catheter-teaching-guide
Osteoarthritis symptoms often develop slowly and worsen over time. Signs and symptoms of osteoarthritis include: Joint pain, swelling, stiffness and grating sensation. Currently, the process underlying osteoarthritis cannot be reversed, but symptoms can usually be effectively managed with lifestyle changes, physical and other therapies, medications, and surgery. Exercising and achieving a healthy weight are generally the most important ways to treat osteoarthritis.
SN instructed about avoid convenience foods such as canned soups, entrees, vegetables, pasta and rice mixes, frozen dinners, instant cereal and puddings, and gravy sauce mixes. Select frozen meals that contain around 600 mg sodium or less. Use fresh, frozen, no-added-salt canned vegetables, low-sodium soups, and low-sodium lunch-meats.
Patient/caregiver instructed Allopurinol reduces the production of uric acid in your body. Uric acid buildup can lead to gout or kidney stones. Take once daily as ordered with a full glass of water. Medication may weaknen your immune system, avoid sick persons. Common side effects are vomiting, diarrhea; drowsiness, headache; changes in your sense of taste; or muscle pain. Notify SN/MD if experiencing bothersome or unusual side effects.
SN instructed on the need for adequate fluid intake, establishing a toilet schedule such as every 2 hours, or before or after activities, meals, sleep, and rest periods.
SN instructed patient / caregiver on proper incontinence care as to check every 2-3 hours if needed. Educated on pressure reduction measures as to change patient's position in bed/chair every 2-3 hours, avoid positioning on affected areas and use pressure reduction mattress or chair cushion.
Diabetic Chronic Kidney disease Treatment for diabetic kidney disease includes controlling blood pressure and blood sugar levels, reducing dietary protein intake, avoiding medications that may damage the kidneys, treating urinary tract infections and exercise and weight loss (under the supervision of a physician).
SN instructed patient and caregiver that potassium is available in foods such as asparagus, tomatoes and green leafy vegetables such as spinach. Some salt substitutes contain potassium. Avoid fruits like bananas and oranges if you are on a diabetic diet. If levels drop too low or spike too high, your heart function suffers, becoming slow or erratic, a condition known as arrhythmias. Because abnormal potassium levels greatly impact your heart function and can ultimately lead to a heart attack, it’s essential to follow your doctor’s advice carefully. Most common reasons for potassium loss is from vomiting, diarrhea, laxative use and diuretic use.
SN instructed patient and caregiver about Jevity, an enteral nutrition formulas are used as nutritional replacements for patients who are unable to get enough nutrients in their diet. These formulas are taken by mouth and are used by the body for energy and to form substances needed for normal body functions. Use the amount recommended by your doctor. This preparation is in ready-to-use form. No dilution is needed unless directed by your physician. Shake the preparation well before opening. Refrigerate after opening, out of the reach of children. Most formulas can be kept in the refrigerator for 1 to 2 days. Check the label of your product.
SN instructed patient/ caregiver that Bradycardia can be a serious problem if the heart doesn't pump enough oxygen-rich blood to the body. For some people, however, bradycardia doesn't cause symptoms or complications.SN explained that If you have bradycardia, your brain and other organs might not get enough oxygen, possibly causing these symptoms: Near-fainting or fainting (syncope) Dizziness or lightheadedness, Fatigue, Shortness of breath, Chest pains, Confusion or memory problems, Easily tiring during physical activity.If you faint, have difficulty breathing or have chest pain lasting more than a few minutes, get emergency care or call 911 or your local emergency number.
Instructed that High blood pressure (hypertension) is a leading cause of kidney disease and kidney failure (end-stage renal disease). Hypertension can cause damage to the blood vessels and filters in the kidney, making removal of waste from the body difficult. SN instructed patient about some measures aimed to managing & controlling hypertension, such as: eating low sodium diet , increase more fruits to increase your potassium, walk daily for 30 minutes, and have regular check-ups, as directed by Physician.