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Instructed patient on possible complications linked to diabetes such as, kidney, bladder and heart disorders, strokes, eye complications, peripheral vascular and nervous system disorders.
Instructed on some factors that may increase the risk of developing/exacerbating hypertension, such as: cigarette smoking, high cholesterol intake and a sedentary life-style.
Instructed on the importance of staying fully upright (sitting, standing or walking) for at least 30 minutes after taking Fosamax; also, advised patient not to lie down until after his/her first food of the day after its intake.
Taught that gradually increasing exercise with planned, scheduled rest periods, is a measure aimed to increasing tolerance in response to increased physical activity.
SN instructed patient to rise slowly from sitting/supine position, as Atenolol may cause orthostatic hypotension and to avoid sudden discontinuation of this drug, as this may cause rebound hypertension. Patient verbalized understanding of instructions given.
Patient was instructed in new medication Vitamin C side effects such as; nausea, vomiting, heartburn, abdominal cramps, and headache. Dental erosion may occur from chronically chewing vitamin C tablets.
Patient with biliary catheter SN instructed patient when to call the doctor or go to emergency: Active bleeding at the drain site that does not stop after you put finger, pressure on it, more pain or swelling at or around the drain site, your temperature is greater than 101 degrees fahrenheit, with or without chills
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Skid-proof mats or strips in the shower and bathtub, Removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet. Patient currently uses cane while ambulating and states that it helps her with her balance. Patient advised that side effects of most medications taking can cause dizziness and to report and dizziness so that it can be addressed by MD. Patient voiced understanding SN will continue to monitor.
Instructed patient sterile technique includes: Hand washing, Wearing sterile gloves. Using a new trach tube, inner cannula, and trach tie. Using sterile water (new bottle or bag every 24 hours). Discarding suction catheters after each use.
SN instructed caregiver on some measures aimed to controlling/managing Angina Pectoris, such as: have blood pressure monitored, eat a diet high in fiber, exercise regularly (as directed by MD) and take stool softeners, as needed, dress warmly in cold weather, avoid sleeping in cold rooms and avoid becoming overheated, eat small, frequent meals and rest after meals, learn stress management techniques.