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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.
Patient was instructed on hypoglycemia. Insulin, glucagon and other hormone levels rise and fall to keep blood sugar in a normal range. Too little or too much of these hormones can cause blood sugar levels to fall too low (hypoglycemia) or rise too high (hyperglycemia).
Instructed on some factors that may increase the risk of developing/exacerbating Osteoarthritis, such as: poor body posture and metabolic or endocrine abnormalities, among others.
Instructed on some measures aimed to controlling hypertension (high blood pressure), such as: decrease cholesterol intake to avoid atherosclerosis, among others.
Instructed on some potential factors of decreased tolerance in response to increased physical activity, such as: sedentary life-style and/or prolonged bed rest, among others.
The patient was instructed in coronary artery bypass graft surgery that complete curative and recovery take 8 to 12 weeks. The patient was informed that the sternum was wired together and that a feeling of movement or a clicking sound is normal during the healing period. The patient was taught that minor itching, redness, numbness, soreness, swelling, or a drawing feeling is normal during the healing period. The patient was advised to avoid lifting or carrying heavy objects or performing isometric activities.
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.
SN advised patient and caregiver to report any signs and symptoms of ototoxicity or nephrotoxicity. Caregiver verbalizzed understanding of instructions given.
SN instructed patient and caregiver that Zithromax (Azithromycin) is an antibiotic useful for the treatment of bacterial infections. Most common side effects are diarrhea , nausea, abdominal pain and vomiting. Nervousness, dermatologic reactions, and anaphylaxis have been reported. As with all antimicrobial agents, pseudomembranous colitis can occur during and up to several weeks after azithromycin therapy.
SN instructed patient and caregiver on Hepatitis C which in an infection caused by a virus that attacks the liver and leads to inflammation. Sympotms of hepatitis such as fatigue, nausea or poor appetite. Riks factors and complications of Hepatitis C such as liver cancer and liver failure.