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Taught that insufficient insulin may lead to high blood sugar levels (hyperglycemia).
Instructed on the importance, when having Congestive Heart Failure (CHF), of reporting immediately signs/symptoms, such as: rapid weight gain and loss of appetite, among others.
Taught that following safety measures to prevent falls is a measure aimed to preventing/controlling Osteoarthritis.
Skilled nurse advised patient to avoid abrupt discontinuation of alprazolam after prolonged use
SN instructed patient to should eat three or more times a day. Small frequent meals may be better tolerated and produce less gas.
Instructed in possible complication of PVD such as ulcers, cellulites, gangrene, thrombophlebitis, etc.
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Skid-proof mats or strips in the shower and bathtub, Removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet. Patient currently uses cane while ambulating and states that it helps her with her balance. Patient advised that side effects of most medications taking can cause dizziness and to report and dizziness so that it can be addressed by MD. Patient voiced understanding SN will continue to monitor.
SN instructed patient if PICC line accidentally comes out place a sterile gauze pad on the site and press firmly until the bleeding has stopped ( 2 o 5 minutes ), after the bleeding stops, apply antibiotic ointment and a bandage snugly, then call your nurse or doctor
SN instructed patient / caregiver about urinary tract infection(uti), an infection in any part of the urinary system (kidneys, ureters , bladder and urethra). SN instructed patient / caregiver that most infections involve the lower urinary tract (the bladder and urethra). SN instructed symptoms / signs of uti such as a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine. SN instructed patient / caregiver on possible causes such as infection of the urethra and bladder. SN instructed patient / caregiver on lifestyle/ home remedies such as drinking plenty of water daily to help flush the urinary tract, avoid holding it when there's need to go to prevent development of bacteria which can cause uti. SN instructed patient / caregiver to wipe from front to back after movement, to help prevent bacteria from the anus from entering the vagina or urethra.
SN instructed that the lisinopril is a drug of the angiotensin-converting enzyme inhibitor class used primarily in treatment of hypertension. If any of the following side effects occur please report to physician / nurse : Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, blistering, peeling, red skin rash, confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips, dark urine or pale stools.