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SN instructed patient on nutrients required for wound healing. To promote wound healing with good nutrition, plan healthy, balanced meals and snacks that include the right amount of foods from 5 food groups: protein, fruits, vegetables, dairy and grains. Fats and oils should be used sparingly. Choose vegetables and fruits rich in vitamin c, such as strawberries or spinach. For adequate zinc, choose whole grains and consume protein, such as eggs, meat, dairy or seafood. Some wounds may require a higher intake of certain vitamins and minerals to support healing. Include adequate protein throughout the day. Include a source of protein at each meal or snack. Stay well-hydrated with water or other unsweetened beverages. For people with diabetes, monitor, and control blood sugar levels to help prevent new wounds from developing and to support healing and recovery. Patient verbalized understanding.
SN instructed that when you're congested, it’s because your nasal passages are swollen. This makes them feel blocked. The swelling leads to increased mucus production, which causes a runny nose. When DNSs such as Afrin shrink blood vessels, they reduce the inflammation and the associated mucus production providing temporary relief.
Instructed patient Lovenox to treat deep vein thrombosis (DVT), which is a blood clot in the legs, pelvis, or arms.
Instructed patient Call 911 anytime you think you may need emergency care. For example, call if: You passed out (lost consciousness). You have signs of severe bleeding, such as: A severe headache that is different from past headaches. Vomiting blood or what looks like coffee grounds. Passing maroon or very bloody stools.
Instructed patient DO NOT massage the skin near or on the ulcer. This can cause more damage. DO NOT use donut-shaped or ring-shaped cushions. They reduce blood flow to the area, which may cause sores.
SN educated pt on Simvastatin. Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
SN instructed patient and caregiver that exercise benefits people with diabetes and those at risk for diabetes by helping manage weight, by improving blood sugar levels, and by improving heart health. For a person with diabetes, exercise is just as important as diet and medication.
Instructed patient Rising slowly from a sitting or lying position may help ease symptoms. Avoiding alcohol, drinking plenty of water, and eating small, low-carbohydrate meals along with fruits and vegetables may also help. See a doctor immediately if you Faint, Break out in cold sweats, breathe rapidly and shallowly, Notice blood in your stool.
Hand washing performed. Assembled supplies and created sterile field. Foley catheter removed and discarded using a double bag technique. Peri hygiene performed. Donned sterile gloves Insertion site area prepped using 3 swabs betadine. Foley catheter 20 Fr. 5 ML balloon inserted using sterile technique. Blood tinged urine immediate return that cleared to yellow noted. Catheter attached to collection bag for gravity drainage. Pt. tolerated well.
SN instructed patient on s/s of prostate cancer. While most prostate cancer does not cause any symptoms at all, the symptoms and signs of prostate cancer may include: frequent urination, weak or interrupted urine flow or the need to strain to empty the bladder, the urge to urinate frequently at night, blood in the urine, new onset of erectile dysfunction, pain or burning during urination, which is much less common and discomfort or pain when sitting, caused by an enlarged prostate.