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Patient was instructed on breathing methods. Breathe properly. Lie down on a rug or blanket on the floor with the legs straight and slightly apart, the toes pointed comfortably outwards, arms at the sides not touching the body, the palms up, and the eyes closed. This is called a "relaxed body" position. Take time to relax the body and breathe freely.
Patient was instructed on the importance to have a good blood sugar control to avoid future diabetes complications: Monitoring: keep track of the blood sugar every day, Meals: Plan healthy and enjoyable meals to help keep the blood sugar near goal, Moves (exercise): moving the body help lower the blood sugar by burning it for energy, Medicine: when Meals and Move are not enough.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if black/tarry stools occur.
Taught that avoiding
Instructed on some signs/symptoms of Angina Pectoris, such as: indigestion, sweating and shortness of breath, among others.
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
SN instructed patient on the importance of daily monitoring of the blood pressure; along with reporting an elevated BP of 160/90 and above to MD/SN stat.
Instructed patient you may need to detach the drainage bag from the nephrostomy tube to clean it. If so, attach a new drainage bag tightly to the nephrostomy tube. Instructed patient change bandages, skin barriers, and attachment devices as directed. This helps to prevent infection. Throw away or clean your drainage bag as directed by your caregiver.
SN instructed patient / caregiver regarding medication Cephalexin. SN explained that Cephalexin is used to treat urinary tract infections, respiratory tract infections, and skin and soft tissue infections. SN explained that the side effects of this medication includes: diarrhea, dizziness, headache, indigestion, joint pain, stomach pain and tiredness. SN explained that the drug can also cause yellowing of the eyes or skin; red, blistered, swollen or peeling skin, unusual bruising or bleeding, decreased urination, severe cramps and confusion. SN instructed to notify physician if experiencing persistence or worsening of side effects.
SN instructed patient / caregiver about the medication Isosorbide. SN explained that Isosorbide is a medication given to reduce the blood pressure and that it also reduces the heart rate. SN explained that the side effects of this medication includes fatigue, anxiety, weakness, dizziness, tachycardia, pulmonary edema, constipation and dry mouth. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of side effects or if experiencing blurred vision, difficulty breathing, wheezing, dizziness, light - headedness, confusion, depression or dry mouth.