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Instructed patient on how to recognize S/S low blood sugar, such as, fatigue, headache, drowsiness, tremors, paleness, moist skin, hunger, anxiety, and impared vision.
Patient instructed to try to rotate his/her body to the side or sitting position in the event of a fall.
Patient was instructed on measures for fire safety: Do not overload circuits. Turn off all appliances before leaving the home. i.e., iron, oven, curling iron etc.... install a smoke detector on each floor and always check batteries.
Patient was instructed on how to avoid hypoglycemia. Choose high fiber, low sugar bedtime snacks such as two graham crackers with 1/2 cup skim milk. Avoid eating excessive amounts of high sugar foods, which will make the blood sugar spike then plummets. When the blood sugar falls after a sugar high it tends to drop dramatically low.
Instructed on some potential complications of constipation, such as: rectal bleeding and rectal pain, among others.
Taught that resting frequently during an activity to allow the heart to recover is a measure aimed to increasing tolerance in response to increased physical activity.
Instructed patient to eat before each dentist visit, to prevent hypoglycemia.
Taught that Coronary Artery Disease (CAD) develops very slowly and may be very advanced before symptoms develop.
SN instructed patient / caregiver to always flush your PEG tube before and after each use. This helps prevent blockage from formula or medicine. Use at least 2 tablespoons (30 ml) of water to flush the tube. Follow directions for flushing your PEG tube. If the PEG tube becomes clogged, try to unclog it as soon as you can. Flush your PEG tube with a 60 ml syringe filled with warm water. Never use a wire to unclog the tube. A wire can poke a hole in the tube. Your healthcare provider may have you use a special medicine or a plastic brush to help unclog your tube.
SN instructed patient / caregiver about Ipratropium Bromide/Albuterol(Duoneb); get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using albuterol and ipratropium and call your doctor at once if you have a serious side effect such as: wheezing, choking, or other breathing problems,chest pain, pounding heartbeats or fluttering in your chest, dangerously high blood pressure (severe headache, anxiety, uneven heart beat), swelling of your ankles or feet, eye pain, or seeing halos around lights, painful or difficult urination. Other common side effects may include: mild headache, or cold symptoms such as stuffy nose, sneezing, cough, or sore throat.