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Instructed in factors that contribute to poor skin integrity such as immobilization, poor circulation, moisture, heat, anemia, shearing forces, poor nutritional status.
Instructed in new medication Feroso to manage anemia. In addition, warned of possible S/E such as nausea, vomiting, constipation, GI discomfort, headache, dizziness, dry mouth, rash and others.
Instructed in S/E of oxygen therapy such as respiratory depression, collapse lung, irritation of airway mucosa, oxygen toxicity, local skin irritation.
Instructed in complicated medication regime, with written medication schedule provided.
Instructed patient on possible complications linked to diabetes such as, kidney, bladder and heart disorders, strokes, eye complications, peripheral vascular and nervous system disorders.
Patient instructed to breathe deeply five or six times after experiencing a fall. In the event of any injuries do not try to get up, call a family member immediately for assistance.
Patient was instructed on breathing methods. Deep relaxed breathing. Lie down on a blanket or rug on the floor. Place one hand on the abdomen and one hand on the chest. Inhale slowly and deeply through the nose into the abdomen to push up the hand as much as feels comfortable. The chest should move only a little and only with the abdomen. Do it for five minutes, when becoming more comfortable with this technique extend it up two minutes.
Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes, which include: Alimentary hypoglycemia. Hypoglycemia within 1 to 2 hours after a meal sometimes occurs when stomach contents empty into the intestines too rapidly. This causes the rapid absorption of glucose into the blood and an overproduction of insulin (hyperinsulinism) in response. This problem may develop after surgery for peptic ulcers, obesity, or other stomach problems.
Instructed on the importance of reporting early signs and/or symptoms of infection.
Skilled nurse encourage patient to rise slowly from supine position and dangle feet prior to standing while taking alprazolam.