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Instructed patient to maintain adequate fluid intake (5-7 cups of water per day)to avoid dehydration.
Instructed patient about how in many cases this condition produces some amount of short-lived discomfort that disappears within a year. Limited and minor pain of osteoarthritis may occur at intervals of a few months or a year and can be treated putting the joint to rest, applying heat and taking non-steroidal anti-inflammatory medications such as Aspirin, Ibuprofen or Naproxen.
Instructed patient that when on your assessment findings (coarse breath sounds, noisy breathing, and prolonged expiratory sounds) indicate that your airway needs clearing, suction it using sterile technique. Hyperoxygenate him before and after suctioning and between passes to compensate for suctioning-induced hypoxemia.
Patient was instructed about how to check both feet daily looking over them carefully every day, and be sure check between all of the toes. Blisters and infections can start between the toes, and with diabetic neuropathy, may not feel them until they've become irritated or infected. If physical challenges occur, ask a family member to help. Further teaching is needed.
Instructed on some measures aimed to controlling/managing Coronary Artery Disease (CAD), such as: avoid/decrease intake of foods and drinks containing caffeine, among others.
Instructed on some potential factors of hyperglycemia (high blood sugar), such as not using enough insulin or oral diabetes medication, not injecting insulin properly or using expired insulin, not following your diabetes eating plan, being inactive, having an illness or infection and using certain medications, such as steroids.
Patient was instructed that stress management is important because stress can contribute to high blood pressure.
COPD Instructed patient about effective coughing by following these steps: While sitting in a chair, take several deep breaths as like for diaphragmatic breathing. Placing the hand over their stomach while breathing normally. Tightening up the stomach and chest muscles with the mouth open. Forcing air out while whispering the word "huff."
SN instructed patient about drug Cilostazol, trade name: Pletal. Is a medication for the treatment of intermittent claudication (pain in your calves when walking), a condition caused by narrowing of the arteries that supply the legs with blood. Patients with intermittent claudication develop pain when they walk because not enough oxygen-containing blood reaches the active leg muscles. Cilostazol reduces the pain of intermittent claudication by dilating the arteries, thereby improving the flow of blood and oxygen to the legs. It also reduces the ability of blood to clot. Cilostazol enables patients with intermittent claudication to walk longer and faster before developing pain. Cilostazol is a quinolinone-derivative medication that inhibits platelet aggregation and is a direct arterial vasodilator. Its main effects are dilation of the arteries supplying blood to the legs and decreasing platelet coagulation. Do not stop taking this medication without talking to your doctor.
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.