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Instructed in new medication Aspirin to manage rheumatoid arthritis. In addition, warned of possible S/E such as tinnitus, hearing loss, nausea, GI distress, occult bleeding, dyspepsia, GI bleeding, leukopenia, hepatitis, rash, urticaria and others.
Instructed in how to recognize signs and symptoms of high blood sugar such as frequent urination, excessive thirst, headache, weakness, fatigue, dizziness, nausea, vomiting, abdominal cramps, etc.
Instructed in possible adverse reactions to Lasix, including dehydration, orthostatic hypotension, loss of potassium and other electrolytes, weakness, and fatigue.
Patient was instructed on skin care. Look at the body after washing. Make sure there are no dry, red or sore spots that could become infected.
Patient was instructed on how lifestyle and daily routine can affect blood sugar levels Type of food: food is made up of carbohydrates, protein and fat. Although all three can increase blood sugar, carbohydrates have the biggest impact.
Patient was instructed on diabetes. All body cells require glucose for energy. Glucose enters body cells with the help of a hormone called insulin, which acts somewhat like a gatekeeper. If the body becomes less responsive to insulin, or if the body is not producing insulin, glucose cannot pass through the cell wall and the cell "starves."
Instructed on some signs/symptoms of cerebrovascular accident (stroke), such as: unexplained dizziness, unsteadiness and falls, among others.
Instructed on proper method of Keppra intake.
Instructed patient to environmental control is important in preventing and treating symptoms. Advised the patient that allergens may be seasonal or prominent in certain areas like fields, woods, grass also by contact with pets, specially dogs and cats.
The patient was instructed in bunionectomy in the importance of wearing an immobilization device cast, or bunion boot for 3 to 6 weeks after surgery. The patient was advised to rest frequently with feet elevated. The patient was recommended to wear flat, wide-toed shoes and sandals after the dressing or cast is removed.