patient-unable
SN Instructed patient and caregiver on good fats vs bad fats basically. There are two groups of fats: saturated and unsaturated. Within each group are several more types of fats. The unsaturated fats. Unsaturated fats include polyunsaturated fatty acids and monounsaturated fats. Both mono and polyunsaturated fats, when eaten in moderation and used to replace saturated or trans fats, can help lower cholesterol levels and reduce your risk of heart disease, Polyunsaturated fats, found mostly in vegetable oils, help lower both blood cholesterol levels and triglyceride levels, especially when you substitute them for saturated fats. One type of polyunsaturated fat is omega - 3 fatty acids.
Sn instructed patient about diabetic wounds / ulcers have poor or delayed healing. Healing problems are caused by the peripheral arterial diseases and peripheral neuropathy that can occur with diabetes, wherein the small blood vessels in different parts of the body, especially in the extremities ( hands and feet ), grow narrower and reduce the blood circulation to those areas. A lack of circulation in the extremities can result in a reduced supply of oxygen and nutrients to the body tissue and nerves, which is necessary for healing. Over time, nerves in these areas may become damaged, decreasing the sensation of pain, temperature and touch, making patients vulnerable to injury.
Sn instructed about patient symptoms of ( OA ). Joint pain and stiffness. Pain and stiffness may get worse with periods of inactivity or overuse. People with osteoarthritis ( OA ) have more stiffness first thing in the morning ( usually for less than 30 minutes ) or after sitting for a prolonged period of time. Many people have more pain in their hips or knees if they walk farther than they usually do. They have weak muscles, grinding or crackling noise with motion, swelling or bumps, or loss of range of motion.
Sn teaching patient that Atrovent ( Ipratropium ) is used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. It is also used to treat air flow blockage and prevent the worsening of chronic obstructive pulmonary disease ( COPD ).
SN instructed patient on Humalog 75-25, stated that it is used along with a proper diet and exercise program to control high blood sugar in people with diabetes. This product is a combination of two man - made insulins: intermediate - acting insulin lispro protamine and rapid - acting insulin lispro. This combination starts working faster and lasts for a longer time than regular insulin. Insulin is a natural substance that allows the body to properly use sugar from the diet. It replaces the insulin that your body no longer produces, thereby lowering your blood sugar. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. SN also instructed that pain, redness, swelling or itching at the injection site may occur. These effects usually go away after a few days or weeks. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
SN instructed patient that Fluticasone is used to relieve seasonal and year-round allergic and non - allergic nasal symptoms, such as stuffy / runny nose, itching, and sneezing. It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies ( such as pollen, pet dander, dust mites, mold ) and to reduce swelling. SN instructed that Nasal dryness / irritation, nausea, or vomiting may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
SN instructed patient that Eliquis is used to prevent serious blood clots from forming due to a certain irregular heartbeat ( atrial fibrillation ) or after hip/knee replacement surgery. With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots ( deep vein thrombosis - DVT, pulmonary embolus - PE ) and to prevent them from forming again. Eliquis is an anticoagulant that works by blocking certain clotting proteins in your blood. SN also instructed that Nausea, easy bruising, or minor bleeding ( such as nosebleed, bleeding from cuts ) may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. This medication can cause serious bleeding if it affects your blood clotting proteins too much. Tell your doctor right away if you have any signs of serious bleeding, including: unusual pain / swelling / discomfort, unusual bruising, prolonged bleeding from cuts or gums, persistent / frequent nosebleeds, unusually heavy / prolonged menstrual flow, pink/dark urine, coughing up blood, vomit that is bloody or looks like coffee grounds, severe headache, dizziness / fainting, unusual or persistent tiredness / weakness, bloody / black / tarry stools, difficulty swallowing.
SN instructed patient / caregiver regarding Metoprolol Tartrate, which is in a group of drugs called beta - blockers. That is affect the heart and circulation ( blood flow through arteries and veins ). Metoprolol is used to treat angina ( chest pain ) and hypertension ( high blood pressure ). It is also used to treat or prevent heart attack. Call your doctor at once if you have any of these serious side effects: chest pain, pounding heartbeats or fluttering in your chest, feeling light - headed, fainting; feeling short of breath, even with mild exertion, swelling of your hands or feet, nausea, upper stomach pain, itching, loss of appetite, dark urine, clay - colored stools, jaundice ( yellowing of the skin or eyes ), easy bruising, unusual bleeding ( nose, mouth, vagina, or rectum ), purple or red pinpoint spots under your skin, wheezing, trouble breathing. Less serious side effects may include: dry mouth, constipation, heartburn, vomiting, diarrhea, headache, drowsiness, tired feeling, sleep problems ( insomnia ), or anxiety, nervousness. Do not suddenly stop taking metoprolol tartrate. Sharp chest pain, irregular heartbeat, and sometimes heart attack may occur if you suddenly stop metoprolol tartrate. The risk may be greater if you have certain types of heart disease. Tell your doctor or dentist that you take metoprolol tartrate before you receive any medical or dental care, emergency care or surgery.
SN instructed patient that High blood pressure makes your heart work harder than it needed to before. Over the space of many years, this extra effort can lead to the heart muscle becoming thicker and less effective at pushing the blood round. This allows fluid to build up in your lower legs and ankles, which causes them to swell up.
SN instructed patient / caregiver on the home treatment to treating edema, or swelling due to excess fluid in the legs and ankles. Treatment may include elevating the feet above heart level, wearing compression stockings and exercising the legs. Reducing sodium in the diet, losing weight and avoiding tight clothing can also reduce swelling.