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Patient was instructed about the skin damage: the skin may be dry and cracked because of high glucose levels, and cracked skin means it's easier for bacteria to get under the skin and harder for infections to heal. Use a small amount of skin lotion daily, to be sure the feet feel dry - not damp or sticky - afterwards. Try not to get the lotion in between the toes. Keep the toenails trimmed and filed smooth to avoid ingrown toenails. Further teaching is needed.
Instructed on the importance of avoiding/reducing exposure to crowds in order to reduce the risk of respiratory infections.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if chest pain/discomfort occur.
Taught that Coronary Artery Disease (CAD) is a narrowing or blockage of one or both of the coronary arteries causing a decreased blood and oxygen supply to the heart.
The patient was instructed in cirrhosis to avoid using soap. The patient was advised to use moisturizers and antipruritic lotions. The patient was reviewed to minimize the risk of bleeding by not straining during defecation, blowing the nose forcefully, or using razor blades or hard-bristled toothbrushes. The patient was recommended the importance of abstaining from alcohol.
The patient was instructed in rheumatic fever in the need for prophylactic antibiotic treatment before aggressive procedures that incline to bacteremia. The patient was advised in the importance of completing antibiotic therapy to prevent reappearance. The patient was advised in the hypersensitivity response to penicillin after long term use.
SN instructed patient on s/s of htn crisis, while seeking immediate medical attention for chest pain.
SN advised patient most common side effects from the use of Lovenox are mild pain, irritation, bruising, or redness of the skin at the site of injection. Other common side effects include bleeding, anemia, diarrhea, and nausea.
SN instructed patient / caregiver that Percocet is used to treat moderate to moderately severe pain - containing two drugs: acetaminophen and oxycodone. Explained that Acetaminophen is used to reduce both pain and fever & Oxycodone is used for its calming effect and for pain. Explained that the common side effects include dizziness, light - headedness, nausea, sedation, vomiting. SN instructed that side effects may be alleviated by lying down and if they persist or worsen to notify Physician. SN instructed to call physician immediately if the patient experiences slow / irregular breathing, slow / irregular heartbeat, change in the amount of urine or any allergic reactions. SN instructed patient to drink at least 8 glasses of water and eat foods that are high in fiber such as apples, peaches, oranges and oats if constipation is experienced.
SN instructed patient / caregiver regarding medication Levothyroxine. SN taught patient / caregiver that Levothyroxine is a replacement for a hormone that is normally produced by the thyroid gland to regulate the body's energy and metabolism. SN explained that Levothyroxine is given when the thyroid does not produce enough of this hormone on its own. SN explained that Levothyroxine treats hypothyroidism ( low thyroid hormone ). SN explained that Levothyroxine is also used to treat / prevent goiter. SN taught patient / caregiver about the side effects of this medication such as headache, insomnia, nervous or irritable feeling, fever, hot flashes, sweating, changes in your menstrual periods, appetite changes and weight changes. SN Instructed patient / caregiver to notify physician ( MD ) if experiencing persistent or worsening of side effects.