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Instructed patient and caregiver about the proper insuline storage procedure in case of a hurricane. During power outages insulin should be kept in a recipient with ice. This will ensure it will be in good conditions, should it be needed.
Patient was instructed on hypertension. Blood pressure is a measure of how hard the blood pushes against the walls of the arteries as it moves through the body. It
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 the importance of using a firm, supportive mattress as a measure aimed to managing/controlling Osteoporosis.
The patient was instructed in hemorrhoidectomy the necessity to use rectal packing or perianal dressings. The patient was instructed to get appropriate supplies like dressings and perineal pads to protect clothing from post-operative discharge. The patient was advised to sit on thick foam pillows or pads. The patient was encouraged the importance of perianal hygiene at all times. The patient was encouraged that proper hygiene helps prevent infection. The patient was instructed to wipe moderately after a bowel movement.
The patient was instructed in steroid therapy corticosteroid therapy in the need to fill-up medicines prescriptions 1 to 2 weeks before the supply runs out and to store medicine in a cool place. The patient was instructed to take oral steroids with milk or antiacids to reduction gastric irritation. The patient was taught that the oral method of the medicine comes in various dosages.
Instructed patient/caregiver on general precautions while taking aspirin: take with food, milk, or large glass of water to decrease gastric symptoms. (Enteric coated or buffered may be better tolerated.); avoid alcohol due to possible internal bleeding; only take the recommended amount; use cautiously with Asthma; observe and report s/s of bleeding (easy bruising, bleeding gums, black stools); discard medications if vinegar odor is present; do not take antacids due to decreased effectiveness; avoid chewing or crushing enteric coated.
Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.
Instructed patient the arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it avoid any activities that cause discomfort in your arm. Talk to your health care team if you have concerns about pain or range of motion.Don’t lift anything heavier than 10 pounds with the affected arm. Drink plenty of water. Staying hydrated helps keep clots from forming.
SN instructed patient / caregiver about the medication Isosorbide. SN explained that Isosorbide is a medication given to reduce the blood pressure and that it also reduces the heart rate. SN explained that the side effects of this medication includes fatigue, anxiety, weakness, dizziness, tachycardia, pulmonary edema, constipation and dry mouth. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of side effects or if experiencing blurred vision, difficulty breathing, wheezing, dizziness, light - headedness, confusion, depression or dry mouth.