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Instructed in S/S of hypoglycemia, including cold sweat, shaking, blurred vision, faintness, hunger, headache, confused thinking and impatience. Instructed if these S/S occur to take fast acting sugar, such as orange juice with sugar or glucose tablets.
Instructed patient about how a stroke can result from the damage that ongoing high blood pressure causes in the body vessels. If the affected vessel stops supplying blood to the brain, as a result a stroke occurs.
Instructed patient about never walking around in stocking feet and consider sneakers and shoes with laces.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Nerve damage occurs because excess sugar injures the walls of the tiny blood vessels (capillaries) that nourish the nerves.
Taught that hypertension and congenital heart defects are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
SN instructed patient to eat foods at a regular time each day. Eating 4 to 6 smaller meals may help to promote a regular bowel pattern.
Instructed patient / caregiver for minimizing problems associated with PICC lines, guidelines include: Always wash hands before touching the PICC line, do not allow any sharp objects near the line, do not clean the skin near the line with any acetone containing cleanser.
The patient was instructed to return to the emergency department if: your JP drain breaks or comes out. You have cloudy yellow or brown drainage from your JP drain site, or the drainage smells bad.
Sn instructed patient on seizures and precautions for safety at home. replace glass tables or furniture with wood, glass can break and cause injury, leave interior doors open, don't take shower unless someone is in the house and make sure family and friends are aware of your seizures and know what to do to help if you have a seizure. Notify nurse or Physician if seizures occur. If a grand mal seizure occurs go to ED after recovery.
SN instructed patient / caregiver that Percocet is used to treat moderate to moderately severe pain - containing two drugs: acetaminophen and oxycodone. Explained that Acetaminophen is used to reduce both pain and fever & Oxycodone is used for its calming effect and for pain. Explained that the common side effects include dizziness, light - headedness, nausea, sedation, vomiting. SN instructed that side effects may be alleviated by lying down and if they persist or worsen to notify Physician. SN instructed to call physician immediately if the patient experiences slow / irregular breathing, slow / irregular heartbeat, change in the amount of urine or any allergic reactions. SN instructed patient to drink at least 8 glasses of water and eat foods that are high in fiber such as apples, peaches, oranges and oats if constipation is experienced.