high blood pressure
Patient was instructed on how lifestyle and daily routine can affect blood sugar levels Type of food: food is made up of carbohydrates, protein and fat. Although all three can increase blood sugar, carbohydrates have the biggest impact.
Patient was instructed on how stress can affect blood sugar. One way stress affect blood sugar and having a direct effect on it, is as with the stress of a physical illness, prolonged or excessive stress can cause the body to produce hormones that prevent insulin from working properly. That, in turn, increases the blood sugar levels.
Patient was instructed on how stress can affect blood sugar. Stress can affect blood sugar in two ways: when under heavy stress, it is easy to abandon the usual routine, eating fewer healthy foods, in that sense, stress indirectly causes the blood sugar to rise.
Patient was instructed on hypoglycemia. When blood sugar drops too low, the level of insulin declines and other cells in the pancreas release glucagon, which causes the liver to turn stored glycogen back into glucose and release it into the blood. This brings blood sugar levels back up to normal.
SN Instructed patient that should avoid alcohol while on insulin or in any diabetes medications that stimulate the pancreas to produce more insulin, drinking alcohol can cause a dangerous low blood sugar because your liver has to work to remove the alcohol from your blood instead of its main job to regulate your blood sugar.
SN assessment done on all body systems. Checked blood sugar daily monitoring on patient's log book, hydration, dietary, and medication compliance. Instructed patient on keeping blood glucose within normal range and preventing the development of long-term complication. Careful monitoring of diet, exercise and blood sugar levels are as important as the use of oral medications in preventing complications of diabetes. Also taught infection control, safety/fall precautions and preventions, and to contact MD for any emergency and/or medical concerns and changes.
SN instructed patient about Glimepiride is an oral blood sugar-lowering drug in a class of medicines for controlling diabetes. Glimepiride lowers the sugar level in the blood by stimulating insulin to be secreted from the pancreas into the blood. Nausea and upset stomach may occur.
SN advised patient call your doctor or nurse call line now or seek immediate medical care if: You have new bruises that are away from the injection site or blood spots under your skin, you have a nosebleed., you have blood in your urine.Your stools are black and tar-like or have streaks of blood, you have vaginal bleeding when you are not having your period, or heavy period bleeding.
SN instructed patient that the Xarelto is used to prevent or treat a type of blood clot called deep vein thrombosis ( DVT ), which can lead to blood clots in the lungs ( pulmonary embolism ). A DVT can occur after certain types of surgery. Xarelto is also used in people with atrial fibrillation ( a heart rhythm disorder ) to lower the risk of stroke caused by a blood clot. If you take Xarelto 1 time each day: Take the missed dose as soon as you remember. Take your next dose the following day and stay on your once-daily schedule. Do not take extra medicine to make up the missed dose.
SN instructed patient / caregiver regarding medication Coumadin / Warfarin. SN explained to patient / caregiver that Coumadin / Warfarin is an anticoagulant which is prescribed to people with an increased tendency for thrombosis or as secondary prophylaxis ( prevention of further episodes ) in those individuals that have already formed a blood clot ( thrombus ). Explained that Warfarin treatment can help prevent formation of future blood clots and help reduce the risk of embolism. Informed that Warfarin will prolong bleeding time, instructed to avoid activities that increase risks of trauma. SN explained to patient / caregiver that the adverse effects of this medication includes: hemorrhage, nosebleeds and blood in urine or stool ( black tarry stools ). Instructed to notify physician if experiencing unusual bleeding while on this medication.