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Instructed in diagnosis of Diabetes. This occurs when the pancreas has partial or total lack of insulin production.
Instructed patient about depression risk factors for suicide. Women are 3 times more likely than men to attempt suicide, but men are 3 times more likely to complete suicide.
Taught that antacids can decrease the absorption of Crestor when taken at the same time.
The patient was advised the importance of preventing respiratory infections by evading persons with infections to prevent atelectasis. The patient was instructed in coughing and deep breathing techniques. The patient was advised to use an incentive spirometer and how often to use it.
SN instructed patient to report any symptoms of anxiety such as feeling apprehensive, feeling powerless, having a sense of impending danger, panic or doom, having an increased heart rate, breathing rapidly (hyperventilation), sweating, trembling, and or feeling weak or tired to SN or MD immediately to help prevent further complications.
SN instructed patient to follow a low purine diet to help minimize acute gout attacks by limiting meat, poultry and fish. Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily. SN instructed pt/cg to cut back on fat since saturated fat lowers the body's ability to eliminate uric acid. Also instructed patient Limit or avoid foods sweetened with high-fructose corn syrup. Fructose is the only carbohydrate known to increase uric acid. It is best to avoid beverages sweetened with high-fructose corn syrup, such as soft drinks or juice drinks. Juices that are 100 percent fruit juice do not seem to stimulate uric acid production as much. SN also discussed to choose complex carbohydrates and explained to patient/cg that pt will need to eat more whole grains and fruits and vegetables and fewer refined carbohydrates, such as white bread, cakes and candy. SN advised CG to ensure that pt. drinks plenty of fluids, particularly water. Fluids can help remove uric acid from your body.
Instructed patient about vacuum assisted closure ( VAC ) therapy helps draw wound edges together, remove infectious materials and actively promote granulation.
Instructed patient if you have a hard time breathing, you may have secretions in your trach tube. Take out the inner cannula to check for mucous and clean if necessary. Then replace it. If your breathing does not get better, keep using your humidity, and cough hard.
Instructed patient what should you know about caring for your midline catheter: Loop extra tubing: If you have long tubing attached to your catheter, loosely loop the tubing together, and secure it with tape. This will help prevent the PICC or midline catheter from being pulled out of your arm by accident.
SN instructed that it is tempting to stop taking an antibiotic as soon as you feel better. But the full treatment is necessary to kill the disease-causing bacteria. Failure to do so can result in the need to resume treatment later and may promote the spread of antibiotic - resistant properties among harmful bacteria. Patient verbalizes understanding.