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Instructed in new medication Xopenex to manage bronchospasm. In addition, warned of possible S/E such as dizziness, migraine, pain, tremor, anxiety, tachycardia, dyspepsia, leg cramps, increased cough, flu syndrome, accidental injury and viral infection.
Instructed in diagnosis of Angina. This is a temporary lack of oxygenated blood supply to a portion of the heart, causing pain.
Instructed patient to discuss the use of vitamins, minerals or herbal supplements with a doctor since they may interact with diabetic medication.
Instructed patient about how strongly electromagnetic fields, metal detectors or another electronical devices can interfere with pacemaker functioning.
Patient was instructed on the importance of skin integrity to prevent future complication: Massage reddened skin gently al least 3 or 4 times daily. Keep the skin clean and dry and after use a protective ointment or spray.
Patient was instructed on the importance of a good foot care. Wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid walking barefoot.
Patient was instructed on cardiovascular complications. Hyperglycemia (high blood glucose levels) can cause arteries to narrow and/or lose elasticity causing Atherosclerosis (CAD) where blockage occurs in the arteries that go to the heart.
SN advised patient to report signs or symptoms or ototoxicity or nephrotoxicity during gentamycin therapy.
Why is it important to do active ROM exercises? ROM exercises are very important if you have been ill, injured, or must stay in bed or in a wheelchair. Active ROM exercises help build up or keep your muscles as strong as possible. They help keep your joints flexible ( bending and moving in the right way ). Doing ROM exercises will help keep good blood flow going to the joint area that is being exercised. They may help prevent blood clots. Exercising is natural and needed for the body to stay well. Your heart pumps stronger and easier when you exercise regularly. You also breathe quicker and more often while exercising. This helps prevent infections that happen if you do not breathe or cough deeply enough. With your heart and lungs working stronger, more blood gets to the muscles, bones, and skin. Increasing blood flow brings more oxygen and other good things to your body tissues and organs. Walking and other exercises help make your BMs and urine more regular. Exercising can also make you feel better, more relaxed, and happier.
SN instructed patient about tracheotomy care dressing changes promote skin integrity and help prevent infection at the stoma site and in the respiratory system. The patient should be instructed at least once per shift, apply a new dressing to the stoma site to absorb secretions and insulate the skin . After applying a skin barrier, apply either a split - drain or a foam dressing. Change a wet dressing immediately.