low fat diet
SN to instructed patient on disease process, including who to prevent cardiovascular disease . educing the use of alcohol and tobacco, eating fresh fruit and vegetables, reducing salt, sugar, and saturated fat intake, avoiding a sedentary lifestyle. Patient verbalized understanding.
SN explained to patient that Lovenox is to be administered as one pre-filled syringe by deep subcutaneous injection in the abdominal fat. Only one shot is administered in the morning and one shot is administered at night for physician ordered specific number of days. SN instructed patient on technique and importance of rotating injection sites around abdomen.
Instructed in knowing what to do if symptoms of low blood sugar occur: eat some form of glucose or carbohydrate, notify physician or go to emergency room if symptoms persist.
Instructed in new medication Tylenol to manage mild pain or fever. In addition, warned of possible S/E such as hemolytuc anemia, neutropenia, leukopenia, pancytopenia, liver damage, jaundice, hypoglycemia, rash and urticaria. Consult prescriber before giving drug to children younger than age 2. Tylenol is only for short-term use. Consult prescriber if it is given to children for longer than 5 days or adults for longer than 10 days. Instructed not to use for marked fever (higher than 103.1 F), fever persisting longer than 3 days, or recurrent fever unless it is directed by prescriber. Warned that high doses or unsupervised long-term use can cause hepatic damage. Excessive ingestion of alcohol may increase the risk of hepatotoxicity. Breast-feeding women: acetaminophen appears in breast milk in low levels (less than 1% of dose). Drug may be used safely if therapy is short-term and does not exceed recommended doses.
Instructed in how to recognize signs and symptoms of low blood sugar such as fatigue, headache, drowsiness, tremors, pale, moist skin, hunger anxiety, impared vision, etc.
Instructed in foods low in cholesterol such as fish, fruits, vegetables, egg substitutes, poultry, lean meats, grains, etc.
Instructed patient about how the thyroid hormone helps regulate metabolism. When this hormone is abnormally low the energy production decreases, disrupting many vital functions.
Instructed patient on how to recognize S/S low blood sugar, such as, fatigue, headache, drowsiness, tremors, paleness, moist skin, hunger, anxiety, and impared vision.
Instructed patient on what to do if symptoms of low blood sugar occur. For example: eat some form of glucose or carbohydrate, notify physician or go to emergency room if symptoms persist.
Instructed patient about signs/symptoms of depression: altered sleep patterns, anorexia, weight loss, helplessness, and irritability, lack of motivation, low self-esteem, sadness and crying.