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Instructed in D/C planning. Instructed to keep MD appointments, take medication exactly as MD ordered and report any S/E and/or S/S to avoid further complications.
Instructed patient to never go barefoot or wear thigh garters. Do not wear thigh worn boots for long periods of times. Never let feet get dry and cracked, severe infections may develop. Do not use hot water pads, iodine, hot water bottles or rubbing alcohol. Never use razors, knives or corn remedies.
Patient and/or caregiver instructed to clean any spilled or splashed grease on the kitchen floor immediately to prevent accidents.
Caregiver was instructed that insulin is absorbed at different speeds depending on where are inject, so it's best to consistently use the same part of the body for each of the daily injections. For example, do not inject the lunch bolus dose in the abdomen on Monday and in the thigh on Tuesday. If you have picked the thigh for your evening injection, then continue to use the thigh for all of the evening injections.
Instructed on the importance of getting adequate rest and eating well-balanced meals in order to decrease susceptibility to infections.
Taught that the main function of the lungs is to supply oxygen to the blood and to remove carbon dioxide from the blood.
Instructed on some measures aimed to controlling/managing Angina Pectoris, such as: avoid cigarette smoking (it constricts blood vessels) and take corresponding medications exactly as directed by MD, among others.
The patient was instructed in retinal detachment in lie in the suggested position following the scleral buckling process. The patient was advised to apply cold bandages to the eye to decrease inflammation and ease anxiety. The patient was recommended to use dark glasses to reduce photophobia and pain when eye drops are used. The patient was advised to wear an eye shield at night for protection.
SN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain, numbness or severe weakness, change in vision or difficulty speaking. Patient and caregiver were advised to seek immediately medical assistance and/or call 9-1-1 if any of these signs or symptoms appear. Patient and caregiver verbalized understanding. Family is independent with hypertension process.
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.