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Instructed that alcohol may lower glucose levels and therefore should be avoided.
Patient was instructed on diabetes complications, such as kidney disease. Diabetes can damage the kidneys which not only can cause them to fail, but can also make them loose their ability to filter out waste products. This is called nephropathy.
Patient was instructed on how stress can affect blood sugar. Stress can affect blood sugar in two ways: when under heavy stress, it is easy to abandon the usual routine, eating fewer healthy foods, in that sense, stress indirectly causes the blood sugar to rise.
Instructed on the importance of pacing herself between activities as a measure aimed to increasing tolerance to physical activities.
Instructed on some factors that may increase the risk of developing/exacerbating constipation, such as: poor dietary habits and intake of certain medications, among others.
Taught that heart failure, cardiac arrest and dysrhythmias are potential complications of Coronary Artery Disease (CAD).
Taught that myocardial infarction and heart arrhythmias are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
Instructed patient about S/S complications associated with CHF, including bounding pulse, decreased urinary output, increased SOB, increased edema and sudden weight gain.
The patient was instructed in epididymitis in the use of ease ways, ice packs, and elevations of scrotum, loose, lightweight clothing, and scrotal support while walking. The patient was advised of informing all sexual partners if the inflammation is due to sexually transmitted disease.
Instructed patient on signs and symptoms that indicate a need for suctioning include: Seeing mucus in the opening of the trach tube or hearing mucus in the airway Increased respiratory rate or effort Retractions (which is seen when the skin between the ribs pulls in while breathing.