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Instructed patient about chronic forms of hypothyroidism. These are lifelong disorders that are usually treated with synthetic forms of thyroid hormone. Dosage must be adjusted carefully to prevent hyperthyroidism.
Instructed patient to wear flat; comfortable walking shoes as much as possible and select adequate socks.
Instructed on some signs/symptoms of cerebrovascular accident (stroke), such as: change in level of consciousness, among others.
Taught that excess insulin and unusual exercise may lead to low blood sugar levels (hypoglycemia).
Instructed on some potential complications of hypertension, such as: retinal damage (causing visual changes) and heart disease, among others.
Instructed on some signs/symptoms of high blood sugar (hyperglycemia), such as: frequent urination and excessive thirst, among others.
Instructed on some signs/symptoms of low blood sugar (hypoglycemia), such as: tremors and pale, moist skin, among others.
The patient was instructed in diabetes mellitus ketoacidosis discussing blood sugar monitoring, when the test will take place, the technique, the necessary blood sugar range, how to read test results, what to do for abnormal results, the cleaning of equipment. The patient was taught when she or he is sick monitoring is increased to every 4 hours because illness or injury increases glucose demand. The patient was advised to maintain meticulous dental hygiene to prevent infection, wear shoes all the time to prevent foot injury. The patient was advised to monitor for vaginal infections. The patient was instructed the need to carry fast-acting sugar livesavers, sugar packets for treatment of hypoglycemia. The patient was advised to obtain appropriate items, equipment, and assistive devices for various diabetic needs, glucose monitor, medialert bracelet.
SN advised patient be sure to tell all your doctors and dentist about all of the medications you are taking, including those you are taking without a prescription, such as aspirin or other NSAIDs. Also be sure to tell your doctor or dentist you are taking.
SN instructed patient psychological stresses such as difficulties with relationships, job pressures, financial strain, and even concerns about self-worth can contribute to hyperglycemia. If these issues become overwhelming, decreased attention to the diabetes treatment plan may also contribute to hyperglycemia.