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Instructed to maintain a diabetic record of blood sugars and any untoward reactions. Record should include date, time, and any other pertinent information.
Instructed patient about walking. It is a very good way to get regular exercise. Walking around the block for at least minutes every day is the ideal type of exercise. Always carry a snack.
Patient was instructed on Hyperglycemia. Blood sugar can rise well above normal for significant periods without producing permanent effects or symptoms. Howeverchronic hyperglycemia at levels more slightly above normal can produce a very wide variety of serious complications over a period of years.
The patient was instructed in diabetes mellitus ketoacidosis discussing blood sugar monitoring, when the test will take place, the technique, the necessary blood sugar range, how to read test results, what to do for abnormal results, the cleaning of equipment. The patient was taught when she or he is sick monitoring is increased to every 4 hours because illness or injury increases glucose demand. The patient was advised to maintain meticulous dental hygiene to prevent infection, wear shoes all the time to prevent foot injury. The patient was advised to monitor for vaginal infections. The patient was instructed the need to carry fast-acting sugar livesavers, sugar packets for treatment of hypoglycemia. The patient was advised to obtain appropriate items, equipment, and assistive devices for various diabetic needs, glucose monitor, medialert bracelet.
The patient was instructed in sprains and strains in the use of mandatory ambulatory aids. The patient was taught in the good way of applying Ace bandages. The patient was taught to apply ice packs for the first 24 to 72 hours or longer to lessen bleeding and edema.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
Instructed patient t is very important to prevent infection,which might require removal of the PICC line. The nurse will show you how to keep your supplies sterile, so no germs will enter the catheter and cause an infection.
Instructed patient stay active during your recovery. Be sure to start slowly and increase your activity little by little,do not stand or sit in the same spot for too long. Move around a little bit. Walking is a good exercise for the lungs and heart. Take it slowly at first.
Sn instructed patient on seizures and precautions for safety at home. replace glass tables or furniture with wood, glass can break and cause injury, leave interior doors open, don't take shower unless someone is in the house and make sure family and friends are aware of your seizures and know what to do to help if you have a seizure. Notify nurse or Physician if seizures occur. If a grand mal seizure occurs go to ED after recovery.
SN instructed patient / caregiver regarding medication Bystolic. SN explained to patient / caregiver that Bystolic is used to treat high blood pressure ( hypertension ). SN explained to patient that the side effects of this medication includes: headache, dizziness, tiredness, nausea, slow heartbeat and trouble sleeping. SN instructed patient / caregiver that if any of these effects persist or worsen, to notify physician.