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Instructed patient about Avandia. This is an oral antidiabetic used to decrease blood sugar levels. Avandia is used in DM type II , alone or in combination of other oral antidiabetic drugs.
Instructed patient on possible adverse reactions to oral diabetic agents, which include: nausea, vomiting, epigastric fullness, heartburn, hypoglycemia, rash, itching and facial flushing.
Patient was instructed on depression as a diabetes complication. Treating depression, getting help for depression not only improves a person's quality of life, it also can help people manage their diabetes better by giving them more energy and a more hopeful outlook.
Instructed in Vitamin B12, ordered to manage polyneuropathy, and in S/E, such as, pain in site of injection, burning, etc.
SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which and can turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can help bring ones body temperature up. If frost bit occurs, one can warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.
Patient with biliary catheter SN instructed patient when to call the doctor or go to emergency: Active bleeding at the drain site that does not stop after you put finger, pressure on it, more pain or swelling at or around the drain site, your temperature is greater than 101 degrees fahrenheit, with or without chills
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Skid-proof mats or strips in the shower and bathtub, Removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet. Patient currently uses cane while ambulating and states that it helps her with her balance. Patient advised that side effects of most medications taking can cause dizziness and to report and dizziness so that it can be addressed by MD. Patient voiced understanding SN will continue to monitor.
Instructed patient Home care nurses will teach you and help you become comfortable with the procedures before you do them yourself. These are the special things that need to be done preventing infection, flushing the PICC line, giving the medicine, solving problems, knowing when and who to call for help.
SN instructed patient on nonpharmacologic pain relief measures, including relaxation techniques, massage, stretching, positioning, and hot/cold packs. SN instructed patient to report to physician if patient experiences pain level greater than 6, pain medications not effective, patient unable to tolerate pain medications, pain affecting ability to perform patient’s normal activities.
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.