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Instructed in storage and disposal of equipment: check expiration date, keep spare bottle in refrigerator, do not change brand, match syringe type.
Patient was instructed on Osteoporosis. Take steps to prevent falls that might result in broken bones. Have your vision and hearing checked regularly, and wear slippers or shoes with a nonskid sole.
Patient was instructed on relaxing sight. Sighing and yawning during the day are signs that you are not getting enough oxygen. A sigh releases a bit of tension and can be practiced at will as a means of relaxing. Sit or stand up straight. Sigh deeply, letting out a sound of deep relief as the air rushes out of your lungs. Let new air come in naturally.
Patient was instructed on supplies that will use for blood glucose meter - reads blood sugar Test strip - collects blood sample. Lancet or small needle -fits into lancing device, pricks finger, and provides small drop of blood for glucose strip. Lancing device - pricks finger when button is pressed. Most devices have dials to select how deep the needle goes into the skin. Start with middle depth. If get more blood than needed, dial the number down so the lancet does not go as deep. If get less blood, dial the number up so lancet goes deeper. Alcohol wipes or soap and water - to clean fingers or other testing site.
Patient was instructed on Hyperglycemia. If dehydrated the body burns protein and fat rather than sugar for energy, causing acids and ketones to build up in your blood. These ketones can be partially released into the urine. If ketoacidosis develops, emergency care is needed immediately to keep the condition from getting worse.
Taught that difficult or infrequent passage of hard, dry stool may constitute as a sign/symptom of constipation.
The patient was instructed in osteoporosis in the significance of creating home safety measures to prevent falls and injuries. The patient was advised to use ambulatory assist devices like cane or walker. The patient was reviewed of the need for sunlight (15 minutes/day) to let beginning of vitamin D. The patient was recommended to use of calcium supplements.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, side effects may include: fatigue headache, weakness, blurred vision, yellow vision, ARRHYTHMIAS , bradycardia, anorexia , nausea , vomiting , diarrhea, this medication has an action time of 30-120 min, the peak time is about 206 hr and the duration is about 2-4 days.
SN assessment done on all body systems. Checked blood sugar daily monitoring on patient's log book, hydration, dietary, and medication compliance. Instructed patient on keeping blood glucose within normal range and preventing the development of long-term complication. Careful monitoring of diet, exercise and blood sugar levels are as important as the use of oral medications in preventing complications of diabetes. Also taught infection control, safety/fall precautions and preventions, and to contact MD for any emergency and/or medical concerns and changes.
Avoid any head, chest or abdominal trauma, to avoid any falls, to avoid sharp objects such as razor, scissors, and nail clippers. You may carefully use an electric razor. Blow your nose gently and avoid forceful blowing of the nose. Do not take rectal temperature. Do not strain for bowel movements. Consider using stool softeners or laxatives if you are straining during bowel movements. Do not use any rectal suppositories or enemas. Avoid tight clothing such as girdles and tight undergarments or pants.