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Dialysis care Teaching 2119

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.

Hyperglycemia Teaching 1720

Instructed to patient exercise is good for those with diabetes. Walking, you can even get exercise when you clean house or work in your garden. Exercise is especially good for people with diabetes because exercise helps keep weight down. Exercise helps insulin work better to lower blood sugar, exercise is good for your heart and lungs. Exercise after eating, not before, test your blood sugar before, during, and after exercising. Don't exercise when your blood sugar is over 240, avoid exercise right before you go to sleep, because it could cause low blood sugar during the night.

Hyperbaric Teaching 1540

Skilled nurse instructed patient/care giver in Hyperbaric oxygen therapy is a treatment in which the patient breathes 100 percent oxygen inside a pressurized chamber for approximately two hours. The therapy quickly delivers high concentrations of oxygen to the bloodstream, accelerating the healing rate of wounds and is effective in fighting certain types of infections. It also stimulates the growth of new blood vessels, improving circulation, and helping to prevent future problems.

Wound Care Teaching 1806

Instructed caregiver the patient are at high risk if the patient have or do the following: Neuropathy, Poor circulation, A foot deformity (e.g., bunion, hammer toe), Wear inappropriate shoes, Uncontrolled blood sugar, History of a previous foot ulceration.

Dialysis care Teaching 2239

SN instructed patient High blood pressure often has no warning signs or symptoms, so many people don’t realize they have it. Some symptoms may include headache, blurred vision, nervousness, sweating, difficulty sleeping or facial flushing. Even with no symptoms, hypertension needs ongoing treatment to protect the heart, kidneys and other organs from further damage.

Pacemaker Teaching 2501

Patient instructed Signs that your pacemaker isn't working as it should or you have developed an infection or blood clot include breathlessness, dizziness, fainting, prolonged weakness. A swollen arm on the side of the pacemaker.chest pains.prolonged hiccups.a high temperature of 38C or above. Patient instructed Tell your doctor if you gain weight, if your legs or ankles get puffy, or if you faint or get dizzy.

Blood pressure Teaching 2475

SN instructed patient and caregiver about Blood pressure. To check the blood pressure manually, sit in a relaxed position with the arm at rest on a table. Secure the cuff on the bicep, follow the machine instructions for starting the reading. If you move suddenly or are startled during the test, you should wait approximately 5 minutes before attempting to test again. Both parties verbalized understanding.

Intracoronary Stenting Teaching 2489

SN instructed patient on stents. A stent is a tiny wire mesh tube. It props open an artery and is left there permanently. When a coronary artery (an artery feeding the heart muscle) is narrowed by a buildup of fatty deposits called plaque, it can reduce blood flow. If blood flow is reduced to the heart muscle, chest pain can result. If a clot forms and completely blocks the blood flow to part of the heart muscle, a heart attack results.

Teaching 1514

The patient was instructed in saphenous vein ligation and stripping in the need to wear support stockings. The patient was advised to wear constrictive clothing and knee-high stockings. The patient was advised to take discomfort medications. The patient was advised to take recurrent relaxation periods during the day and raise the legs above the heart while sitting for at least 6 weeks. The patient was recommended to avoid long periods of sitting and standing.

Thyroidectomy Teaching 1537

The patient was instructed in thyroidectomy in the need to keep the operating place clean and dry. The patient was taught in methods to hide the operating site without affecting curative, propose insecurely closed collars, high-necked blouses, jewelry or mantillas. The patient was reviewed that lotion may soften the curative scar and recover its presence. The patient was recommended in the importance of taking thyroid additional medication regularly. The patient was encouraged to take calcium complements.