diabetic diet/1000
SN complete assessment done on all body systems, checked vital signs, blood sugar monitoring, hydration, nutrition intake, and medication compliance. SN refilled patient’s medication box for daily routine. Taught patient to carefully manage her blood sugar with diet, physical activity, and medication to prevent diabetes complication and avoid hypo/hyperglycemia.
Instructed patient you can do many things to help control your blood pressure at home, including: Eat a heart-healthy diet, including potassium and fiber, and drink plenty of water, exercise regularly at least 30 minutes of aerobic exercise a day, limit the amount of sodium (salt) you eat and aim for less than 1,500 mg per day. Reduce stress by trying to avoid things that cause you stress.
SN instructed patient and family on how to change the colostomy bag. Patient also educated on to drink more water and fruit juices, up to six to eight glasses per day. Include fresh fruits and vegetables in your diet, as well as fibrous foods such as whole-grain breads and cereals to prevent constipation
Instructed patient in medication Metoprolol is used to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.
SN instructed patient about prednisone is a corticosteroid and prevents the release of substances in the body that cause inflammation. It also suppresses the immune system and can make you prone to infections. Long term use may lead to bone loss and you should increase calcium and Vitamin D in your diet. S/E include anxiety, mood changes, irritability, headache, fast heart rate, weight gain, appetite increase, decreased urine.
Instructed patient about medication Metoprolol is used to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.
Skilled nurse instructed patient about medication Dexamethasone is a corticosteroid that prevents the release of substances in the body that cause inflammation. Dexamethasone is also used to treat certain types of cancer. Your doctor may instruct you to follow a low-sodium, low-salt, potassium-rich, or high-protein diet. Follow these directions. Dexamethasone may cause an upset stomach. Take dexamethasone with food or milk. Dexamethasone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: upset stomach, stomach irritation, vomiting, headache, dizziness.
SN instructed patient on low salt diet. SN instructed patient on how to read nutritional labels on commercially prepared foods. Other salt alternatives such as Mrs. Dash was encouraged. SN explained how sodium affects blood pressure and water retention.
Instructed patient eat foods like fish, onions, garlic, broccoli, asparagus, and cabbage produce odor. Although your pouch is odor-proof, if you eat these foods you may notice a stronger odor when emptying your pouch. If this is a concern, you may want to limit these foods in your diet.
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.