blood sugar
Procedures
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).
Instructed patient The arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it: As much as possible, use the arm with the PICC in it for normal daily activities. Lack of movement can lead to blood clots, so it’s important to move your arm as you normally would. Your health care team may suggest light arm exercises.
Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: follow-up visits with your doctor are very important for management of your medications. You will require blood tests periodically if you are on blood thinners to ensure the dose you are taking is safe.
SN instructed patient that fluid restrictions are usually necessary when dialysis is initiated, especially if dialysis only occurs three days a week and if urine production is decreased. Build up of fluid can lead to shortness of breath, swelling, and high blood pressure. There is a limit to the amount of fluid that can be safely removed during dialysis. If fluid limits are exceeded and extra water must be removed, negative effects such as muscle cramping, low blood pressure leading to nausea, weakness, dizziness, and possibly extra dialysis sessions to remove the fluid.
SN Instructed on Glucometer testing: Clean your hands and sampling area. Use hot water and soap to wash your hands. Clean the finger you’re going to prick with an alcohol swab, or with rubbing alcohol on a cotton ball. Assemble the device. Insert a test strip into the glucometer, ensuring your insert the proper end inward. Insert a lancet into the lancing device you use to prick your finger. Wait for the glucometer to prompt you for a sample. A readout on the glucometer will tell you to put the drop of blood on the strip. Test your blood sample. Prick your finger with the lancing device. This usually causes no, or very minimal, discomfort. Wait for your results. The glucometer will start to count down in seconds until your results are ready to read. Read the results. The results will show up on the digital screen of your glucometer. Results will vary depending on what time of day it is, how recently you ate, and what you ate.
Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.
Patient was instructed on pain management. Diabetes can destroy small blood vessels, which in turn can damage the nervous system, and these damaged nerves can cause pain. The pain arises from the nerves that are injured or malfunctioning that can be from the tip of the toe to the brain.
The patient was encouraged importance of keeping the extremity elevated above heart level on firm pillows and the need for applying ice bags to the surgical arthroscopy to control swelling and relieve pain. The patient was advised not to apply the ice pack directly to the skin, but to wrap the ice in a small towel. The patient was instructed avoid bathing until able to stand for 10 to 15 minutes, then showering with the extremity covered by a plastic bag may be permitted. The patient was instructed the use of hot tubs, whirlpool baths, and heating pads should be avoided. The patient was encouraged of moving extremities to improve circulation and prevent blood clots. The patient was instructed physical therapy exercises needed for a gradual increase in strength and mobility.
The patient was instructed in renal transplant in the importance of all-time immunosuppressant management. The patient was taught in the wound care and dressing change. The patient was advised in the need of evade contact to multitudes and persons with known supposed infections. The patient was recommended in the need of recording daily weight at the same time, with the same clothing. The patient was reviewed in taking and recording temperature, pulse, and blood pressure.
The patient was instructed in thrombolytic therapy in the need that bed rest will be continued during the process and for 12 hours after an intracoronary infusion. The patient was advised that common blood sampling will be done to monitor coagulation times and that signs and symptoms of successful myocardial reperfusion, coronary reocclusion and bleeding will be checking. The patient was reviewed that signs of bleeding below the skin are probable and will clear with time.