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Instructed patient not to go outside during hurricane conditions. If a safe place to stay is not available consider going to a shelter in advance.
Instructed patient about diabetes complications such as: heart attacks, stroke.
Advised using salt substitutes (if permitted by MD), by seasoning food with condiments, such as lemon, parsley, cinnamon, etc.
Patient was instructed about feet wash with warm - not hot
Patient was instructed on Hyperglycemia. High blood sugar develops when there is too little insulin or when the body fails to respond properly to the insulin in the blood. High blood sugar emergencies often develop because of some underlying condition that may not be obvious, such as a heart attack, infection, or surgery.
Taught that Labetalol slows the heartbeat, lowers blood pressure and reduces strain on the heart.
SN instructed patient to eat foods at a regular time each day. Eating 4 to 6 smaller meals may help to promote a regular bowel pattern.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, instruct to take medication exactly as directed, at the same time each day. Missed doses should be taken within 12 hr of scheduled dose or not taken at all. Do not double doses. Consult health care professional if doses for 2 or more days are missed. Do not discontinue medication without consulting health care professional.
Instructed patient if you has a problem trouble flushing the PICC, unable to give medicines or fluid into catheter Unclamp it (if clamp is present). Remove the kink, if the catheter is not kinked or clamped, do not force the solution into the tube. Call the home care nurse to report the problem
SN instructed that check the access for signs of infection or problems with blood flow before each hemodialysis treatment, even if the patient is inserting the needles. Keeping the access clean at all times. Using the access site only for dialysis. Being careful not to bump or cut the access. Checking the thrill in the access every day. The thrill is the rhythmic vibration a person can feel over the vascular access. Watching for and reporting signs of infection, including redness, tenderness, or pus. Not letting anyone put a blood pressure cuff on the access arm. Not wearing jewelry or tight clothes over the access site. Not sleeping with the access arm under the head or body. Not lifting heavy objects or putting pressure on the access arm.