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Instructed in management and control of wound through activity such as frequent rest periods, no overexertion, no lifting, bending or stooping. Passive and active exercises to increase vascular tone. Elevate affected extremity to promote venous return. Give pain medication, if prescribed, 30 minutes prior to any activity.
Instructed patient on how to recognize S/S of DM such as: excessive thirst, fatigue, increased urination, increased appetite, slow healing wounds, itching, changes in vision and weight loss.
Patient was instructed about the swine flu. Spread of this swine influenza A (H1N1) virus is thought to spread in the same way as the seasonal flu virus. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza. Sometimes a person may become infected by touching something with flu viruses on it and then touching their mouth or nose.
Patient was instructed on list of precautions regarding medications: Dispose of discarded medications in a sink or toilet. Never place medications in the trash within the reach of children. Store safely. Refrigerate drugs that require it.
Instructed on some factors that may increase the risk of developing/exacerbating constipation, such as: ignoring urges to pass stool and emotional problems, among others.
Instructed on some signs/symptoms of Congestive Heart Failure (CHF), such as: excessive urination at night and cold, sweaty skin, among others.
Isosorbide is used to prevent chest pain (angina) and reduce strain on the heart in patients with heart disease (coronary artery disease). Isosorbide mononitrate relaxes and widens blood vessels so blood can flow more easily. This medication will not relieve chest pain once it occurs. This medication may also be used in addition to other drugs to improve the symptoms of congestive heart failure (e.g., trouble breathing).
The patient was reviewed and indicated the location of the suspected obstruction of the arterial insufficiency and explained collateral circulation. The patient was instructed in the skin care; avoid heating pads, restrictive clothing that could affect with blood circulation in the affected areas.
SN instructed patient about Sensipar (cinacalcet) is an agent that increases the sensitivity of the parathyroid gland to calcium in the body. This causes a decrease in levels of parathyroid hormone (PTH), calcium, and phosphorous in the body. Sensipar works best if you take it with food or shortly after eating a meal. Do not crush or break a Sensipar tablet. Swallow the pill whole. Call your doctor at once if you have a serious side effect such as numbness or tingly feeling around your mouth, fast or slow heart rate, muscle tightness or contraction, overactive reflexes, seizure, feeling short of breath, swelling, rapid weight gain, or feeling like you might pass out.
Instructed patient abour the V.A.C. therapy System is an Advanced Wound Therapy System consisting of a V.A.C. Therapy unit that delivers negative pressure and a sterile plastic tubing with SensaT.R.A.C, pressure sensing lumens that connect the therapy unit to the dressing Special foam dressings. KCI recommends the V.A.C. Dressings be changed every 48 to 72 hours, but no less than 3 times per week. Patient has the ability to move around depending on the condition, the wound location and type of therapy unit prescribed. The V.A.C. Therapy System may be disconnected so you can take a shower. Therapy may not be off any longer than two hours per day.