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Instructed patient to avoid contact with pets, specially dogs and cats.
Instructed patient about the importance of site rotation at the time of the subcutaneous injection.
If the inner cannula is designed for reuse, clean it in a solution of equal parts hydrogen peroxide and 0.9% sodium chloride. Wear sterile gloves and maintain aseptic technique. Remove encrusted secretions from the lumen of a metal tube with sterile pipe cleaners or a soft sterile brush. For a plastic tube, use only sterile pipe cleaners to prevent damage by a brush. After cleaning, thoroughly rinse the inner cannula with 0.9% sodium chloride solution.
Patient was instructed on appropriate nutrition. Cut back on high calorie snack foods and desserts like chips, cookies, cakes, and full fat ice cream. Eating too much of even healthful foods can lead to weight gain. Watch the portion sizes.
Patient was instructed on other reasons Why Older People Fall such as: Lightheadedness with standing caused by postural hypotension (blood pressure that drops dramatically with standing), other forms of dizziness, persistent pain in any part of the leg.
Patient was instructed on the importance of a good foot care. Wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid walking barefoot.
SN instructed patient to rise slowly from sitting/supine position, as Atenolol may cause orthostatic hypotension and to avoid sudden discontinuation of this drug, as this may cause rebound hypertension. Patient verbalized understanding of instructions given.
Instructed the patient/caregiver on important foot care: inspect feet daily, report any foot problems to MD or Podiatrist, wash feet daily with warm soap and water and pat dry especially between toes, clip nails straight across and gently file with an emery board, wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid going barefooted, avoid exposure to extreme temperatures, and avoid tobacco
SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which and can turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can help bring ones body temperature up. If frost bit occurs, one can warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.
SN instructed that Janumet is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Instructed that common side effects include, nausea, vomiting, stomach upset, diarrhea, headache, weakness, or a metallic taste in the mouth may occur.