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Instructed patient to cut toenails straight across. This will help to avoid ingrown toenails. Also instructed to avoid letting somebody else to cut the toenails.
Patient was instructed on precautions to prevent respiratory complications. Avoid persons with infections and wash hands frequently. Caution the patient to avoid the use of respiratory depressants.
Patient was instructed on the importance to have a good blood sugar control to avoid future diabetes complications: Monitoring: keep track of the blood sugar every day, Meals: Plan healthy and enjoyable meals to help keep the blood sugar near goal, Moves (exercise): moving the body help lower the blood sugar by burning it for energy, Medicine: when Meals and Move are not enough.
Instructed on some factors that may increase the risk of developing/exacerbating Coronary Artery Disease (CAD), such as: stress, obesity and high cholesterol diet, among others.
Instructed on some measures aimed to managing/controlling hypertension, such as: have blood pressure monitored regularly and take corresponding medications exactly as directed by MD.
Patient instructed on adverse effect of Zosyn such as pruritus, rash, constipation, insomnia, and agranulocytosis.
SN explained to patient that Lovenox has to be administer by deep subcutaneous injection with patient lying down.
Taught that the diastolic reading (the bottom number) represents the pressure on the blood vessel wall while the heart is at rest.
SN instructed patient about constipation and diarrhea can still occur with a colostomy. Reasons why constipation may occur include certain medications, not drinking enough fluids or eating enough fiber, just like before you had a colostomy.
SN completed assessment done on all body systems and noted patient with elevated blood pressure during visit. SN completed treatment during visit and noted no drainage on old tx, wound callused and new area found to left medial top of foot remains intact with no drainage noted. SN noted patient complaint of pain to bilateral lower extremities with +2 edema noted. SN educated primary caregiver on the importance of elevation of bilateral lower extremities as well as pain management for patient.