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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 patient on how when blood presses against a vessel wall with too much force, muscles in the wall lose their stretch. This causes the wall to thicken, which narrows the vessel passage and reduces blood flow.
Instructed patients on important routines regarding diabetic foot care, such as: always wear shoes which offer good foot support and fit properly, wear clean socks which also fit properly and avoid going barefooted.
Instructed patient about the importance of identifying current problems and/or stressors in order to receive treatment.
Patient was instructed that diabetes can damage many parts of the body, including the mouth and teeth. Diabetes increases the risk of gum disease, cavities and tooth loss, dry mouth and a variety of oral infections.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if jaw pain and/or eye/vision problems occur.
The patient was instructed in multiple sclerosis disseminated sclerosis in the need to control bath water temperature because of the loss of sense of temperature. The patient was advised to evade persons with upper respiratory infections. The patient was recommended to get suitable devices like assistive aids for ambulation and self-care. The patient was advised to use incontinence pads.
Skilled nurse instructed patient about medication Famotidine is used to treat ulcers (sores on the lining of the stomach or small intestine); gastroesophageal reflux disease (GERD, a condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus [tube that connects the mouth and stomach. Shake the liquid well for 5 to 10 seconds before each use to mix the medicine evenly. Swallow the tablets and capsules with a full glass of water.The following symptoms are common, but if you experience any of them call your doctor immediately: hives, skin rash, itching, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs.
Instructed patient call doctor if increase pain in the abdomen or the incision,fever, redness or drainage of the incision, irritation, or redness , or drainage of the incision, change bowel habits, such as:diarrhea, or constipation or skin irritation.
SN instructed patient / caregiver on medication Avandaryl. Explained that it is a medication indicated for Diabetes Mellitus ( DM ) type II to decrease the blood sugar by stimulating the production of insulin and increasing receptor site sensitivity. SN explained to patient / caregiver that the side effects include dizziness, photosensitivity, low blood sugar, constipation, nausea and vomiting. SN instructed patient / caregiver to monitor blood sugar daily and to not skip or double doses. SN instructed patient / caregiver to notify physician ( MD ) if experiencing unusual weight gain, swelling of ankles, drowsiness, dyspnea ( SOB ), muscle cramps, weakness, sore throat, rash, unusual bleeding or if bruising occurs.