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Instructed in measures to prevent constipation: increasing fluids, eating a diet high in fiber, and avoiding foods with sugars (pasta, pastries, cheese, rice, etc.).
Instructed that excess Potassium may cause extreme muscle weakness and insufficient Potassium may cause muscle cramps, especially of lower extremities. Instructed to notify MD should any of these symptoms occur.
Instructed patient about diabetes. Explained to him/her that having diabetes doesnt mean that he/she has to start eating special foods or following a complicated diet plan for diabetics.
Patient was instructed on the importance of skin integrity to avoid future complication. With a good skin care it is possible to prevent most pressure sore (bed sores), that can develop quickly in people who are very thin or obese, or who collect fluids in their tissues, who have poor nutrition, who are elderly.
Instructed on the importance of having her nails clipped straight across and gently filed with an emery board.
Taught that Hyzaar is a combination of two (2) drugs: one drug relaxes the blood vessels and causes them to widen, while the other drug increases the amount of urine the body produces and, therefore, decreases excess water and salt in the body.
Instructed on some measures aimed to preventing/controlling Osteoarthritis, such as: exercise daily at a slow, steady pace, using range of motion.
Instructed on the importance of having her/his feet washed daily with warm soap and water; also, instructed on the importance of having them patted dry, especially between toes.
The patient was instructed in COPD: Chronic Obstructive Pulmonary Disease or Chronic Obstructive Lung Disease the importance of avoiding bronchopulmonary irritants such as cigarettes smoking, industrial air pollutants, dust, powders, perfumes, aerosol sprays. The patient was encouraged to use of bronchodilator nebulizers. The patient was taught in adaptive breathing techniques such as deep-breathing exercises, coughing techniques, pursed-lip breathing, and abdominal breathing. The patient was reviewed to avoid persons with infections, especially upper respiratory tract infections. The patient was advised the importance of taking vaccines for influenza and pneumococcal pneumonia. The patient was recommended on cleaning of all home respiratory equipment. The patient was taught in the importance of environmental control, avoid dry air, avoid going out in cold temperatures.
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