is a blockage or when the artery is narrow. A coronary artery is a blood vessel that carries oxygen to the heart muscle. You received a stent due to coronary artery disease ( also called SCAD). That is caused by a thickening of the inside walls of the coronary arteries. This thickening is called atherosclerosis. A fatty substance called plaque builds up inside the thickened walls of the arteries, blocking or slowing the flow of blood. If your heart muscle doesn't get enough blood to work properly, you may have angina ( chest pain ) or a heart attack. The stent will help hold the artery open so blood can flow and help keep the artery from narrowing again. You will need to take medicine that keeps the stent open and blood flowing. It is very important to take the medicine exactly how your doctor tells you to take it. In addition to taking medicine, the best way to keep your heart healthy is to maintain a healthy lifestyle. Quit smoking. Make sure you keep your blood pressure and cholesterol at healthy levels. Exercise as recommended by your doctor. Eat a heart - healthy diet. Patient verbalized understanding well.
SN instructed patient that the Glipizide is an oral diabetes medicine that helps control blood sugar levels by helping your pancreas produce insulin. That is used together with diet and exercise to treat Type 2 diabetes. Instructed patient to follow doctors orders and that it is to be taken 30 minutes before a meal twice a day. Reviewed symptoms / signs of hypoglycemia: headache, hunger, sweating, confusion, irritability, dizziness, or feeling shaky. Instructed on common side effects: mild nausea, diarrhea, constipation, dizziness, drowsiness or skin rash, redness or itching. Instructed patient to call 911 in the event of hives; difficulty breathing, swelling of your face, lips, tongue or throat.
SN explained that the Tresiba is a long - acting insulin used to control high blood sugar in adults with diabetes. SN instructed about more frequents side effects of tresiba ( reactions at the injection site, itching, rash, allergic reactions , skin thickening or pits at the injection site ( lipodystrophy ), weight gain, and swelling of your hands and feet, among others). SN oriented to notify the doctor if any of these side effects are severe. SN instructed that the insulin dose may need to change because of change in level of physical activity or exercise, increased stress, change in diet, weight gain or loss, or illness.
SN instructed patient / caregiver on the home treatment to treating edema, or swelling due to excess fluid in the legs and ankles. Treatment may include elevating the feet above heart level, wearing compression stockings and exercising the legs. Reducing sodium in the diet, losing weight and avoiding tight clothing can also reduce swelling.
SN instructed patient on Paget disease. Paget disease is a chronic bone disorder. Most people who have Paget disease of bone have no symptoms. When symptoms occur, the most common complaint is bone pain. Paget disease can cause pain in the bones or joints, headaches and hearing loss, pressure on nerves, increased head size, bowing of limb, or curvature of spine. Because this disease causes your body to generate new bone faster than normal, the rapid remodeling produces bone that's softer and weaker than normal bone, which can lead to bone pain, deformities and fractures. To reduce your risk of complications associated with Paget disease of bone, try these tips, prevent falls by using assistive devices like a walker or cane, fall - proof your home. Remove slippery floor coverings, use nonskid mats in your bathtub or shower, eat well. Be sure your diet includes adequate levels of calcium and vitamin D, which helps bones absorb calcium and exercise regularly. Regular exercise is essential for maintaining joint mobility and bone strength.