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Instructed patient about methods for adjusting the diet to meet a change in activity greater caloric intake is required for prolonged or strenuous activity to prevent hypoglycemia.
Instructed in possible causes of hypoglicemia such as too much insulin, not enough food, overexertion or GI disturbance.
SN instructed patient and caregiver that Plavix is used to prevent heart attacks and strokes in persons with heart disease, recent stroke and/or blood circulation disease (peripheral vascular disease). Easy bleeding/bruising, stomach upset/pain, diarrhea, and constipation may occur.
SN instructed patient and caregiver that myocardial infarction and angina pectoris are potential complications of Coronary Artery Disease (CAD). Symptoms for myocardial infarction tightness or pain in the chest, neck, back, or arms. Angina symptoms squeezing, pressure, heaviness, tightness, or pain in the chest. Call your doctor immediately for any symptoms. Both patient and caregiver verbalized understanding.
Instructed on some signs/symptoms of Emphysema, such as: cough, weakness and wheezing, among others.
Taught that stable angina usually has a precipitating cause, while unstable angina can occur while at rest.
Taught that exercising regularly, as directed by MD, is a measure aimed to preventing/controlling Osteoarthritis.
Instructed patient how to change the dressings and how to care for the tubes and drains. Recommend to splint the abdomen when coughing or sneezing.
Taught the patience not to wear tight clothing (belts) over the incision. Encourage the importance of not discontinuing the steroid medication that can precipitate adrenal crisis.
Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: you will be encouraged to cough and deep breathe. You may be given a spirometer, a device for breathing exercises to keep fluid out of your lung, once all your tubes have been removed, you will be encouraged to shower daily and wash your incision with a mild soap to prevent infection.