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Instructed in S/S of complications associated with CHF, including bounding pulse, decreased urinary output, increased SOB, increased edema and sudden weight gain.
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 how to reduce friction and shear. Use draw sheet for repositioning, encourage use of trapeze if possible, keep head of bed elevated (if tolerated), elevate foot of bed slightly (if condition permits), use pillow or wedge to support hip (side lying, lateral position), utilize lifts and transfer devices.
Taught that history of diabetes, cardiac disease and renal disease are potential factors of cerebrovascular accident (stroke).
The patient was instructed in pheochromocytoma (chromaffin tumor) how to measure and record blood pressure at home. The patient was instructed to weigh daily at the same time. The patient was taught stress decrease methods like meditation, breathing exercises.
The patient was instructed in thoracentesis in the need that movement or coughing during the process is prohibited to prevent unintentional needle injury to the lung or pleura. The patient was advised that if coughing is inavoidable the physician can remove the needle a little to prevent hole. The patient was reviewed to evade persons with upper respiratory tract infections.
SN instructed patient about rheumatoid arthritis and how it is a chronic disease that causes pain, stiffness, swelling, and loss of function in the joints. It occurs when your immune system mistakenly starts attacking healthy tissue.
Sn instructed patient on seizures and precautions for safety at home. replace glass tables or furniture with wood, glass can break and cause injury, leave interior doors open, don't take shower unless someone is in the house and make sure family and friends are aware of your seizures and know what to do to help if you have a seizure. Notify nurse or Physician if seizures occur. If a grand mal seizure occurs go to ED after recovery.
Sn instructed patient on diabetes management. Aim for your A1c level to be between 6-7%. For every 1% you decrease your A1c levels you decrease your risk of Diabetic complications. Physical activity helps to decrease blood sugar levels and monitor your food intake such as carbohydrates and fats. Patient verbalized understanding.
SN instructed patient / caregiver that Aldactone is a potassium - sparing diuretic ( water pill ) that prevents the body from absorbing too much salt and keeps potassium levels from getting too low, treating congestive heart failure. SN instructed patient / caregiver to take Aldactone as prescribed by the doctor and do not use salt substitutes or low - sodium milk products that contain potassium, because it may increase potassium levels too much. SN explained that side effects may include mild nausea, dizziness, headache, gastric pain. SN instructed to report to physician ( MD ) if patient experiences an allergic reaction, numbness, muscle pain or weakness, irregular heartbeats, urinating less, shallow breathing or tremors.