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Medicines Exercise The patient needs to undertake an orderly program of activity and exercise.

She must be aware of the precautions before and during exercise. 1. Fix the timing of exercise. 2. Avoid the peak insulin activity period for exercise. 3. Pay special attention to proper foot wear. Never do out door exercise bare feet. 4. Do not forget the warm-up and cool-down exercises. 5. Keep in mind the symptoms of hypoglycemia and how to prevent it. 6. Remember the warning signs of impending cardiac complications, such as discomfort or pain in the chest, abdomen, back, neck or arms. These are the signs of inadequate supply of blood and oxygen. 7. If there are any unusual symptoms during or after the exercise, discuss them with your doctor. 8. Measure, if possible, blood glucose before and immediately after the exercise and again an hour later. The exercise should bring down the blood glucose. Treatment

Health Teaching

such as angiograms. Diet DASH (Dietary Approaches to Stop Hypertension) . Be especially careful during hot weather or when exercising. 9). 11). Maintain a healthy weight. Some specific modification includes: 1). Maintain blood pressure at less than 130/80 mm Hg with medicine. or fever—that can cause it. 10). Treat other conditions that may block the normal flow of urine out of kidneys. such as unnecessary surgeries. 7). vomiting. Have yearly testing for protein in urine. intravenous pyelography (IVP). 2).Adaptation to these diseases is an ongoing process and usually requires some modification of lifestyle. and exercise. diet. or bladder problems. Avoid the use of medicines that may be harmful to our kidneys. 8). 3). 5). Follow the nutrition guidelines for hypertension 6). especially nonsteroidal anti-inflammatory drugs (NSAIDs). Avoid situations where you risk losing large amounts of blood. Do not donate blood or plasma. such as kidney stones. 4). and some CT scans. Avoid dehydration by promptly treating other conditions—such as diarrhea. Avoid X-ray tests that require IV contrast material. Keep blood glucose levels as close to normal as possible. Do not smoke or use other tobacco products. an enlarged prostate.

such as Diabetes. The consumption of protein and fat is increased to compensate for part of the calories that formerly came from carbohydrates.. snack foods. Foods high in digestible carbohydrates (e. Apart from obesity. Spiritual Patient is advised to attend masses once or twice a week .Eating a diet low in both saturated fat and total fat will also help lower your blood pressure. vegetarian diets reduce blood pressure. In general. The American Academy of Family Physicians defines low-carbohydrate diets as: Lowcarbohydrate diets restrict caloric intake by reducing the consumption of carbohydrates to 20 to 60 g per day (typically less than 20 percent of the daily caloric intake). soy products) and often other foods low in carbohydrates (e. pasta) are limited or replaced with foods containing a higher percentage of proteins and fats (e. Vegetarian diets tend to be higher in potassium. Only 30% of your total calories should be from fat.g.g. poultry.g. butter. and other processed foods. cheeses. Saturated fat is found in meats. Low carbohydrate Diet Low carbohydrate diet is a dietary program that restricts carbohydrate consumption usually for weight control or for the treatment of obesity. with only 7% to 10% of your fat calories from saturated fat.. green leafy vegetables). meat. bread. and calcium. Vegetarian diets also are higher in fiber and unsaturated fat than other diets. as is the DASH diet. magnesium. low-carbohydrate diets are often discussed as treatments for some other conditions. The DASH diet could easily be a vegetarian diet if legumes were substituted for meat.

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thus reducing the production of uric acid with a decrease in serum and sometimes in urinary uric acid levels. Discontinue drug at first diarrhea sign of rash Arrange for regular medical follow up and blood test . Management of patients with malignancies that result in elevations of serum and urinary uric acid. GI: Nausea. paresthesias Administer drug following meals Encourage patient to drink 2. sodium bicarbonate Leukopenia. drowsiness. relieving the signs and symptoms of gout. be ordered to alkalinize anemia urine. neuritis. CNS: Headache.5-3 L/day to decrease Dermatologic: Rashes. vomiting.Generic Name (Brand Name) Allopurinol (Aloprim) Drug Classification: Antigout Dosage and Frequency: 300 mg per tab PO once a day Action Indication Side Effects and Adverse Effect Nursing Consideration and Responsibilities Inhibits the enzyme responsible for the conversion of purines to uric acid. or potassium citrate may thrombocytopenia. peripheral neuropathy.the risk of renal stone maculopapular scaly or development exfoliative Check urine alkalinityurates crystallize in acid Hematologic: urine.

elevates gastric pH to reduce pepsin activity.s. 300mg tablet or 600mg tablet.O 1hour after meals and h. and increases esophageal sphincter tone. intestinal obstruction Metabolic: hypophosphatemia Musculoskeletal: osteomalacia Nursing consideration Record amount and consistency of stools.1 tab . Monitor phosphate level Watch for anorexia. Also can lead to resorption of calcium and bone demineralization . chewed before swallowing. alternative with magnesium-containing antacids. indication Acid indigestion: 500mg-1500mg P. malaise and muscle weakness with prolonged use. adsorbents and antiflatulents Dosage and frequency: 600mg. taken with milk or water five to six times daily after meals and h.s. strengthens gastric mucosal barrier. Side effects CNS: encephalopathy GI: constipation.name Calcium carbonate (caltrate plus) Drug classification: Antacids.OD action Reduces total acid load in GI tract. or. Manage constipation with laxatives or stool softeners.

duration. acute hypotension is rare. CNS: Headache. lightheadedness. paresthesia CV: edema. somnolence. Grapefruit juice: May increase drug level and adverse reactions. dizziness. Some patients. have developed increased frequency. Discourage use together.Generic Name (Brand Name) Amlodipine Camsylate Drug Classification: antianginal Dosage and Frequency: 5 mg per tab PO once a day Action Indication Side Effects and Adverse Effect Nursing Consideration and Responsibilities Monitor patient carefully. Inhibits calcium ion influx across cardiac and smooth-muscles cells. thus decreasing myocardial contractility and oxygen demand: also dilates coronary arteries and arterioles Drug-food. Because drug induced RESPIRATORY: vasodilation has a gradual dyspnea onset. abdominal pain GU: sexual difficulties MUSCULOSKELETAL: Monitor blood pressure frequently during muscle pain initiation of therapy. or severity of angina or acute MI after initiation vasodilation of calcium channel blocker therapy or a time of dosage increase. flushing. palpitation GI: nausea. especially those with severe obstructive coronary artery disease. SKIN: rash. fatigue. pruritus .