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Soft Diet Teaching 2646

Educated patient on what is a mechanical soft diet and he was explained that this diet is designed for people who have trouble chewing and swallowing. Chopped, ground and pureed foods are included in this diet, as well as foods that break apart without a knife. Understanding was verbalized.

Hyperglycemia Teaching 729

Patient was instructed on Hyperglycemia. The way diabetes is managed changes with age. Insulin production decrease because of age-related impairment of pancreatic beta cells. Additionally insulin resistance increase because of the loss of lean tissue and the accumulation of fat, particularly intra-abdominal fat, and the decreased tissue sensitivity to insulin.

Injection Teaching 732

Caregiver was instructed on injecting at the proper depth is an important part of good injection technique. Insulin be injected in the subcutaneous fat, which is the layer of fat just below the skin. If injected too deep, the insulin could go into muscle, where it's absorbed faster but might not last so long.

Gallbladder surgery Teaching 1782

Instructed patient while your body adjusts, it's a good idea to avoid high-fat foods for a few weeks after having gallbladder surgery.High-fat foods include: Pizza, foods made with lard or butter, creamy soups or sauces, meat gravies Chocolate, oils, such as palm and coconut oil, skin of chicken or turkey

Hyperlipidemia Teaching 2073

SN instructed about managing Hyperlipidemia such as: Limit your intake of red meat and dairy products made with whole milk to reduce your saturated and trans fat. Choose skim milk, lowfat or fat - free dairy products. Limit fried food, and use healthy oils in cooking, such as vegetable oil.

Glucose rise Teaching 2150

SN explain about a couple of things going on that make your glucose rise in the morning. One of these is insulin resistance, a condition that means your body's muscle and fat cells are unable to use insulin effectively to lower blood glucose. However, insulin resistance also affects how your liver processes, stores, and releases sugar, particularly at night. The liver is supposed to release small amounts of glucose when you're not eating. But in type 2 diabetes, the liver dumps more glucose than is needed into the bloodstream, especially at night. So, while your hormones are causing a natural rise in blood glucose, your liver is releasing even more sugar into your system. Because your insulin resistance prevents your muscle and fat cells from using the sugar, your blood glucose level rises.

Insulin Teaching 2266

Patient instructed on the importance of alternating insulin injection sites, reviewed alternative injection sites. Instructed injecting into the same spot can cause lipohypertrophy, the buildup of fat under the skin, which can slow the absorption of insulin, or lipoatrophy, the wasting of fat under the skin, which can be unsightly.

Metoprolol Teaching 1671

Instructed patient in medication Metoprolol is used to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.

Metoprolol Teaching 1691

Instructed patient about medication Metoprolol is used to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.

Dexamethasone Teaching 1710

Skilled nurse instructed patient about medication Dexamethasone is a corticosteroid that prevents the release of substances in the body that cause inflammation. Dexamethasone is also used to treat certain types of cancer. Your doctor may instruct you to follow a low-sodium, low-salt, potassium-rich, or high-protein diet. Follow these directions. Dexamethasone may cause an upset stomach. Take dexamethasone with food or milk. Dexamethasone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: upset stomach, stomach irritation, vomiting, headache, dizziness.