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Instructed in storage and disposal of equipment: check expiration date, keep spare bottle in refrigerator, do not change brand, match syringe type.
Instructed in the use of NTG for chest pain/pressure. To take at onset of pain, 1 tablet every 5 minutes, up to 3 tablets over 15 minutes. If not complete relief of pain after the 3rd tablet, call 911.
Instructed patient and/or SO to check cough evolution and notify any significant change.
Instructed patient that every day his/her blood pressure is too high, the chances of having a stroke increases.
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.
Patient was instructed on hypoglycemia symptoms, such as shaking or physical tremor. Tremors are the involuntary trembling of the body often it affects the fingers or hands. Another sign is the palpitations. Abnormality of the heart beat that a person slurred speech or difficulty articulating words.
Instructed to patient exercise is good for those with diabetes. Walking, you can even get exercise when you clean house or work in your garden. Exercise is especially good for people with diabetes because exercise helps keep weight down. Exercise helps insulin work better to lower blood sugar, exercise is good for your heart and lungs. Exercise after eating, not before, test your blood sugar before, during, and after exercising. Don't exercise when your blood sugar is over 240, avoid exercise right before you go to sleep, because it could cause low blood sugar during the night.
SN instructed patient / caregiver on headache which is a pain in any region of the head. SN instructed patient / caregiver that headache can occur on one or both sides of the head, be isolated to a certain location, radiate across the head from one point, or have a vise -like quality. SN instructed patient / caregiver on that headache may be a sharp pain, throbbing sensation or dull ache. SN instructed patient / caregiver that headache can appear gradually or suddenly. SN instructed patient / caregiver that headache can be triggered by lifestyle factors such alcohol (particularly red wine), certain foods (processed meats that contain nitrates), lack of sleep, poor postures, skipped meals and stress. SN instructed patient / caregiver on emergency preparedness and to encourage to report any new or severe symptoms.
SN instructed that the dementia symptoms vary depending on the cause, but common signs and symptoms include: Cognitive changes: Memory loss, difficulty communicating or finding words, difficulty with complex tasks, difficulty with planning and organizing, difficulty with coordination and motor functions, problems with disorientation, such as getting lost. Psychological changes like personality changes, inability to reason, inappropriate behavior, paranoia, agitation, hallucinations. Memantine (Namenda) works by regulating the activity of glutamate. Glutamate is another chemical messenger involved in brain functions, such as learning and memory. A common side effect of memantine is dizziness.
SN instructed on Alzheimer's. Patient shouts at moments; Assessed patient’s ability for thought processing. Observed patient for cognitive functioning, memory changes, disorientation, difficulty with communication, or changes in thinking patterns. Assessed patient’s ability to cope with events, interests in surroundings and activity, motivation, and changes in memory pattern. Instructed caregiver to orient patient to environment as needed, if patient’s short term memory is intact. Using of calendars, radio, newspapers, television and so forth, are also appropriate. Assessed patient for sensory deprivation, concurrent use of CNS drugs, poor nutrition, dehydration, infection, or other concomitant disease processes. Maintain a regular daily schedule routine to prevent problems that may result from thirst, hunger, lack of sleep, or inadequate exercise. Provide positive reinforcement and feedback for positive behaviors. SN instructed family in methods to use with communication with patient: listen carefully, listen to stories even if they’ve heard them many times previously, and to avoid asking questions that the patient may not be able to answer. Divert attention to a client when agitated or dangerous behaviors like getting out of bed by climbing the fence bed. Eliminate or minimize sources of hazards in the environment. Caregiver verbalized fair understanding.