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Instructed patient to note the amount, color, consistency, and odor of tracheal and stomal secretions. Confirm the tracheostomy tube size and whether it's cuffed or fenestrated.
Patient was instructed on measures to prevent outdoor falls. Use a cane or walker as needed. Walk on grass when the sidewalks are slippery. Wear well fitting shoes. Wear glasses as prescribed.
Patient was instructed on hypoglycemia symptoms such as, paleness, whitening or pallor of the skin. Localized pallor can also occur in areas of poor circulation such as the hands and fingers. Others signs of hypoglycemia are headache, irritability, sweating, and a cold, clammy feeling are also signs of low blood sugar.
Taught that Levothyroxine does not cure hypothyroidism; it just provides a thyroid hormone replacement and therapy is lifelong.
Instructed on some measures aimed to managing/controlling hypertension, such as: achieve and/or maintain ideal weight, among others.
Continue using Actonel and talk with your doctor if you have any of these less serious side effects: mild heartburn or stomach upset, diarrhea, gas, or constipation, mild joint or back pain, or headache.
The patient was instructed in rheumatic fever in the need for prophylactic antibiotic treatment before aggressive procedures that incline to bacteremia. The patient was advised in the importance of completing antibiotic therapy to prevent reappearance. The patient was advised in the hypersensitivity response to penicillin after long term use.
Instructed patient stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.)
SN instructed patient / caregiver to always flush your PEG tube before and after each use. This helps prevent blockage from formula or medicine. Use at least 2 tablespoons (30 ml) of water to flush the tube. Follow directions for flushing your PEG tube. If the PEG tube becomes clogged, try to unclog it as soon as you can. Flush your PEG tube with a 60 ml syringe filled with warm water. Never use a wire to unclog the tube. A wire can poke a hole in the tube. Your healthcare provider may have you use a special medicine or a plastic brush to help unclog your tube.
SN instructed patient to take pain medication before pain becomes severe to achieve better pain control. Always refill your meds before you run out of them. SN instructed patient on nonpharmacologic pain relief measures, including relaxation techniques, positioning ,etc. SN instructed to report to physician if experiencing pain level not acceptable , pain level greater than 6/10, pain medications not effective, unable to tolerate pain medications, and pain affecting ability to perform normal activities