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Instructed patient on possible adverse reactions to oral diabetic agents, which include: nausea, vomiting, epigastric fullness, heartburn, hypoglycemia, rash, itching and facial flushing.
Instructed patient not to pile up items on the floor, stairway or pathways between rooms.
Patient was instructed on measures to prevent falls when bathing. Get into the shower/tub by putting the weaker leg in first. Get out of the tub / shower with the strong side first. Use a long handle brush or mittens with straps to help with bathing.
Patient was instructed on fluid retention
Instructed on some measures aimed to controlling/managing Coronary Artery Disease (CAD), such as: avoid/decrease sodium intake and exercise regularly, as directed by MD.
The patient was instructed in laminectomy in the use of antiembolism tube to stop thrombus formation. The patient was taught in techniques for ankle rotating and calf driving to increase venous movement in legs. The patient was reviewed in the use of braces or corsets. The patient was recommended in the use of assistive devices to help decrease trauma on the back, elevated toilet seats, tub railings. The patient was instructed to have the incision place clean and dry until sutures and staples are removed.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, this medication is used to treat CHF, tachy arrhythmias, atrial fibrillation and atrial flutter (slows ventricular rate).
SN instructed patient on diabetic diet:it is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrates (carbs) for that meal or snack is consistent.Many research studies have shown that meals which contain sugar do not make the blood sugar rise higher than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carbs, the blood sugar levels will go up.
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.
SN instructed patient regarding medication Furosemide. SN informed patient that Furosemide is used to treat fluid retention and high blood pressure and it causes increased urination. SN instructed patient to watch out for side effects of this medication such as headache, dizziness, blurred vision, constipation, diarrhea, and numbness / burning / tingly feeling and to notify physician ( MD ) if experiencing these side effects persistently. SN informed that Lasix may deplete potassium in the body, thus needing potassium supplement or increased potassium intake ( oranges, bananas ). SN instructed patient / caregiver to report to physician ( MD ) if patient experiences vomiting, fast / uneven heartbeat, lightheadedness or increased weakness, muscle pains, or urinating less or not at all.