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Instructed in the importance of restricting sodium intake. Advised to use salt substitutes (if permitted by MD) by seasoning food with condiments such as lemon, parsley, cinnamon, etc.
Instructed patient on how to properly use testing strips: wash hands with lukewarm water and mild soap, stick side of finger (not the tip), dry finger well before procedure, change fingers every test, and use the thinnest lancet, as that will give you the best drop of blood.
Patient was instructed on Osteoporosis. Don't drink more than 2 alcoholic drinks a day if you are a man, or 1 alcoholic drink a day if you are a woman. Drinking more than this puts you at higher risk for osteoporosis.
Patient was instructed on how lifestyle and daily routine can affect blood sugar levels. Food is the major culprit in altering the blood sugar level. The blood is at its highest an hour or two after eaten, and then it starts to fall. What eaten, when and how much all affect blood sugar levels.
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.
Patient was instructed on hypoglycemia. If having hypoglycemia during the night, people may wake up tired or with a headache. And it
Instructed on the importance of avoiding all respiratory irritants, such as: smoke, dust and air pollution, among others.
Instructed patient in new medication side effects; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.
Instructed caregiver include ensuring that the tracheotomy tube is securely in place and is patent.
SN instructed patient that Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat some types of cancer, but has significant adverse effects. It is used for many different indications including: Pericarditis, multiple sclerosis, nephrotic syndrome, to relieve the effects of shingles, lupus, myasthenia gravis, poison oak exposure, meniere's disease and as part of a drug regimen to prevent rejection after organ transplant. Possible side effect may include: Abdominal pain, peptic ulcer, painful hips or shoulders, steroid-induced osteoporosis, stretch marks, osteonecrosis - same as avascular necrosis, insomnia, severe joint pain, cataracts or glaucoma, anxiety, black stool, stomach pain or bloating, severe swelling among others. Take prednisone as ordered.