low blood pressure
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.
SN instructed patient and caregiver that a bowl of oatmeal eaten in the morning provides a good source of energy throughout the morning hours, without an increase or drop in blood sugar. Patient and caregiver verbalized understanding.
SN instructed patient on nutrients required for wound healing. To promote wound healing with good nutrition, plan healthy, balanced meals and snacks that include the right amount of foods from 5 food groups: protein, fruits, vegetables, dairy and grains. Fats and oils should be used sparingly. Choose vegetables and fruits rich in vitamin c, such as strawberries or spinach. For adequate zinc, choose whole grains and consume protein, such as eggs, meat, dairy or seafood. Some wounds may require a higher intake of certain vitamins and minerals to support healing. Include adequate protein throughout the day. Include a source of protein at each meal or snack. Stay well-hydrated with water or other unsweetened beverages. For people with diabetes, monitor, and control blood sugar levels to help prevent new wounds from developing and to support healing and recovery. Patient verbalized understanding.
SN instructed that when you're congested, it’s because your nasal passages are swollen. This makes them feel blocked. The swelling leads to increased mucus production, which causes a runny nose. When DNSs such as Afrin shrink blood vessels, they reduce the inflammation and the associated mucus production providing temporary relief.
Instructed patient Lovenox to treat deep vein thrombosis (DVT), which is a blood clot in the legs, pelvis, or arms.
Instructed patient Call 911 anytime you think you may need emergency care. For example, call if: You passed out (lost consciousness). You have signs of severe bleeding, such as: A severe headache that is different from past headaches. Vomiting blood or what looks like coffee grounds. Passing maroon or very bloody stools.
Instructed patient DO NOT massage the skin near or on the ulcer. This can cause more damage. DO NOT use donut-shaped or ring-shaped cushions. They reduce blood flow to the area, which may cause sores.
SN educated pt on Simvastatin. Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
SN instructed patient and caregiver that exercise benefits people with diabetes and those at risk for diabetes by helping manage weight, by improving blood sugar levels, and by improving heart health. For a person with diabetes, exercise is just as important as diet and medication.
Patient and caregiver educated on precautions to be exercised while taking Topiramat (Topamax). Topamax can induce extreme dry mouth and diarrhea. Sucking on a sugar free hard candy can help with symptomatic relief of dry mouth. Proper hydration measures and compliance with daily fluid intake recommendations can help with fluid supplementation. Topamax intake can induce some dizziness. Also, Topamax use can result in a side-effect of increased ammonia in the blood, which also contributes to increased nausea, confusion, and dizziness. Patient instructed to avoid activities where loss of consciousness (passing out) could result in serious danger to self or those around you (including swimming, driving a car, climbing in high places, etc.). Patient instructed to talk to his doctor before engaging in such activities.