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Patient instructed to advice physician if taking any herbal medicines or dietary supplements.
Instructed patient on possible adverse reactions to oral diabetic agents, which include: nausea, vomiting, epigastric fullness, heartburn, hypoglycemia, rash, itching and facial flushing.
Patient was instructed on hypertension. Other possible risk factors of high blood pressure include: low intake of potassium, magnesium and calcium. Sleep apnea and sleep disordered breathing, depression, cigarette smoking, high cholesterol or low HDL (good cholesterol), diabetes.
Patient was instructed on depression as a diabetes complication. Depression can color everything in a person's life. The ability to do everyday activities can become overwhelming, and this includes taking care of diabetes, such as taking medications, eating right and exercising.
Taught that Labetalol is used with or without other medications to treat high blood pressure (hypertension).
The patient was instructed in carpal tunnel release on care of the hands and dressings, to keep the arm and hand elevated above heart level to reduce swelling and healing. The patient was reviewed to check the dressing daily for signs of bleeding or drainage, when bathing are permitted the patient should be shower with the dressing covered by a plastic bag. The patient was recommended to follow prescribed exercises to maintain circulation and improve range of motion such as sponge squeezing.
The patient was instructed in osteomyelitis in the necessity of wound care using aseptic method for dressing changes. The patient was advised to care of a casted extremity. The patient was reviewed to care for external fixator device. The patient was recommended how to use and care for the Hickman catheter for home antibiotic therapy. The patient was encouraged in the importance of immobilizing the affected part to reduction the spread of infected material.
SN instructed patient that Ampicillin may cause diarrhea, nausea, vomiting, or rash.
SN instructed patient about cast care: keep the cast clean and avoid getting dirt or sand inside the cast. Do not apply powder or lotion on or near the cast. Cover the cast when eating, do not place anything inside the cast, even for itchy areas. Sticking items inside the cast can injure the skin and lead to infection. Using a hair dryer on the cool setting may help soothe itching, do not pull the padding out from inside your cast.
Instructed patient about activity After Heart Surgery: he first 6-8 weeks, the following guidelines are generally recommended for patients recovering from heart surgery: Don't lift objects that weigh more than 10 pounds. Don't push or pull heavy objects, unless restricted by doctor's orders, climbing stairs is allowed. walk daily. The doctor or cardiac rehabilitation specialist will provide guidelines upon the patient's return home.