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Instructed patient on diagnosis of Congestive Heart Failure (CHF), which occurs when the heart is unable to expel the blood from the ventricle, causing congestion.
Instructed patient to begin assessing his tracheostomy by inspecting the stoma site, which is typically slightly larger than the tracheostomy tube.
Patient was instructed on depression as a diabetes complication. It is important recognizing the symptoms of depression to get help that is needed. Feeling sad for a prolonged period of time - feeling restless or anxious for non apparent reason - feeling hopeless, helpless or worthless - not being able to concentrate.
Instructed patient on the importance to inject insulin not exactly in the same place each time, but move around in the same area so the insulin reaches the blood with the same speed with each shot.
Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes that include: Alcohol. In some individuals, drinking alcohol can cause a drop in blood sugar levels. Hypoglycemia has been associated with chronic alcoholism and binge drinking. Hypoglycemia associated with binge drinking can be particularly severe if a person has not eaten within about 6 hours because fasting can impair the liver's ability to make new glucose.
Instructed on some potential factors of hyperglycemia (high blood sugar), such as: excess food and insufficient insulin, among others.
SN instructed patient to eat a balanced diet and drink fluids, increase protein and take vitamins to promote wound healing.
Take the Actonel tablet first thing in the morning, at least 30 minutes before you eat or drink anything or take any other medicine. Take each dose with a full glass (6 to 8 ounces) of water. Use only plain water (not mineral water) when taking a Actonel tablet. For at least the first 30 minutes after taking an Actonel tablet, do not lie down or recline; do not eat or drink anything other than plain water; and do not take any other medicines including vitamins, calcium, or antacids.
The patient was instructed to stop any anticoagulant or antiplatelet medications 1 week before the arterial revascularization surgery. The patient was advised to use antiembolic stockings. The patient with axillofemoral bypass graft was advised to evade strong use of the affected side, not to wear close-fitting or obstructive clothes (belts, suspenders) over graft site.
The patient was instructed in gastrointestinal bleeding in how to observer stools for blood and show stool occult blood test. The patient was instructed the status of smoking termination and complete abstinence from alcohol. The patient was advised to evade coughing, sneezing, lifting, straining during defecation, or vomiting. The patient was reviewed whether medicines should be taken with food or require an empty stomach. The patient was advised to evade use of aspirin having medications like ibuprofen and other nonsteroidal anti-inflammatory medicines. The patient was taught to design a diet high in vitamin K. The patient was instructed to eat small, frequent meals, to chew food well, and to eat slowly. The patient was instructed to drink water with meals. The patient was taught with a list of irritating foods and drugs to evade like coffee, tea, caffeine, spicy foods, rough foods, citric acid juices, hot foods. The patient was advised to evade milk because it occasionally gives to increase gastric acid secretion.