high blood pressure/1000
Skilled nurse instructed patient/care giver in Hyperbaric oxygen therapy is a treatment in which the patient breathes 100 percent oxygen inside a pressurized chamber for approximately two hours. The therapy quickly delivers high concentrations of oxygen to the bloodstream, accelerating the healing rate of wounds and is effective in fighting certain types of infections. It also stimulates the growth of new blood vessels, improving circulation, and helping to prevent future problems.
Instructed about diet as a major factor that can affect the stability of your Coumadin level. Explained about Vitamin K and its importance for blood to clot and why it's important in patients taking Coumadin, because high amounts of Vitamin K (e.g.green and leafy vegetables like lettuce, spinach and broccoli)can work against the drug. Instructed patient to eat what he normally eats just as long as he's consistent with his vitamin K foods. Verbalized understanding.
SN instructed that Janumet is used with a proper diet and exercise program and possibly with other medications to control highblood sugar. It is used in patients with type 2 diabetes. Instructed that common side effects include, nausea, vomiting, stomach upset, diarrhea, headache, weakness, or a metallic taste in the mouth may occur.
Instructed caregiver the patient are at high risk if the patient have or do the following: Neuropathy, Poor circulation, A foot deformity (e.g., bunion, hammer toe), Wear inappropriate shoes, Uncontrolled blood sugar, History of a previous foot ulceration.
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.
SN instructed patient / caregiver on abnormal glucose also known as impaired glucose tolerance which is a term that refers to people who have blood glucose level that are higher than normal, but are not high enough to be classified as diabetes. SN instructed patient / caregiver on symptoms of abnormal glucose such as increased thirst, frequent urination, fatigue, blurred vision. SN instructed patient / caregiver on risk factors such as weight, waist size, inactivity, age, family history. SN instructed patient / caregiver on healthy lifestyle choices that can help prevent diabetes such as eating healthy foods, getting more physical activity, losing excess pounds.
SN instructed patient that lovaza is approved in the U.S. for treatment of patients with very high triglycerides (hypertriglyceridemia). Lovaza is indicated for: Hypertriglyceridemia, used as monotherapy , or in combination with a statin for patients with mixed dyslipidemia. Also as a secondary prevention after myocardial infarction. Infrequent side effects of lovaza: burping, indigestion, rash, taste problem. Rare side effects of Lovaza: blood clotting disorder. Life threatening allergic reaction, abnormal liver function tests, Itching.
SN instructed patient regarding medication Lipitor. SN informed patient / caregiver that Lipitor is a medication that reduces levels of bad cholesterol ( LDL ) and triglyceride in the blood while increasing the level of good cholesterol ( HDL ). SN explained that this medication is used to treat high cholesterol and to lower risk of stroke, heart attack or other heart complication in people with type 2 diabetes. SN informed patient / caregiver that patient should eat low cholesterol diet and avoid drinking alcoholic beverages when taking lipitor because it increase risk of liver damage. SN explained to patient / caregiver that side effects to watch out for are unexplained muscle pain, fever and dark colored urine, swelling urinating less than usual and weight gain. SN instructed patient / caregiver to report any persistence or worsening of side effects.
SN instructed patient / caregiver regarding medication Metformin. SN explained to patient / caregiver that metformin is an oral anti - diabetic medication and is used to treat type 2 diabetes mellitus. SN explained that it is the first - line drug of choice for the treatment of type 2 diabetes, particularly in overweight and obese people. SN explained that using metformin alone will help to lower blood sugar when it is too high and help restore the way food is used to make energy. SN instructed patient to notify physician ( MD ) if experiencing symptoms / signs ( S / S ) of hypoglycemia such as shakiness, nervousness, sweating associated with dizziness / lightheadedness.
SN explained that the Tresiba is a long - acting insulin used to control highblood sugar in adults with diabetes. SN instructed about more frequents side effects of tresiba ( reactions at the injection site, itching, rash, allergic reactions , skin thickening or pits at the injection site ( lipodystrophy ), weight gain, and swelling of your hands and feet, among others). SN oriented to notify the doctor if any of these side effects are severe. SN instructed that the insulin dose may need to change because of change in level of physical activity or exercise, increased stress, change in diet, weight gain or loss, or illness.