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Instructed patient to avoid alcohol consumption while taking DM medications as it may cause dangerous reactions.
Patient was instructed on the importance of a good foot care. The feet may not get a good blood supply which means that sores won't heal. In addition, damage to the nerves may not allows to feel sores, cuts and other injuries to the feet, that is why it's important to check the feet daily.
Instructed on some signs/symptoms of Diabetes Mellitus (DM), such as: excessive thirst, fatigue and increased urination.
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
The patient was instructed in frostbite indicating the application of dry, sterile dressings to small, open areas. The patient was advised the importance of protecting the extremity from temperature extremes and rapid changes in temperature because the tissue is delicate to temperature changes and refreezing causes tissue damage. The patient was explained to elude fitted, constrictive clothing or pressure to an area that might cut circulation. The patient was recommended defensive procedures to avoid future incidents or reinjury of the frostbitten part, protective, multilayered, warm, nonconstrictive clothing avoiding of cold temperatures, exhaustion, and malnutrition. The patient was advised that there may be long-term remaining effects, increased sensitivity to cold, burning and itchy, and increasing sweating. The patient was explained that lower extremities are affected, to avoid weight bearing and offer instruction in the use of ambulatory aids. The patient was taught in the importance of elevating the affected extremity. The patient was advised in range-of-motion exercises to prevent contractures.
The patient was instructed in hysterectomy radical to care for the incision with general hygiene and daily bathing. The patient was advised to evade constipation by taking mild laxatives and stool softeners. The patient was taught to care of the suprapubic catheter. The patient was reviewed that no interaction tampons, douching, or tub baths. The patient was explained that menstruation will no longer happen.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, instruct to take medication exactly as directed, at the same time each day. Missed doses should be taken within 12 hr of scheduled dose or not taken at all. Do not double doses. Consult health care professional if doses for 2 or more days are missed. Do not discontinue medication without consulting health care professional.
Sn instructed patient / caregiver on upper respiratory infection also called common cold. Sn instructed patient / caregiver that upper respiratory infection affect the nose, ears, throat and sinuses. Sn instructed patient / caregiver that upper respiratory infection is caused by virus. Sn instructed patient / caregiver on s/s of uri such as: sneezing and coughing, sore throat and hoarseness , red, watery and sore eyes. Sn instructed patient / caregiver on home treatment like keeping self warm and getting plenty of rest, using humidifier to.
SN instructed that Torsemide is a loop diuretic. It works by making the kidney eliminate larger amounts of electrolytes ( especially sodium and potassium salts ) and water than normal ( diuretic effect ). It is used to treat edema ( swelling ) associated with heart, kidney, or liver failure, or with conditions in which there is excess body water. It is also used alone or with other medicines to treat high blood pressure. Torsemide may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep, try to take your dose before 6 pm. If you also take cholestyramine, do not take it within 4 hours before or after taking torsemide. may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. Torsemide may affect your blood sugar. Check blood sugar levels closely. Weight should be monitored while taking this medication.
Sn instructed patient on ways to promote sleep. Such as avoiding stimulants such as caffeine, nicotine, and alcohol too close to bedtime. Stay away from large meals close to bedtime. Also dietary changes can cause sleep problems, if someone is struggling with a sleep problem, it's not a good time to start experimenting with spicy dishes. And, remember, chocolate has caffeine. Establish a regular relaxing bedtime routine. Try to avoid emotionally upsetting conversations and activities before trying to go to sleep. Don't dwell on, or bring your problems to bed. Associate your bed with sleep. It's not a good idea to use your bed to watch TV, listen to the radio, or read.