high blood pressure
Taught that Plavix works by blocking certain blood
cells called platelets and prevents them from forming harmful blood
clots.
Isosorbide is used to prevent chest pain (angina) and reduce strain on the heart in patients with heart disease (coronary artery disease). Isosorbide mononitrate relaxes and widens blood
vessels so blood
can flow more easily. This medication will not relieve chest pain once it occurs. This medication may also be used in addition to other drugs to improve the symptoms of congestive heart failure (e.g., trouble breathing).
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.
Skilled nurse assess patient for S/S of complication related to diagnostic.
Instructed caregiver about your Foley catheter daily Care: Keep the skin and catheter
clean. Clean the skin around your catheter at least once each day. Clean the skin area and
catheter after every bowel movement. Call the patient MD if: you cannot get the catheter to
drain urine into the bag, the catheter comes out or it is leaking, the urine is thick and
cloudy. Your urine has mucus, red specks, or blood
in it. Urine with blood
in it may appear
pink or red. the urine has a strong (bad) smell, No urine has drained from the catheter in 6 to
8 hours, have pain or burning in your urethra, bladder, abdomen, or lower back, have shaking
chills or your temperature is over 101° F (38.3° C).
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.
The patient was instructed on the consequences of chemotherapy and how it affects your body, and that is not related to cancer, the side effects it produces. Some common side effects of chemotherapy are low white blood
cell count, low red blood
cell count, platelets account, nausea, vomiting, hair loss, fatigue, among others.
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.
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.
SN instructed patient about calcium channel blockers and how this prescription medications relax blood
vessels and increase the supply of blood
and oxygen to the heart while also reducing the heart's workload.