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Instructed in the importance of including more fiber in diet if not contraindicate. Instructed to take fresh fruit, cooked or stewed fruits, green vegetables, root vegetables and whole grain food.
Instructed in S/E of oxygen therapy such as respiratory depression, collapse lung, irritation of airway mucosa, oxygen toxicity, local skin irritation.
Instructed in knowing what to do if symptoms of low blood sugar occur: eat some form of glucose or carbohydrate, notify physician or go to emergency room if symptoms persist.
Instructed in diagnosis of Diabetes. This occurs when the pancreas has partial or total lack of insulin production.
Patient was instructed on the difference between a cold and the flu. With a cold, there is normally no fever so one of the first things to do is take the temperature. If the thermometer registers between 102-104, suspect the flu.
Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes that include: Alcohol. In some individuals, drinking alcohol can cause a drop in blood sugar levels. Hypoglycemia has been associated with chronic alcoholism and binge drinking. Hypoglycemia associated with binge drinking can be particularly severe if a person has not eaten within about 6 hours because fasting can impair the liver's ability to make new glucose.
Instructed on some potential complications of constipation, such as: valsalva maneuver (may be caused by straining, causing a slowed pulse, decreased blood return and increased venous pressure).
The patient was instructed in cushing’s disease and cushing’s syndrome to organize and obtain an emergency kit including alcohol and prefilled syringes hydrocortisone for episodes of severe adrenal insufficiency. The patient was advised to self-monitor laboratory values and identify personal baseline levels. The patient was advised the need to prevent injury associated with osteoporosis. The patient was recommended to use ambulatory aids such as walker, cane as necessary.
SN instructed patient / caregiver about Diphenhydramine( Benadryl). It is a first-generation antihistamine used to treat a number of conditions including allergic symptoms and itchiness, the common cold, insomnia, motion sickness, and extrapyramidal symptoms. It is a potent anticholinergic agent. This activity is responsible for multiples side effects such as: dry mouth and throat, increased heart rate, pupil dilation, urinary retention, constipation, and, at high doses, hallucinations or delirium. Other side effects include motor impairment, flushed skin, blurred vision at near point owing to lack of accommodation, abnormal sensitivity to bright light (photophobia), sedation, difficulty concentrating, short-term memory loss, visual disturbances, irregular breathing, dizziness, irritability, itchy skin, confusion, increased body temperature, temporary erectile dysfunction, and excitability, and although it can be used to treat nausea, higher doses may cause vomiting. Report any Side effect / Adverse reaction to Physician / Nurse as needed.
SN instructed patient about Jackson Pratt care. The JP drain removes fluids by creating suction in the tube. The bulb is squeezed flat and connected to the tube that sticks out of your body. The bulb expands as it fills with fluid. SN instructed patient use soap and water or saline ( saltwater ) solution to clean your JP drain site. Dip a cotton swab or gauze pad in the solution and gently clean your skin.