low blood pressure
The patient was instructed in gastrectomy indicating good wound management, dressing changes, process, regularity, and check of skin. The patient was advised in obtaining appropriate devices, such as ostomy appliances, sterile dressings, and tube feedings and feeding pump. The patient was explained in characteristic relief of abandoning syndrome. The patient was advised to plan a low-carbohydrate, high-fat, high-protein diet. The patient was taught to eat small, frequent meals and to avoid taking liquids with meals. The patient was recommended to adopt a reclining position after meals.
Patient is unable to performed insulin injection by herself due to low vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.
The patient was instructed in ulcerative colitis (Crohn’s Disease, Inflammatory Bowel Disease in the need for perianal care daily and after each bowel movement. The patient was taught perianal and perianeal skin care. The patient was encouraged a diet is bland, low in residue, fiber, and fat, but high in protein, calories, carbohydrates, and vitamins. The patient was recommended to evade seasoned foods, raw fruits and vegetables, foods containing rough cereals, bran, seeds or nuts, milk, fatty or fried foods, caffeine, alcohol and carbonated beverages.
PATIENT IS INSTRUCTED THAT Rather than avoiding vitamin K, PATIENT should maintain a consistent intake of vitamin K by maintaining a consistent diet. In other words, from week to week, you should eat the same types of foods. THERE ARE MANY FOOD RICH IN VITAMIN K SUCH AS green vegetables, especially leafy green vegetables, and certain oils have a high content of vitamin K. Most fruits, meats, dairy products, and grains are low in vitamin K.
SN instructed patient and caregiver about Bactrim. Bactrim is an antibiotic used to treat certain bacterial infections, including urinary tract infections, ear infections, enteritis, pneumonia, traveler's diarrhea, and episodes of difficulty breathing in people with chronic bronchitis. Serious allergic reactions, such as skin rash, sore throat, fever, joint pain, cough, shortness of breath, paleness, or yellowing of your skin or the whites of your eyes. Low platelet levels that may be life-threatening, but usually go back to normal within a week of stopping treatment with Bactrim. Watery and bloody stools.
Instructed patient diet: Your doctor will probably recommend that you follow a low fat, no added-salt diet after discharge. This may reduce your risk of a heart attack in the future and your risk for requiring angioplasty or surgery again. You should try to have less than 30 percent of your calories from fat. Try to control your weight and eat less saturated fat and cholesterol.
Instructed patient go easy on fat. Avoid high-fat foods, fried and greasy foods, and fatty sauces and gravies. Instead, choose nonfat or low-fat foods. Read labels and look for foods with 3 grams of fat or less a serving.
Instructed patient t other S/S of cardiac complications requiring medical intervention such as: increased SOB, palpitations,
irregular heart beat, faintness, and weakness. Replace butter and margarine with
heart-healthy oils such as olive oil and canola oil. Other heart-healthy foods include walnuts, fatty fish like salmon and tuna,
whole-grain breads, low-fat dairy products, beans, and lean meats. Ask your caregiver how much salt you can eat each day. Avoid salt substitutes.
Instructed patient Eat a heart-healthy diet Eating a healthy diet can reduce your risk of heart disease. A diet rich in fruits,
vegetables and whole grains can help protect your heart. Beans, other low-fat sources of protein and certain types of fish
also can reduce your risk of heart disease. Stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity
or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.
SN instructed caregiver that Amiodarone is a class of antiarrhythmic agent used for various types of cardiac dysrhythmias, both ventricular and atrial. Despite relatively common side-effects, it is used in arrhythmias that are otherwise difficult to treat with medication. The most serious reaction that is due to amiodarone is interstitial lung disease. Hypothyroidism and hyperthyroidism. Corneal micro-deposits . Abnormal liver enzyme results. Much rarer are jaundice, hepatomegaly, and hepatitis. Low-dose amiodarone has been reported to cause pseudo-alcoholic cirrhosis. Long-term administration of amiodarone is associated with a light-sensitive blue-grey discoloration of the skin, and peripheral neuropathies. Gynecomastia and an association between amiodarone and an increased risk of cancer, especially in males