low blood pressure
Instructed on some potential factors of hyperglycemia (high blood sugar), such as not using enough insulin or oral diabetes medication, not injecting insulin properly or using expired insulin, not following your diabetes eating plan, being inactive, having an illness or infection and using certain medications, such as steroids.
Taught that lack of insulin leads to elevated blood glucose levels.
Taught that having his/her blood sugar monitored daily is a measure aimed to managing/controlling Diabetes Mellitus (DM).
SN suggested patient to have nails, calluses and corns trimmed by podiatrist because those with diabetes have poor circulation. A good blood circulation is known to aid your body in all healing processes, so when it becomes sluggish, it takes longer for any injuries to on feet to heal.
Advise patient to never share insulin pens or cartridges, sharing needles or pens can result in transmission of hepatitis viruses, HIV, or other blood-borne pathogens.
teach patient how control to monitor blood glucose and to report difficulties in glycemic control
SN explained to patient/caregiver some risk factors of cellulites such as: cracks or peeling skin between toes, history of PVD, ulcers from blockage in the blood supply (ischemia), among others. Patient verbalized understanding of instructions given.
The patience was advised the importance of preventing transmission of the virus by contact with body fluids, (vaginal or anal intercourse, oral sex) without using condom, sharing needles or sex toys, blood contact of any kind.
The patient was reviewed and indicated the location of the suspected obstruction of the arterial insufficiency and explained collateral circulation. The patient was instructed in the skin care; avoid heating pads, restrictive clothing that could affect with blood circulation in the affected areas.
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.