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Instructed to maintain a diabetic record of blood sugars and any untoward reactions. Record should include date, time, and any other pertinent information.
Instructed patient about diuretics and how they should be taken in the morning to prevent nocturia.
Instructed patient about possible complications of urinary incontinence, such as, urinary tract infections (cloudy, foul-smelling, urine), depression and loss of self-esteem, skin breakdown, etc.
Patient was instructed on how to inject. To pinch the skin properly squeeze a couple of inches of skin between the thumb and two fingers. Insert the needle. Hold the pinch so the needle does not go into the muscle. Push the plunger to inject the insulin. Release the grip on the skin fold. Remove the needle from the skin.
Patient was instructed on hypoglycemia. When blood sugar drops too low, the level of insulin declines and other cells in the pancreas release glucagon, which causes the liver to turn stored glycogen back into glucose and release it into the blood. This brings blood sugar levels back up to normal.
Instructed on proper method of medication intake, as many people taking prescription medications do not follow their doctors' instructions.
Encouraged patient the necessity to maintain good oral and eye hygiene. Advised patient the need for oral suctioning as the disease progresses.
The patient was instructed in venous thrombosis in amount and records the size of the affected extremity daily. The patient was taught in the good skin care, using mild soap, rinse well, and dry gently. The patient was instructed in the use of antiembolic stockings for ambulation and times of extended sitting. The patient was instructed to remove them every 8 hours to evaluate the leg and skin. The patient was recommended to use of the bed cradle. The patient was recommended to apply of warm packs to the affected extremity.
Instructed caregiver to keep patient's ulcer from becoming infected, it is important to: keep blood glucose levels under tight control; keep the ulcer clean and bandaged; cleanse the wound daily, using a wound dressing or bandage; and avoid walking barefoot.
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.