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Diseases Process
Patient was instructed on type II diabetes. Some people with type II diabetes can get blood
sugar control through diabetes pills. These people do produce some insulin. But it is not enough to keep their blood
sugar under control. Type II diabetes can often be controlled by weight loss, sensitive eating, and pills that improve the insulin supply or help it work better.
Taught that the main function of the lungs is to supply oxygen to the blood
and to remove carbon dioxide from the blood
.
SN instructed patient and caregiver that dysrhythmias of the heart and myocardial infarction may constitute as potential complications of Angina Pectoris. Cardiac arrhythmia occurs when electrical impulses in the heart do not work properly. A heart attack usually occurs when a blood
clot blocks blood
flow to the heart. Angina is a symptom of coronary artery disease. Patient verbalized understanding.
Patient was instructed to drink more water. Water helps remove the excess glucose from your urine and helps you avoid dehydration. Exercise more. Exercise will help to lower your blood
glucose, (blood
glucose over 300 mg/dL do NOT exercise). Change your eating habits. Make sure you are following your meal plan, exercise program and medicine schedule.
The patient was instructed in diabetes mellitus ketoacidosis discussing blood
sugar monitoring, when the test will take place, the technique, the necessary blood
sugar range, how to read test results, what to do for abnormal results, the cleaning of equipment. The patient was taught when she or he is sick monitoring is increased to every 4 hours because illness or injury increases glucose demand. The patient was advised to maintain meticulous dental hygiene to prevent infection, wear shoes all the time to prevent foot injury. The patient was advised to monitor for vaginal infections. The patient was instructed the need to carry fast-acting sugar livesavers, sugar packets for treatment of hypoglycemia. The patient was advised to obtain appropriate items, equipment, and assistive devices for various diabetic needs, glucose monitor, medialert bracelet.
SN instructed patient on diabetic diet:it is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrates (carbs) for that meal or snack is consistent.Many research studies have shown that meals which contain sugar do not make the blood
sugar rise high
er than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carbs, the blood
sugar levels will go up.
SN advised to patient / caregiver that blood
glucose monitoring is the main tool you have to keep your diabetes under control. This check tells you your blood
glucose level at any one time. Keeping a log of your results is vital. When you bring this record to your health care provider, he /she will have a good picture of your body's response to your diabetes care plan.
Patient instructed in congestive heart failure occurs when your heart is not able to pump enough blood
to meet the needs of the rest of your body. If you have CHF, blood
and extra fluid may back up into your lungs, making it difficult for you to breathe, swelling in your ankles and legs (called edema) may occur, you may experience excess fatigue with exercise.
Patient was instructed If you eat more food than is balanced with your physical activity and, in some cases, diabetes medicines, your blood
glucose level may rise above your goal range. Carbohydrate-containing foods directly affect your blood
glucose level after eating, so reviewing the amount of carbohydrate in your meals and snacks may be helpful in determining the cause of hyperglycemia.
Patient and caregiver instructed that low blood
sugar (hypoglycemia) can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, pale skin, irritability, dizziness, feeling shaky, or trouble concentrating. Always keep a source of sugar with you in case you have low blood
sugar. Sugar sources include fruit juice, hard candy, crackers, raisins, and non-diet soda. Be sure your family and close friends know how to help you in an emergency.