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Instructed in complication of diarrhea such as dehydration, electrolyte imbalance or anal excoriation. Dehydration is indicated by dry mouth, poor skin tugor, dry, flushed skin, decreased urine output, sunken eyes and weak, rapid pulse.
Instructed patient about the importance of proper foot care. This includes wearing properly fitting shoes and socks, correct trimming of toenails, and avoidance of injuries on the legs and/or feet.
Patient was instructed about how to get a balanced diet: choose a variety of nutrient-dense foods and beverages among the basic food groups, balance calories from foods and beverages with physical activity to manage body weight, choose fiber-rich fruits, vegetables, and whole grains often, eat 2 cups of fruit and 2 1/2 cups of vegetables daily (for someone eating 2,000 calories) and other way to get the goals will be explained in next teaching. Further teaching is needed.
Patient was instructed about the feet care: always wear shoes or slippers. Always wear socks with the shoes, since leather, plastics, and manmade shoe materials can irritate your skin and quickly bring on blisters. While the Diabetic patient might prefer the look of hose, nylon knee-highs, or thin socks, may find that these doesn't give to the toes or heels enough protection. Wear thicker socks to pad the feet and cushion any calluses or sore spots. Further teaching is needed.
Instructed on the importance of using joint protection principles in all activities of daily living.
Instructed patient how to change the dressings and how to care for the tubes and drains. Recommend to splint the abdomen when coughing or sneezing.
Skilled nurse instructed patient about medication Famotidine is used to treat ulcers (sores on the lining of the stomach or small intestine); gastroesophageal reflux disease (GERD, a condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus [tube that connects the mouth and stomach. Shake the liquid well for 5 to 10 seconds before each use to mix the medicine evenly. Swallow the tablets and capsules with a full glass of water.The following symptoms are common, but if you experience any of them call your doctor immediately: hives, skin rash, itching, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs.
Fludrocortisone is a corticosteroid. It works by causing the kidneys to retain sodium and acting as a replacement for cortisone when the body does not produce enough.Carry an ID card at all times that says you take fludrocortisone. Tell your doctor or dentist that you take fludrocortisone before you receive any medical or dental care, emergency care, or surgery.Fludrocortisone may cause an increase in blood pressure, salt and water retention, and calcium and potassium loss. Talk with your doctor to see if you need to decrease the amount of salt in your diet or take a calcium or vitamin D supplement. Check with your doctor if any of these most common side effects persist or become bothersome:Difficulty sleeping; dizziness or lightheadedness; headache; increased appetite; increased sweating; indigestion; nervousness
Instructed patient how prevent infections: To wash your hands with soap and water: Wet your hands with warm water, avoid hot water, which can cause skin irritation when you wash your hands often. Apply enough soap to cover the entire surface of your hands, including your fingers.
SN instructed patient about that swelling of ankle or hands or increased dyspnea ( SOB ) or moist coughing is a sign of congestive heart failure ( CHF ) and contact with physician is needed reporting symptoms. Patient was able to be taught back.