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Instructed in other S/S of cardiac complications requiring medical intervention, such as, increased SOB, palpitations, uneven heart beat, faintness, and weakness.
Instructed patient not to use more than 50 feet of tubing between the oxygen source and the patient. Do not place oxygen tanks within 1/2 feet of windows/doors or items.
Instructed patient in measures to prevent falls using a cane support during ambulation and transfers.
Patient was instructed on taking insulin on sick day. If having trouble eating solid food, drink fruit juices, non diet soft drinks, or clear soups, or eat small amounts of bland foods. The body needs to have its usual insulin dose especially if having nausea or vomiting. If having severe or prolonged vomiting check with the doctor or nurse. Even when starting feeling better let the doctor to know about it.
Patient was instructed on how to avoid hypoglycemia. Avoid fasting, eating irregular meals and chronic binge drinking to maintain a more constant blood sugar level. To limit the risk of developing hypoglycemia or hyperglycemia, eat a diet that provides a slow and regular release of sugar.
Taught that avoiding situations that may cause stress is a measure aimed to preventing/controlling Osteoarthritis.
The patient was instructed in craniectomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
The patient was instructed in laryngeal cancer to evade voice stress and to murmur or use alternative methods of communication when the voice needs rest. The patient was instructed in pain administration using minor analgesics.
SN advised patient to report the development of a late skin rash with symptoms of fever, fatigue, and sore throat while on ampicillin therapy.
SN instructed patient regarding medication Lipitor. SN informed patient / caregiver that Lipitor is a medication that reduces levels of bad cholesterol ( LDL ) and triglyceride in the blood while increasing the level of good cholesterol ( HDL ). SN explained that this medication is used to treat high cholesterol and to lower risk of stroke, heart attack or other heart complication in people with type 2 diabetes. SN informed patient / caregiver that patient should eat low cholesterol diet and avoid drinking alcoholic beverages when taking lipitor because it increase risk of liver damage. SN explained to patient / caregiver that side effects to watch out for are unexplained muscle pain, fever and dark colored urine, swelling urinating less than usual and weight gain. SN instructed patient / caregiver to report any persistence or worsening of side effects.