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Instructed in insulin.This is used to decrease blood glucose levels, by replacing insulin not produced by the pancreas.
Patient was instructed about the skin damage: the skin may be dry and cracked because of high glucose levels, and cracked skin means it's easier for bacteria to get under the skin and harder for infections to heal. Use a small amount of skin lotion daily, to be sure the feet feel dry - not damp or sticky - afterwards. Try not to get the lotion in between the toes. Keep the toenails trimmed and filed smooth to avoid ingrown toenails. Further teaching is needed.
Taught that exercising regularly, as directed by MD, is a measure aimed to preventing/controlling Osteoarthritis.
The patient was instructed in heart failure to take and record the pulse. The patient was advised to avoid hot, humid, weather. The patient was taught for home oxygen therapy.
Skilled nurse assess patient for S/S of complication related to diagnostic. Instructed caregiver about your Foley catheter daily Care: Keep the skin and catheter clean. Clean the skin around your catheter at least once each day. Clean the skin area and catheter after every bowel movement. Call the patient MD if: you cannot get the catheter to drain urine into the bag, the catheter comes out or it is leaking, the urine is thick and cloudy. Your urine has mucus, red specks, or blood in it. Urine with blood in it may appear pink or red. the urine has a strong (bad) smell, No urine has drained from the catheter in 6 to 8 hours, have pain or burning in your urethra, bladder, abdomen, or lower back, have shaking chills or your temperature is over 101° F (38.3° C).
SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which and can turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can help bring ones body temperature up. If frost bit occurs, one can warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.
SN instructed patient about Glimepiride is an oral blood sugar-lowering drug in a class of medicines for controlling diabetes. Glimepiride lowers the sugar level in the blood by stimulating insulin to be secreted from the pancreas into the blood. Nausea and upset stomach may occur.
Instructed patient How can a urostomy fit into you lifestyle: Reduce odor. Some foods, such as asparagus, cheese, and eggs may cause your urine to have a strong odor. Vitamin C may help to decrease urine odor. Drink liquids as directed. Most people should drink at least 8 (8-ounce) cups of liquids each day.
Instructed patient to check your skin and the back of your skin barrier each time you change your pouching system. You can use a mirror to check your skin under the stoma. Look for any places where stool or urine may have leaked under the skin barrier and onto your skin. When you apply your next pouching system these areas may need some extra reinforcement with skin barrier strips, rings or paste.
SN instructed patient that Xifaxan is used for cessation of traveler's diarrhea and the reduction in risk of overt hepatic encephalopathy. Side effects are dizziness and peripheral edema. SN instructed patient to take rifaximin as directed and to complete therapy, even if feeling better. Caution patient to stop taking rifaximin if diarrhea symptoms get worse, persist more than 24–48 hr or are accompanied by fever or blood in the stool. Consult health care professional if these occur. Advise patient not to treat diarrhea without consulting health care professional. May occur up to several weeks after discontinuation of medication. Caution patient to avoid driving and other activities requiring alertness until response to medication is known.