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Instructed patient to call MD whether dehydration is present or a known injury has occurred, such as head injury or infection, that may be causing vomiting.
Patient was instructed on diabetes symptoms. People with diabetes who have had high blood sugar levels for long periods of time can develop complications, including: Damage to the eyes (retinopathy) which can lead to blindness. Damage to the nerves (neuropathy), which can lead to numbness, tingling or pain in the legs and arms. Damage to the kidneys (nephropathy), which can result in kidney failure.
Taught that, in Rheumatoid Arthritis, the joints most affected are knees, hands and feet.
Instructed on some potential factors of decreased tolerance in response to increased physical activity, such as: poor nutrition and advancing age, among others.
SN instructed patient/PCG on aspiration as the most common complication related to tube feeding. SN explained that this occurs when food is actually inhaled into the lungs (can lead to pneumonia), but if patient is kept upright during feeding, this complication can be greatly minimized.
Instructed to help you prevent or manage high blood pressure: Start with understanding your condition, eat well to feel better, moderate exercise and stress-relieving techniques.
Instructed patient what to do if a person has trouble breathing The most common reason for breathing problems, other than an illness, is that the trach tube becomes plugged with dried mucus. Making sure to provide enough humidity can help prevent this problem. However, if the trach does become plugged, try to remove the plug by suctioning.
SN instructed patient to always assess wound dry sterile dressing when removed for any symptoms / signs of infection, such as increase drainage amount, any odor, drainage color, etc . Check your temperature once or twice a day. Report any fever or increase pain.
SN instructed that should be call your doctor right away if you notice any of the following signs and symptoms of an infection: Fever ( this is sometimes the only sign of an infection ), chills and sweats, change in cough or a new cough, sore throat or new mouth sore, shortness of breath, nasal congestion, stiff neck, burning or pain with urination, unusual vaginal discharge or irritation, increased urination, redness, soreness, or swelling in any area, including surgical wounds and ports, diarrhea, vomiting, pain in the abdomen or rectum, new onset of pain.
SN instructed patient / caregiver regarding medication Glimepiride. SN instructed patient / caregiver that Glimepiride is a antidiabetic medication that lowers blood sugar level. SN instructed patient / caregiver to check blood sugar before taking the medication to avoid hypoglycemia. SN explained to patient / caregiver that low blood sugar ( hypoglycemia ) can occur during glimepiride therapy. SN explained that the symptoms of low blood sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion, or loss of consciousness. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of these side effects.