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Instructed patient about Avandia. This is an oral antidiabetic used to decrease blood sugar levels. Avandia is used in DM type II , alone or in combination of other oral antidiabetic drugs.
Instructed patient about high blood pressure and how it also increases the risk of developing kidney problems.
Patient was instructed on taking insulin on sick day. There's a good chance blood glucose (sugar) levels will rise when sick or getting sick. That's because the body is sending out hormones to fight whatever bug has invaded the body. Those hormones also make it difficult for the body to use insulin. That's bad, and it can be dangerous.
Taught that, in Angina Pectoris, pain may occur in the inner aspects of arms, upper abdomen and shoulders.
Taught that abdominal fullness and/or abdominal discomfort may constitute as signs/symptoms of constipation.
The patient was instructed in fractures in stress the importance of turning and moving frequently to evade skin breakdown. The patient was advised to handle hurt tissues softly by supporting the joint above and below the location. The patient was explained in how to wound care. The patient was recommended to elevate the extremity and apply ice bags. The patient was instructed in the use of ambulatory aids, crutch walking, cane, and walker. The patient was explained in the importance of range-of-motion exercises to maintain function of natural joints. The patient was taught in exercises to maintain strength and facilitate resolve of inflammation.
Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.
SN instructed patient to perform daily meticulous foot care, to be sure to dry feet completely after a bath, checking for any sores, cuts or scrapes and to report any wounds as soon as they appear to SN or MD. Also have a podiatrist cut toenails regularly to prevent ingrown toenails and other complications.
Instructed patient watch for these problems: a hole in the skin where the IV is -- medicine or fluid can go into the tissue around the vein. This could harm the skin or tissue.Swelling of the vein -- this can lead to a blood clot (called thrombophlebitis).
SN instructed patient / caregiver on intellectual disability which is a condition describing below-average intellectual function and a lack of skills necessary for daily living. SN instructed patient / caregiver on causes such as infections present at birth or occurring after birth, chromosomal abnormalities such as down syndrome, environmental. SN instructed patient / caregiver on symptoms such as lack of or slow development of motor skills. Language skills, and self-help skills, especially when compared to peers, lack of curiosity and difficulty understanding and following social rules.