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Instructed patient about the importance of injecting insulin not exactly in the same place each time, but move around in the same area so the insulin reaches the blood with the same speed with each shot.
Patient was instructed on precautions regarding food. Avoid containers that have broken seals. Wash any equipment thoroughly that has come in contact with raw meat or poultry. Never use an egg that has unpleasant odors or cracked shells.
Patient was instructed on pressure ulcer also called decubitus or bed sore. A pressure ulcer is the results of damage caused by pressure over time causing an ischemia of underlying structures. Bony prominences are the most common sites and causes.
Patient was instructed on hypoglycemia symptoms, such as shaking or physical tremor. Tremors are the involuntary trembling of the body often it affects the fingers or hands. Another sign is the palpitations. Abnormality of the heart beat that a person slurred speech or difficulty articulating words.
Instructed on some factors that may increase the risk of developing/exacerbating constipation, such as: poor dietary habits and intake of certain medications, among others.
Instructed on some factors that may increase the risk of developing/exacerbating Emphysema, such as: advanced age and continual exposure to harmful irritants (e.g., occupational hazards, air pollution and cigarette smoking), among others.
Taught that avoiding fatigue by gradually increasing activity, with planned rest periods, is a measure aimed to controlling/managing Congestive Heart Failure (CHF).
Patient was educated about potassium 10 meq 1 tablet oral daily and the importance to know sign and symptoms of toxicity and Overdose: (slow, irregular heartbeat; fatigue; muscle weakness; paresthesia; confusion; dyspnea).
SN instructed patient to follow a low purine diet to help minimize acute gout attacks by limiting meat, poultry and fish. Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily. SN instructed pt/cg to cut back on fat since saturated fat lowers the body's ability to eliminate uric acid. Also instructed patient Limit or avoid foods sweetened with high-fructose corn syrup. Fructose is the only carbohydrate known to increase uric acid. It is best to avoid beverages sweetened with high-fructose corn syrup, such as soft drinks or juice drinks. Juices that are 100 percent fruit juice do not seem to stimulate uric acid production as much. SN also discussed to choose complex carbohydrates and explained to patient/cg that pt will need to eat more whole grains and fruits and vegetables and fewer refined carbohydrates, such as white bread, cakes and candy. SN advised CG to ensure that pt. drinks plenty of fluids, particularly water. Fluids can help remove uric acid from your body.
SN instructed caregiver that Amiodarone is a class of antiarrhythmic agent used for various types of cardiac dysrhythmias, both ventricular and atrial. Despite relatively common side-effects, it is used in arrhythmias that are otherwise difficult to treat with medication. The most serious reaction that is due to amiodarone is interstitial lung disease. Hypothyroidism and hyperthyroidism. Corneal micro-deposits . Abnormal liver enzyme results. Much rarer are jaundice, hepatomegaly, and hepatitis. Low-dose amiodarone has been reported to cause pseudo-alcoholic cirrhosis. Long-term administration of amiodarone is associated with a light-sensitive blue-grey discoloration of the skin, and peripheral neuropathies. Gynecomastia and an association between amiodarone and an increased risk of cancer, especially in males