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Instructed in complication of angina pectoris such as dysrhythmias of the heart and myocardial infarction.
Instructed patient to maintain adequate fluid intake (5-7 cups of water per day)to avoid dehydration.
Instructed patient on how the severe and persistent pain caused by osteoarthritis may be treated with prescription painkillers. Corticosteriod medications can be injected into a painful joint to relieve discomfort, but this procedure carries the risk of damaging the joint cartilage if performed too frequently.
Instructed patient on the steps to follow to prevent a heart attack or stroke by: maintaining proper cholesterol and triglyceride levels, exercise regularly, proper diet, keeping all MD appointments.
Instructed patient on S/S of hypoglycemia such as: cold sweat, shaking, blurred vision, faintness, hunger, headache, confused thinking and impatience. Instructed patient that if these S/S occur to take fast acting sugar, such as orange juice with sugar or glucose tablets.
Advised using salt substitutes (if permitted by MD), by seasoning food with condiments, such as lemon, parsley, cinnamon, etc.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Damage to the nerve that control the bladder, digestive tract and reproductive organ is called autonomic neuropathy and it can cause problems with nausea, vomiting, diarrhea and constipation.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if difficult and/or painful swallowing occur.
Sn instructed that reducing sodium intake lowers blood pressure and prevent the collection of fluid in the lower legs or abdomen. People with chronic kidney disease must control sodium intake to prevent volume overload, which increases blood pressure and causes swelling. Food to eat any fresh or frozen beef, lamb, pork, poultry and fish. Eggs and egg substitutes. Low-sodium peanut butter. Dry peas and beans (not canned) drained, water or oil packed canned fish or poultry foods to avoid canned food canned vegetables processed meats salted snacks such as, salted peanuts, salted almonds etc.
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.