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Instructed patient about diabetes complications such as frequent infections.
Patient was instructed on fluid retention. Fluid retention leaks into body tissues from the blood. The lymphatic system is a network of tubes throughout the body that drains this fluid from tissues and empties it back into the bloodstream.
Patient was instructed on foot complications. People with diabetes can develop many different foot problems. Foot problems most often happen when there is nerve damage in the feet or when blood flow is poor. The protection of the feet is very important.
Taught that Lyrica is used to treat pain caused by nerve damage due to diabetes.
Instructed on some signs/symptoms of Congestive Heart Failure (CHF), such as: excessive urination at night and cold, sweaty skin, among others.
Instructed on the importance of having his/her feet inspected daily.
SN instructed pt on medication Lisinopril 20mg PO daily for HTN. Side effects include: dizziness due to a drop in blood pressure. Lisinopril can cause nausea, headaches, anxiety, insomnia, drowsiness, nasal congestion, and sexual dysfunction, and Severe allergic reactions (anaphylaxis) and hives may result. Contact the MD as soon as the above signs/symptoms occur.
Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.
SN instructed that the 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.
RN instructed patient and caregiver on balance in order to avoid fall that can produce complications in musculoskeletal system. RN explained that with age, a combination of factors decreases balance and the nerve endings in our feet don't detect impulses as readily and the balance control centers in our brain and our ears operate more slowly so age - related changes in vision and hearing, even when subtle, also contribute to the decline in balance and could increase the risk of falls. Patient and caregiver voiced understanding of all instructions given.