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Instructed in new medication Starlix to manage diabetes. In addition, warned of possible S/E such as dizziness, diarrhea, hypoglycemia, back pain, arthropathy, upper respiratory tract infection, bronchitis, coughing, flu symptoms and accidental trauma. Instructed to take drug 1 to 30 minutes before a meal. Notify MD for persistent hypoglycemia or hyperglycemia.
Instructed in foods low in cholesterol such as fish, fruits, vegetables, egg substitutes, poultry, lean meats, grains, etc.
Instructed patient about how strongly electromagnetic fields, metal detectors or another electronical devices can interfere with pacemaker functioning.
Patient was instructed on respiratory infection. After initial infection, the viral replication cycle begins within 8 to hours. To prevent infection, washing or disinfecting hands has been found effective, as this minimizes person-to-person transmission of the virus.
Common symptoms of hypoglycemia include weakness, drowsiness, confusion, hunger, dizziness, paleness, headache, irritability, trembling, sweating, rapid heartbeat, and a cold, clammy feeling. In severe cases, hypoglycemia can cause a person to lose consciousness or even lapse into a coma.
Taught that some potential factors of Angina Pectoris are consumption of a heavy meal and exposition to heavy temperatures, among others.
SN instructed on new medication Spiriva is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Instructed that common side effects include, dry mouth, constipation, or dizziness.
SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit. SN informed M.D. of patients elevated blood pressure and no new orders received, SN was advised to continue with patients current regimen.
Instructed patient Clean technique includes: Hand washing, Using gloves is optional. Re-using a trach tube and/or inner cannula that has been properly cleaned, Using prepared sterile water and normal saline. Re-using the same trach ties if they are properly cleaned. Re-using suction catheters if they are properly cleaned(up to 8 hrs or 3/per day)
SN instructed patient / caregiver on factors that increase risk of HTN, such as: age, race, family history, stress, high sodium intake, high cholesterol intake, obesity and sedentary lifestyle. SN instructed patient / caregiver on measures to control/manage HTN, such as: exercise as tolerated, achieve/maintain healthy/ideal weight, decrease sodium intake to decrease fluid retention and the workload of the heart. SN Instructed importance of eating foods rich in calcium, protein and fiber.