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Instructed in possible adverse reactions to insulin, which include hypoglycemia, hyperglycemia, skin rash and local reaction at injection site.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood presence in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.
Instructed on the importance of reporting changes in sputum characteristics or cough pattern.
Instructed on some measures aimed to preventing constipation, such as: exercise regularly at a slow, steady pace, as directed by MD.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if rash, itching and/or swelling occur.
Instructed on some factors that may increase the risk of developing/exacerbating Coronary Artery Disease (CAD), such as: diabetes mellitus and a sedentary life-style, among others.
Instructed in Vitamin B12, ordered to manage polyneuropathy, and in S/E, such as, pain in site of injection, burning, etc.
Skilled nurse assess patient for S/S of complication related to diagnostic. Instructed caregiver about your Foley catheter daily Care: Keep the skin and catheter clean. Clean the skin around your catheter at least once each day. Clean the skin area and catheter after every bowel movement. Call the patient MD if: you cannot get the catheter to drain urine into the bag, the catheter comes out or it is leaking, the urine is thick and cloudy. Your urine has mucus, red specks, or blood in it. Urine with blood in it may appear pink or red. the urine has a strong (bad) smell, No urine has drained from the catheter in 6 to 8 hours, have pain or burning in your urethra, bladder, abdomen, or lower back, have shaking chills or your temperature is over 101° F (38.3° C).
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.
Instructed caregiver reducing additional risk factors, such as , high cholesterol, and elevated blood glucose, are important in prevention and treatment of a diabetic foot ulcer. Wearing the appropriate shoes and socks will go a long way in reducing risks. the patient podiatrist can provide guidance in selecting the proper shoes.