hyperglycemia
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 insulin, which include hypoglycemia, hyperglycemia, skin rash and local reaction at injection site.
Instructed in S/S of hyperglycemia, such as excessive urination, thirst, nausea, vomiting, abdominal pain, or cramping, weak-tired feeling, drowsiness, deep-rapid breathing, or fruity breath. If these S/S occur client S/O instructed to notify MD.
Instructed patient on possible causes of hyperglycemia such as too little insulin, too much or the wrong kind of food, infection, injury, illness, decreased activity.
Instructed patient on possible adverse reactions to insulin, which include hypoglycemia, hyperglycemia, and skin rash and local reaction at injection site.
Instructed patient on S/S of hyperglycemia such as: excessive urination, thirst, nausea, vomiting, abdominal pain/cramps, weak-tired feeling, drowsiness, deep-rapid breathing, or fruity breath. If these S/S occur client S/O instructed to notify MD.
Instructed patient to avoid candies, chocolates, cookies, drinks and others foods rich in sugar. Patient was instructed on the importance of a good nutrition to control hyperglycemia: Avoid skipping meals. This can make people extra hungry, moody and unable to focus. Pay attention to the portion. Eat healthy.
Patient was instructed on how lifestyle and daily routine can affect blood sugar levels. Coordinating the meals with the medications can be a fine balance. Too little insulin in comparison to the medication may result in very low blood sugar (hypoglycemia). Too much food may cause the blood sugar to climb too high (hyperglycemia).
Patient was instructed on cardiovascular complications. Hyperglycemia (high blood glucose levels) can cause arteries to narrow and/or lose elasticity causing Atherosclerosis (CAD) where blockage occurs in the arteries that go to the heart.
Patient was instructed on hypoglycemia. Insulin, glucagon and other hormone levels rise and fall to keep blood sugar in a normal range. Too little or too much of these hormones can cause blood sugar levels to fall too low (hypoglycemia) or rise too high (hyperglycemia).