Instructed in diagnosis of Myocardial Infarction. This occurs when there is a prolonged lack of oxygenated blood supply to a portion of the heart muscle, causing pain, resulting in damage to that area of the heart.
Caregiver instructed to place a slip-resistant rug on the floor next to the bathtub. This will ensure that the patient can get in and out of the bathtub safely without the risk of slipping or falling on the wet floor.
Instructed in oral diabetic agents, these stimulate insulin release from the pancreas to help control glucose levels.
Instructed patient to note the amount, color, consistency, and odor of tracheal and stomal secretions. Confirm the tracheostomy tube size and whether it's cuffed or fenestrated.
Instructed in insulin.This is used to decrease blood glucose levels, by replacing insulin not produced by the pancreas.
If the inner cannula is designed for reuse, clean it in a solution of equal parts hydrogen peroxide and 0.9% sodium chloride. Wear sterile gloves and maintain aseptic technique. Remove encrusted secretions from the lumen of a metal tube with sterile pipe cleaners or a soft sterile brush. For a plastic tube, use only sterile pipe cleaners to prevent damage by a brush. After cleaning, thoroughly rinse the inner cannula with 0.9% sodium chloride solution.
Instructed in S/S of hyperglycemia, such as excessive urination, thirst, nausea, vomiting, abdominal pain, or cramping, weak-tired feeling, drowsiness, deep-rapid breathing, or fruity breath. If these S/S occur client S/O instructed to notify MD.
Instructed patient how to reinsert the inner cannula and securely lock it into place.
Instructed that insulin/oral diabetic agents, are used to relieve the symptoms and not to cure the disease.
Instructed patient to secure the new ties to the tracheostomy tube flanges before removing the old ones. Insert your little finger between the tie tapes and your patient's neck to check the fit and ensure his comfort.
