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Thyroid hormone Teaching 2035

SN instructed patient about how the thyroid hormone helps regulate metabolism. When this hormone is abnormally low the energy production decreases, disrupting many vital functions. This can include skin issues such as: Coldness in the fingers and feet with pale and dry coarse skin, eczema, a yellowish hue to the skin, sparse and brittle hair, which comes out in handfuls, loss of hair in the outer third of eyebrows, slow growing, ridged and brittle nails, edema in face, eyelids, hands and feet, and delayed wound healing. Some of these things can be avoided if you are taking your replacement medication daily as ordered and are getting regular blood work to assure the medication is at the correct dose.

Lantus insulin Teaching 2097

SN instructed patient / caregiver regarding medication Lantus insulin. SN instructed patient / caregiver that insulin is used by the body to remove and use glucose from the blood and produce energy and that it is used in type 2 diabetes to overcome the resistance of the cells to insulin. SN explained that Lantus insulin starts working after 1 - 2 hours and peaks after 6 hours after injection, and has a duration of 18 - 26 hours. SN informed that hypoglycemia is the most common side effect that may occur during insulin therapy. SN instructed patient / caregiver to rotate insulin injection sites to avoid bruising and injury.

Levothyroxine Teaching 2099

SN instructed patient / caregiver regarding medication Levothyroxine. SN taught patient / caregiver that Levothyroxine is a replacement for a hormone that is normally produced by the thyroid gland to regulate the body's energy and metabolism. SN explained that Levothyroxine is given when the thyroid does not produce enough of this hormone on its own. SN explained that Levothyroxine treats hypothyroidism ( low thyroid hormone ). SN explained that Levothyroxine is also used to treat / prevent goiter. SN taught patient / caregiver about the side effects of this medication such as headache, insomnia, nervous or irritable feeling, fever, hot flashes, sweating, changes in your menstrual periods, appetite changes and weight changes. SN Instructed patient / caregiver to notify physician ( MD ) if experiencing persistent or worsening of side effects.

Metformin Teaching 2104

SN instructed patient / caregiver regarding medication Metformin. SN explained to patient / caregiver that metformin is an oral anti - diabetic medication and is used to treat type 2 diabetes mellitus. SN explained that it is the first - line drug of choice for the treatment of type 2 diabetes, particularly in overweight and obese people. SN explained that using metformin alone will help to lower blood sugar when it is too high and help restore the way food is used to make energy. SN instructed patient to notify physician ( MD ) if experiencing symptoms / signs ( S / S ) of hypoglycemia such as shakiness, nervousness, sweating associated with dizziness / lightheadedness.

Healthy diet Teaching 2345

SN instructed patient and caregiver about Jevity, an enteral nutrition formulas are used as nutritional replacements for patients who are unable to get enough nutrients in their diet. These formulas are taken by mouth and are used by the body for energy and to form substances needed for normal body functions. Use the amount recommended by your doctor. This preparation is in ready-to-use form. No dilution is needed unless directed by your physician. Shake the preparation well before opening. Refrigerate after opening, out of the reach of children. Most formulas can be kept in the refrigerator for 1 to 2 days. Check the label of your product.

Depression Teaching 2352

SN instructed about medication Trazodone that is used to treat depression. It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. Nausea, vomiting, diarrhea, drowsiness, dizziness, tiredness, blurred vision, changes in weight, headache, muscle ache/pain, dry mouth, bad taste in the mouth and stuffy nose.

COPD Teaching 2454

Instructed patient about breathing tips for people with COPD get fresh air, try to avoid other things that can bother your lungs, too. Stay inside on days when you know pollution or pollen is bad. Stay away from fumes and dust, exercise it can be hard to move when you can’t catch your breath. But regular exercise can improve your endurance and strengthen the muscles that help you breathe. Ask your doctor which exercises are right for you, eat healthy food you're probably using more energy to help you breathe. A well-rounded diet will give you the strength you need to stay active and healthy. Patient verbalized understanding.

COPD Teaching 2455

Instructed patient about breathing tips for people with COPD be aware of your weight because it takes so much energy to breathe, you might be underweight. Your doctor can suggest supplements if a healthy diet doesn't help you get to a good weight. If you're overweight, losing extra pounds can make your breathing easier, avoid chemicals skip scented products like soaps and perfumes. When you clean, use natural products without a scent. They might not bother your breathing as much, see your doctor regularly go to all of your checkups, even if you feel fine. It's important for your doctor to see how well your lungs are working. Bring a list of all your medicines to each visit. Make a note of any changes, and call if your symptoms get worse or if you have any new ones.

Shortness of Breath Teaching 2520

Instructed what can you do to manage shortness of breath (SOB) use devices to help you save your energy some devices can help to cut down on the work your body needs to do in order to breath. Use pillows to raise your head when lying down. Use a reclining chair with a footrest when sitting. Use a walker or wheelchair if you need them.

Shortness of Breath Teaching 2522

Instructed what can you do to manage shortness of breath (SOB) do things in ways that use less energy sit down when doing chores and getting dressed. Rest as much as you need to. Avoid heavy lifting. Carry things at your waist or hold them close to your chest. Use a backpack to carry things and only fill bags half-way. Keep your phone close by and stop to catch your breath when you are having a conversation. A standing or sitting position may be more comfortable during sexual activity with your partner.