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Instructed in possible factors that increase risk of the angina pectoris such as sudden physical exertion, emotional stress, consumption of a heavy meal, temperature extremes, nicotine, hypertension, obesity, constipation accompained by excessive straining.
Instructed patient that sugar levels may reach high limits causing complications.
Instructed on some signs and/or symptoms of low blood sugar, such as: hunger and impaired vision, among others.
Instructed on some measures aimed to controlling/managing depression, such as: encourage verbalization of feelings and allow patient some degree of control, among others.
Instructed on some measures aimed to controlling/managing Coronary Artery Disease (CAD), such as: avoid cigarette smoking and achieve/maintain ideal weight, among others.
SN instructed patient on Vancomycin adverse effects such as: erythroderrma, thrombocytopenia, neutropenia, ototoxicity, and nephrotoxicity. Patient verbalized understanding of instructions given.
SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which and can turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can help bring ones body temperature up. If frost bit occurs, one can warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.
SN instructed patient and caregiver on Hepatitis C which in an infection caused by a virus that attacks the liver and leads to inflammation. Sympotms of hepatitis such as fatigue, nausea or poor appetite. Riks factors and complications of Hepatitis C such as liver cancer and liver failure.
SN advised patient don't rub the injection site. This could cause bruising. Don't push air bubbles out of the syringe unless your doctor tells you to. Each syringe comes with air bubbles. Call 911 anytime you think you may need emergency care. For example, call if: You cough up blood.You vomit blood or what looks like coffee grounds.You pass maroon or very bloody stools.
SN instructed patient / caregiver regarding medication Lantus insulin. SN instructed patient / caregiver that insulin is used by the body to remove and use glucose from the blood and produce energy and that it is used in type 2 diabetes to overcome the resistance of the cells to insulin. SN explained that Lantus insulin starts working after 1 - 2 hours and peaks after 6 hours after injection, and has a duration of 18 - 26 hours. SN informed that hypoglycemia is the most common side effect that may occur during insulin therapy. SN instructed patient / caregiver to rotate insulin injection sites to avoid bruising and injury.