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Instructed in possible adverse reactions to insulin, which include hypoglycemia, hyperglycemia, skin rash and local reaction at injection site.
Instructed to follow therapeutic diet, including adequate fluid intake to ensure proper nutrition and hydration.
Instructed on the importance of staying fully upright (sitting, standing or walking) for at least 30 minutes after taking Fosamax; also, advised patient not to lie down until after his/her first food of the day after its intake.
Instructed on some potential complications of constipation, such as: valsalva maneuver (may be caused by straining, causing a slowed pulse, decreased blood return and increased venous pressure).
Taught that myocardial infarction and heart arrhythmias are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
The patient was instructed in herniorrhaphy to apply scrotal provision or ice packs to reduction scrotal edema and distress. The patient was reviewed to get proper supplies like sterile dressings. The patient was instructed to evade coughing, straining, stretching, constipation, heavy lifting, energetic exercises. The patient was advised to immobilizing incision manually or with a pillow during coughing, sneezing, or hiccups.
The patient was instructed in ruptured disk in the use and request of the back brace, support, or belt. The patient was advised in the need for complete bed rest to reduction inflammatory answers and to reduce stress in the spine. The patient was advised to use a urinal, bedpan, or bedside commode during the period of bed rest to evade walking.
Patient is unable to performed insulin injection by herself due to low vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.
Eat smaller, more frequent meals. This may ensure a better mix with available bile. Include small amounts of lean protein, such as poultry, fish and nonfat dairy, at every meal, along with vegetables, fruit and whole grains.
SN instructed patient about high blood pressure. Normal blood pressure is when your blood pressure is lower than 120 / 80 mm / Hg most of the time. High blood pressure ( hypertension ) is when your blood pressure is 140 / 90 mm / Hg or above most of the time.