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Instructed in risk factors associated with heart disease, including smoking, family history, hypertension, stress and diet.
Instructed to post important telephone numbers, including MD, Home Health Agency, Friend/Relative and 911 for any emergency.
Instructed patient about S/S of possible urinary tract infection, such as, back pain, burning, oliguria, dysuria, retention, fever, etc.
Instructed patient on never walking barefoot to prevent cuts and burns and also to wear sleepers at night when getting up.
Patient was instructed on complications of diabetes such as nerve damage. One of the most common complications of diabetes is diabetic neuropathy. Neuropathy means damage to the nerves that run throughout the body, connecting the spinal cord to muscles, skin, blood vessels and other organs.
Patient was instructed on how to avoid hypoglycemia. The body can tolerate low blood sugar, or hypoglycemia, for short periods of time. But since every cell in the body is fueled by sugar, chronic hypoglycemia will cause the health to deteriorate.
Instructed on the importance of following/adhering to a no concentrated sweets, low fat/sodium diet, as directed by MD.
SN instructed patient about oxygen use precautions: Oxygen is a safe gas as long as it is used properly. Do not store your oxygen system near any heat sources or open flames. Do not smoke or allow others to smoke in the same room as your oxygen system, sparks from a cigarette could cause facial burns. Post “No Smoking” signs in the room where your oxygen is kept.
SN instructed patient / caregiver about Ipratropium Bromide/Albuterol(Duoneb); get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using albuterol and ipratropium and call your doctor at once if you have a serious side effect such as: wheezing, choking, or other breathing problems,chest pain, pounding heartbeats or fluttering in your chest, dangerously high blood pressure (severe headache, anxiety, uneven heart beat), swelling of your ankles or feet, eye pain, or seeing halos around lights, painful or difficult urination. Other common side effects may include: mild headache, or cold symptoms such as stuffy nose, sneezing, cough, or sore throat.
Sn instructed patient on new medication, patient was told that Ibuprofen is a nonsteroidal anti-inflammatory drug used for relieving pain, helping with fever and reducing inflammation. Ibuprofen may be a weaker anti-inflammatory than other NSAIDs. Compared to other NSAIDs it may have fewer side effects such as gastrointestinal bleeding. However if stomach upsets occur patient was advised to take with food. Understanding was verbalized.