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Instructed on diagnosis of Pulmonary Edema. This occurs when there is an accumulation of fluid in the lung, causing difficult breathing.
Instructed patient on how to recognize the signs and symptoms of angina such as: SOB, chest pain, anxiety, indigestion, sweating, and shortness of breath. Contact your primary care physician if the condition worsens, or if you exhibit other symptoms.
Patient was instructed on skin care. Keep the skin clean and dry. When bathing or showering, use warm water and a mild, moisture-containing soap. After washing, make sure to rinse and dry the body well. (Pat the skin dry, do not rub). Check places where water can collect such as under the arms, between the legs and between the toes.
The patient was instructed in dilated cardiomyopathy to take and record the pulse. The patient was taught to weigh daily at the same time using the same scale. The patient was advised to avoid hot, humid weather. The patient was instructed for home oxygen therapy.
The patient was instructed in gastroenteritis obtaining appropriate supplies, such as oral glucose electrolyte solutions. The patient was taught in defensive actions, like wash hands before eating and after toileting, drink pasteurized milk and chlorinated water; maintain foods at the appropriate hot or cold temperatures. The patient was advised that gastroenteritis is transmissible although the organisms are present in the feces.
The patient was instructed in sarcoidosis in the need of chest physiotherapy as prophylaxis or treatment. The patient was advised to evade large multitudes and persons who are known to have active infections. The patient was advised to weigh daily to detect stable weight loss.
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.
Patient instructed on Nitroglycerin sublingual tablets usually give relief in 1 to 5 minutes. If the pain is not relieved, you may use a second tablet 5 minutes after you take the first tablet. If the pain continues for another 5 minutes, a third tablet may be used. If you still have chest pain after a total of 3 tablets, contact your doctor or go to a hospital emergency room right away. Do not drive yourself and call 911 if necessary.
SN instructed patient on liver failure. The early symptoms of liver failure are similar to symptoms of many other conditions. Because of this, liver failure may initially difficult to diagnose. Some of the most common initial symptoms of liver failure are: Nausea, Loss of appetite, fatigue, diarrhea. As liver failure progresses, the symptoms become more serious. The most common symptoms of advanced liver failure include: Skin itchiness, jaundice, bleeding easily, bruising easily, swollen abdomen, mental disorientation or confusion, sweet or foul smelling breath, sleepiness, coma. Educated patient that the liver filters the Ammonia out the blood and that liver failure causes Ammonia levels to increase, which cause change of mental status, confusion, and sleepiness or fatigue.
SN instructed patient / caregiver on medication Avandaryl. Explained that it is a medication indicated for Diabetes Mellitus ( DM ) type II to decrease the blood sugar by stimulating the production of insulin and increasing receptor site sensitivity. SN explained to patient / caregiver that the side effects include dizziness, photosensitivity, low blood sugar, constipation, nausea and vomiting. SN instructed patient / caregiver to monitor blood sugar daily and to not skip or double doses. SN instructed patient / caregiver to notify physician ( MD ) if experiencing unusual weight gain, swelling of ankles, drowsiness, dyspnea ( SOB ), muscle cramps, weakness, sore throat, rash, unusual bleeding or if bruising occurs.