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Patient was instructed on measures to protect the skin, such as, keeping the skin clean and dry, assessing frequently for skin breakdown, avoiding powder due to possible caking and irritation.
Caregiver was instructed on injecting at the proper depth is an important part of good injection technique. Insulin be injected in the subcutaneous fat, which is the layer of fat just below the skin. If injected too deep, the insulin could go into muscle, where it's absorbed faster but might not last so long.
Taught that difficult or infrequent passage of hard, dry stool may constitute as a sign/symptom of constipation.
Instructed on some signs/symptoms of Angina Pectoris, such as: chest pain (may range from mild to very severe) and anxiety, among others.
Instructed on some signs/symptoms of activity intolerance in response to physical activity, such as: excessive fatigue and/or sweating, among others.
Instructed to help you prevent or manage high blood pressure: Start with understanding your condition, eat well to feel better, moderate exercise and stress-relieving techniques.
Instructed patient if you has a problem trouble flushing the PICC, unable to give medicines or fluid into catheter Unclamp it (if clamp is present). Remove the kink, if the catheter is not kinked or clamped, do not force the solution into the tube. Call the home care nurse to report the problem
SN Instructed patient about the Ergocalciferol is vitamin D2. Vitamin D is important for the absorption of calcium from the stomach and for the functioning of calcium in the body.Possible hypervitaminosis D effects: polyuria, nocturia, polydipsia, hypercalciuria, reversible azotemia, hypertension, nephrocalcinosis, generalized vascular calcification, irreversible renal insufficiency (may be fatal), mental retardation, widespread soft tissue calcification, osteoporosis, dwarfism, vague aches, stiffness, weakness, nausea, anorexia, constipation, mild acidosis, anemia, weight loss.
SN instructed that check the access for signs of infection or problems with blood flow before each hemodialysis treatment, even if the patient is inserting the needles. Keeping the access clean at all times. Using the access site only for dialysis. Being careful not to bump or cut the access. Checking the thrill in the access every day. The thrill is the rhythmic vibration a person can feel over the vascular access. Watching for and reporting signs of infection, including redness, tenderness, or pus. Not letting anyone put a blood pressure cuff on the access arm. Not wearing jewelry or tight clothes over the access site. Not sleeping with the access arm under the head or body. Not lifting heavy objects or putting pressure on the access arm.
SN instructed patient / caregiver regarding medication Lantus insulin. SN instructed patient / caregiver that insulin is used by the body to remove and use glucose from the blood and produce energy and that it is used in type 2 diabetes to overcome the resistance of the cells to insulin. SN explained that Lantus insulin starts working after 1 - 2 hours and peaks after 6 hours after injection, and has a duration of 18 - 26 hours. SN informed that hypoglycemia is the most common side effect that may occur during insulin therapy. SN instructed patient / caregiver to rotate insulin injection sites to avoid bruising and injury.