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Instructed patient on possible causes of high blood sugars such as: excess food, insufficient insulin, and lack of exercise, stress, infection or fever.
Patient was instructed on measures to decrease fat in diet, such as foods should be baked, broiled, or boiled instead of fried. Trim visible fat from meats and remove skin from poultry. Substitute fish or chicken for beef, pork or lamb. Use skim milk instead of whole milk.
Patient was instructed on how stress can affect blood sugar. One way stress affect blood sugar and having a direct effect on it, is as with the stress of a physical illness, prolonged or excessive stress can cause the body to produce hormones that prevent insulin from working properly. That, in turn, increases the blood sugar levels.
Taught that Osteoporosis results in decreased bone mass and bone density.
Instructed on some factors that may increase the risk of developing/exacerbating Osteoporosis, such as: decreased estrogen levels in post-menopausal women.
Skilled nurse encourage patient to rise slowly from supine position and dangle feet prior to standing while taking alprazolam.
The patient was instructed in cystic fibrosis the importance of breathing exercises, percussion and postural drainage techniques. The patient was taught to use the home nebulizer, metered-dose nebulizer, and other respiratory equipment necessary to release secretions and dilate the bronchi. The patient was reviewed the need to avoid known respiratory irritants such as smoke and air pollutants and persons with upper respiratory infections. The patient was taught on methods of clearing secretions, such as coughing, positioning, or suctioning. The patient was instructed on adaptive breathing techniques to decrease work of breathing. The patient was encouraged to participate in a program of aerobic exercise; swimming helps strengthen the muscles of respiration and promotes good breathing habits.
Caregiver ALF staff was instructed in the most common side effects of Tradjenta such as stuffy or runny nose and sore throat. Hypoglycemia may occur when linagliptin is combined with insulin or a sulfonylurea-type drug. Allergic reactions and muscle pain also may occur.
SN instructed that the dementia symptoms vary depending on the cause, but common signs and symptoms include: Cognitive changes: Memory loss, difficulty communicating or finding words, difficulty with complex tasks, difficulty with planning and organizing, difficulty with coordination and motor functions, problems with disorientation, such as getting lost. Psychological changes like personality changes, inability to reason, inappropriate behavior, paranoia, agitation, hallucinations. Memantine (Namenda) works by regulating the activity of glutamate. Glutamate is another chemical messenger involved in brain functions, such as learning and memory. A common side effect of memantine is dizziness.
SN instructed patient that steri strips may fall off the skin after 10 days. Leave the steri strips in place until they fall off on their own accord or until your doctor determines it is appropriate to remove them. If the wound has healed and your doctor says you can remove the strips, use lotion or a small amount of water to loosen them from your skin.