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Instructed in wound care per MD order using aseptics technique.
Instructed in possible adverse reactions of oral diabetic agents, which include nausea, vomiting, epigastric fullness, heartburn, hypoglycemia, rash, itching and facial flushing.
Instructed diabetic patient about the possible complications of kidney disease. Even though early kidney damage has no symptoms; there is a blood test called Microalbumin now available to detect early diabetic kidney damage while still reversible.
Patient was instructed on shortness of breath that make people feel like they can't take enough air, the chest feel tight. Sometimes the feeling is worse when active or lying down flat. If experiencing other symptoms like cough, chest pain or a fever tell the nurse or doctor.
Caregiver was instructed that blood sugar may be check at different times of the day to get an idea of how well your treatment program is working for you. Typical times to check are before breakfast, before lunch, before dinner, and before bedtime. Sometimes it is helpful to check blood glucose one or two hours after a meal to see the effect of food on your glucose levels. There are certain times when should check the blood sugar more often than usual: During periods of illness or stress, when is suspect that blood glucose is low or high. When there are changes made in the treatment program - such as a change in medication doses, meal plan or activity, when taking new medications.
The patient was instructed in head trauma in the importance of the wound/incision care in any laceration or medical cut. The patient was advised that possible remaining effects like dizziness, headaches, memory loss can be continue for up to 3 to 4 months after trauma. The patient was reviewed that may experience variations in character, inappropriate social behavior, hallucinations. The patient was taught in finding assistive devices for ambulation. The patient was reviewed in concussion to evade Valsalva maneuvers like pulling during defecation, coughing, nose blowing, sneezing.
The patient was instructed in iron deficiency anemia that stools will appear dark or black as the effect of iron additional treatment. The patient was advised the importance of checking for blood loss in the stool if has gastrointestinal bleeding predispositions. The patient was taught the correct use of guaiac exams. The patient was reviewed to take iron with meals to make best use of absorption. The patient was recommended the need to increase vitamin C consumption.
SN instructed patient and caregiver to maintain adequate fluid intake and avoid dehydration during drug therapy, as this may increase risk for toxicity. Caregiver verbalized understanding of instructions given.
SN instructed patient and caregiver about what angina pectoris is. Angina pectoris is chest pain that is caused by insufficient oxygen to meet demands of the heart. Lack of oxygen occurs when insufficient blood flows through the coronary arteries. Stable angina usually has a precipitating cause while unstable angina can occur at rest.
SN instructed patient / caregiver instructed on medication Ketorolac. SN explained that Ketorolac is a non - opioid anti - inflammatory drug that works to decrease pain by inhibiting prostaglandin synthesis and producing peripherally mediated analgesia. SN explained that the side effects of this medication includes drowsiness, gastrointestinal bleeding, diarrhea, dry mouth and constipation. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of side effects or if rash, itching, weight gain, edema, black stools, headache, or chills fever or muscle pain develops.