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Instructed patient Don't cut gauze and place it under the tracheostomy tube flanges; inhalation could draw fibers into the patient\'s trachea. Use a manufactured split sponge.
Patient was instructed about the swine flu. Spread of this swine influenza A (H1N1) virus is thought to spread in the same way as the seasonal flu virus. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza. Sometimes a person may become infected by touching something with flu viruses on it and then touching their mouth or nose.
Patient was instructed on precautions regarding medications: Do not drink alcohol while taking medications. If the mouth becomes dry, sipping cool beverages or eating a hard candy may help.
Patient was instructed on nerve damage as a cause of diabetes. The pain that begins in the extremities, toes and fingers over a period of months or years gradually it spreads upward. If not treated, it is possible to loose all sense of feeling in the affected area.
Patient was instructed on factors that contributes to poor skin integrity, such as, immobilization, poor circulation, moisture, heat, anemia, shearing forces poor nutritional status, etc.
Patient was instructed on proper skin care after bathing. Do not put oils or creams between the toes. The extra moisture can lead to infection. Also don't soak the feet that can dry the skin.
Patient was instructed on how lifestyle and daily routine can affect blood sugar levels. Food is the major culprit in altering the blood sugar level. The blood is at its highest an hour or two after eaten, and then it starts to fall. What eaten, when and how much all affect blood sugar levels.
SN advised patient do not use aspirin and other NSAIDs may enhance the risk of excessive bleeding.
SN instructed patient psychological stresses such as difficulties with relationships, job pressures, financial strain, and even concerns about self-worth can contribute to hyperglycemia. If these issues become overwhelming, decreased attention to the diabetes treatment plan may also contribute to hyperglycemia.
Instructed patient check your skin where the catheter enters it every day. Look for signs of infection and other problems. Instructed patient call your health care provider if you: Have bleeding, redness or swelling at the PICC line or Midline site, have pain near the site or in your arm, have signs of infection (fever, chills), are short of breath.