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Patient was instructed on hyperglycemia. It is important to know that glucose levels vary before and after meals, and at various times of the day. Sustained high levels of blood sugar cause damage to the blood vessels and to the organs they supply, leading to the complications of diabetes.
Skilled Nurse instructed caregiver get at least 4 pillows, include one of those long body pillows since you can and place them between the knees, ankles, under the arms and behind the back when the patient is laid on her side.
Instructed on some signs/symptoms of Emphysema, such as: shortness of breath and barrel chest, among others.
SN instructed patient on s/e of Zosyn such as diarrhea, nausea, vomiting, and headache.
A rare side effect of seroquel is that it may cause tardive dyskinesia, a condition characterized by uncontrollable muscle spasms and twitches in the face and body. This problem can be permanent, and appears to be most common among older adults, especially women
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
SN advised patient and caregiver to report the development of a late skin rash with symptoms of fever, fatique, and sore throat. Caregiver verbalized understanding of instructions given.
Instructed patient / caregiver keep the insertion site and dressing dry, do not go swimming as swimming pools not only harbor bacteria but a wet dressing is an ideal medium for bacterial growth, do not allow pets or young children to play with the PICC line.
SN instructed on new medication Spiriva is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Instructed that common side effects include, dry mouth, constipation, or dizziness.
SN instructed patient / caregiver on albuterol. SN explained that albuterol is a bronchodilator indicated in COPD for opening of the airways and decrease shortness of breath. SN explained that side effects include: nervousness, restlessness, tremor, chest pain, palpitations, headache, insomnia. SN instructed to notify physician immediately if shortness of breath is not relieved or is accompanied by diaphoresis, dizziness, palpitations, or chest pain.