low fat diet
Patient was instructed on hypertension. Other possible risk factors of high blood pressure include: low intake of potassium, magnesium and calcium. Sleep apnea and sleep disordered breathing, depression, cigarette smoking, high cholesterol or low HDL (good cholesterol), diabetes.
Patient was instructed on how to avoid hypoglycemia. Choose high fiber, low sugar bedtime snacks such as two graham crackers with 1/2 cup skim milk. Avoid eating excessive amounts of high sugar foods, which will make the blood sugar spike then plummets. When the blood sugar falls after a sugar high it tends to drop dramatically low.
The patient was instructed on the consequences of chemotherapy and how it affects your body, and that is not related to cancer, the side effects it produces. Some common side effects of chemotherapy are low white blood cell count, low red blood cell count, platelets account, nausea, vomiting, hair loss, fatigue, among others.
SN instructed patient / caregiver that Aldactone is a potassium - sparing diuretic ( water pill ) that prevents the body from absorbing too much salt and keeps potassium levels from getting too low, treating congestive heart failure. SN instructed patient / caregiver to take Aldactone as prescribed by the doctor and do not use salt substitutes or low - sodium milk products that contain potassium, because it may increase potassium levels too much. SN explained that side effects may include mild nausea, dizziness, headache, gastric pain. SN instructed to report to physician ( MD ) if patient experiences an allergic reaction, numbness, muscle pain or weakness, irregular heartbeats, urinating less, shallow breathing or tremors.
SN instructed patient / caregiver regarding medication Glimepiride. SN instructed patient / caregiver that Glimepiride is a antidiabetic medication that lowers blood sugar level. SN instructed patient / caregiver to check blood sugar before taking the medication to avoid hypoglycemia. SN explained to patient / caregiver that low blood sugar ( hypoglycemia ) can occur during glimepiride therapy. SN explained that the symptoms of low blood sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion, or loss of consciousness. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of these side effects.
SN instructed patient / caregiver regarding medication Glipizide. SN informed patient / caregiver that Glipizide is used to help control blood sugar levels, causing the pancreas to release insulin, which helps to lower blood sugar. SN explained to patient / caregiver that the side effects include low blood sugar ( hypoglycemia ) can occur when on this medication. SN explained that symptoms of low blood sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion or loss of consciousness and should be reported to physician ( MD ) if persistently experienced.
SN instructed caregivers/patient on hyponatremia, which means your blood level of sodium (salt) is too low. Salt is needed for the body and brain to work. Very low blood levels of sodium can be fatal. Symptoms can include headache, confusion, fatigue, muscle cramps, hallucinations, seizures, and coma. To help prevent hyponatremia, take all medicines exactly as directed. Certain medicines can lower blood sodium levels. Have your sodium levels checked often. This is vital if you take a diuretic (medicine that helps your body get rid of water). Call your provider right away if you have any of the following: Severe tiredness, Fainting, Dizziness, Loss of appetite, Nausea or vomiting, Confusion or forgetfulness, Muscle spasms, cramping, twitching Seizures, or Gait disturbances. Caregiver voiced understanding.
SN instructed about avoid convenience foods such as canned soups, entrees, vegetables, pasta and rice mixes, frozen dinners, instant cereal and puddings, and gravy sauce mixes. Select frozen meals that contain around 600 mg sodium or less. Use fresh, frozen, no-added-salt canned vegetables, low-sodium soups, and low-sodium lunch-meats.
Instructed patient caregiver Loss of appetite, drowsiness, and leg cramps may be signs of sodium loss. Fatigue, muscle weakness, and shortness of breath may be signs of potassium loss. Dehydration, low sodium, and low potassium can all be dangerous and should be treated right away. Call your doctor or 911 right away if you are dizzy, weak, or having other serious symptoms.
SN instructed pt on high risk med Basaglar KwikPen Subcutaneous Do not take Basaglar during episodes of low blood sugar or if you are allergic to insulin glargine or any of the ingredients in Basaglar. Do NOT reuse needles or share insulin pens, even if the needle has been changed.The most common side effect of insulin, including Basaglar, is low blood sugar (hypoglycemia), which may be serious and life threatening. Signs and symptoms may include dizziness or light-headedness, sweating, confusion, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability, mood change, or hunger.