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Instructed in measures to prevent a stroke: prevent atherosclerosis, exercise regularly, avoid smoking, monitor and control diabetes, high blood pressure, or other diseases, etc.
Instructed in measures to control hypertension such as control stress, decrease cholesterol and sodium diet, take medication exactly as prescribed, etc.
Caregiver instructed to remove small area rugs and place non-slip treads on bare wood floors, steps and also at the top and bottom of the stairs to prevent falls.
Patient was instructed on fluid retention
Patient was instructed on skin care. Look at the body after washing. Make sure there are no dry, red or sore spots that could become infected.
Patient was instructed on complications of diabetes such as nerve damage. One of the most common complications of diabetes is diabetic neuropathy. Neuropathy means damage to the nerves that run throughout the body, connecting the spinal cord to muscles, skin, blood vessels and other organs.
Instructed on some signs/symptoms of Congestive Heart Failure (CHF), such as: rapid heart rate and edema (fluid retention), among others.
SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which and can turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can help bring ones body temperature up. If frost bit occurs, one can warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.
Instructed patient about vacuum assisted closure ( VAC ) therapy helps draw wound edges together, remove infectious materials and actively promote granulation.
SN instructed that the metoprolol lowers blood pressure by decreasing workload of heart. Watch for dizziness, lightheadedness when getting up, headache, stomach upset, loss of taste, fatigue and insomnia.