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Heart Failure Teaching 2265

SN instructed about arteriosclerotic heart disease (ASHD), also called coronary artery disease (CAD) or coronary heart disease (CHD), refers to arteriosclerosis of heart or coronary arteries. Arteriosclerotic heart disease can also be caused by calcium deposits (calcification) on the walls of arteries that harden them, or thickening of the artery walls due to chronic high blood pressure.

Insulin Teaching 2266

Patient instructed on the importance of alternating insulin injection sites, reviewed alternative injection sites. Instructed injecting into the same spot can cause lipohypertrophy, the buildup of fat under the skin, which can slow the absorption of insulin, or lipoatrophy, the wasting of fat under the skin, which can be unsightly.

Exercises Teaching 2267

SN instructed patient / Caregiver that clients with kidney disease should engage in activities that will improve their overall health. For example, exercise has been known to improve overall health, mental outlook, and control blood sugar. SN suggested that a good option would be to start a simple exercise program.

Tracheostomy Teaching 2268

Tracheostomy care Instructed patient patients with a tracheostomy have altered upper airway function and may have increased oral care 
requirements. Mouth care should assessed by the nurse caring for the patient.

Insulin Teaching 2269

Patient instructed Humalog (insulin lispro) is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours. It is used to improve blood sugar control in patients with DMII. Most people who take Humalog use a sliding scale or take a certain dose routinely throughout the day. If you are taking this medication with meals, use it within 15 minutes before or just after you eat. Do not take Humalog if your blood sugar is below 60 or you are experiencing s/s of hypoglycemia.

Tracheostomy Teaching 2270

Tracheostomy Care Instructed patient long term complications include acute airway obstruction, blocked tube, Infection localized to stoma or 
tracheo-bronchial

Tracheostomy Teaching 2271

Tracheostomy care Instructed patient to contact the doctors or nurse if there are any signs of infection at the stoma site including 
any redness, odor, swelling.

Antibiotic Teaching 2272

Instructed patient/CG the importance of increasing consumption of foods high in Probiotics while on antibotic therapy.

Antibiotic Teaching 2273

SN instructed patient/CG about proper nutrition while taking antibiotics. Taking probiotics during antibiotic treatment can reduce the risk of diarrhea, although the two should be taken a few hours apart. Probiotics can also help restore the gut bacteria after antibiotics. Fermented foods contain healthy bacteria, including Lactobacilli, which can help restore damage to the microbiota caused by antibiotics. Yogurt may also reduce the risk of antibiotic-associated diarrhea. High-fiber foods like whole grains, beans, fruits and vegetables can help the growth of healthy bacteria in the gut. They should be eaten after taking antibiotics but not during, as fiber may reduce antibiotic absorption. Probiotics are foods that help the growth of healthy bacteria in the gut and may help restore the gut microbiota after taking antibiotics. SN instructed also to avoid the ingestion of grapefruit and calcium-fortified foods while on antibiotics since they can affect how antibiotics are absorbed in the body.

PICC Line Teaching 2275

Instructed patient drink plenty of water. Staying hydrated helps keep clots from 
forming.