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Instructed patient on how the internal pacemaker is implanted during a minor surgical procedure. This procedure heals completely in 2 or 3 weeks and complications are rare and usually minor.
Instructed patient on possible causes of high blood sugars such as: excess food, insufficient insulin, and lack of exercise, stress, infection or fever.
Patient was instructed about to tell the doctor about any changes in sensation in the toes, feet, or legs. Speak up if note pain, tingling, a pins-and-needles feeling, numbness, or any other unusual signs - even if it seems trivial to the patient. Further teaching is needed.
Patient was instructed on diabetes symptoms. The initial symptoms of diabetes are related to high blood glucose levels. These symptoms include excessive urination, thirst and hunger, weight loss, and increased susceptibility to infections, especially of the skin.
Instructed on some signs/symptoms of high blood sugar (hyperglycemia), such as: dizziness, vomiting and abdominal cramps, among others.
High blood cholesterol is first treated with exercise, weight loss, and a diet low in cholesterol and saturated fats. When these measures fail, cholesterol-lowering medications such as Simvastatin can be added.
The patient was instructed in lymphoma malignant in the importance of evading wound and pain which can cause hurting and bleeding. The patient was advised to evading large multitudes and persons supposed of having an active infection. The patient was recommended to follow the chemotherapy routine.
SN completed assessment done on all body systems and noted patient with elevated blood pressure during visit. SN completed treatment during visit and noted no drainage on old tx, wound callused and new area found to left medial top of foot remains intact with no drainage noted. SN noted patient complaint of pain to bilateral lower extremities with +2 edema noted. SN educated primary caregiver on the importance of elevation of bilateral lower extremities as well as pain management for patient.
SN instructed patient about Tramadol. SN instructed that it is an opiate pain medication used to treat moderate to moderately severe pain. SN Taught that the most common adverse effects of tramadol include nausea, dizziness, dry mouth, indigestion, abdominal pain, vertigo, vomiting, constipation, drowsiness and headache. SN Instructed patient to take pain medication before pain becomes severe to achieve better pain control.
SN instructed patient regarding medication Lipitor. SN informed patient / caregiver that Lipitor is a medication that reduces levels of bad cholesterol ( LDL ) and triglyceride in the blood while increasing the level of good cholesterol ( HDL ). SN explained that this medication is used to treat high cholesterol and to lower risk of stroke, heart attack or other heart complication in people with type 2 diabetes. SN informed patient / caregiver that patient should eat low cholesterol diet and avoid drinking alcoholic beverages when taking lipitor because it increase risk of liver damage. SN explained to patient / caregiver that side effects to watch out for are unexplained muscle pain, fever and dark colored urine, swelling urinating less than usual and weight gain. SN instructed patient / caregiver to report any persistence or worsening of side effects.