low sodium diet
SN instructed patient on Humalog 75-25, stated that it is used along with a proper diet and exercise program to control high blood sugar in people with diabetes. This product is a combination of two man - made insulins: intermediate - acting insulin lispro protamine and rapid - acting insulin lispro. This combination starts working faster and lasts for a longer time than regular insulin. Insulin is a natural substance that allows the body to properly use sugar from the diet. It replaces the insulin that your body no longer produces, thereby lowering your blood sugar. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. SN also instructed that pain, redness, swelling or itching at the injection site may occur. These effects usually go away after a few days or weeks. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
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 on heart healthy diet: reduce na intake by choosing fresh vegetables instead of canned, choose healthy fats which includes olive and canola oil, walnuts and flax seeds, avoid foods that include margarine, avoid fried foods, and eat more soluble fiber foods such as apples, broccoli, carrots and avoid fatty meats such as hotdogs, sausage and bacon.
SN instructed patient and caregiver to eat a healthy diet, as it can boost your immune system and speed up wound recovery. Five nutrients that are essential for wound healing: Protein, Vitamin C, Zinc, Carbohydrates, Vitamin A
Instructed in knowing what to do if symptoms of low blood sugar occur: eat some form of glucose or carbohydrate, notify physician or go to emergency room if symptoms persist.
Instructed in new medication Tylenol to manage mild pain or fever. In addition, warned of possible S/E such as hemolytuc anemia, neutropenia, leukopenia, pancytopenia, liver damage, jaundice, hypoglycemia, rash and urticaria. Consult prescriber before giving drug to children younger than age 2. Tylenol is only for short-term use. Consult prescriber if it is given to children for longer than 5 days or adults for longer than 10 days. Instructed not to use for marked fever (higher than 103.1 F), fever persisting longer than 3 days, or recurrent fever unless it is directed by prescriber. Warned that high doses or unsupervised long-term use can cause hepatic damage. Excessive ingestion of alcohol may increase the risk of hepatotoxicity. Breast-feeding women: acetaminophen appears in breast milk in low levels (less than 1% of dose). Drug may be used safely if therapy is short-term and does not exceed recommended doses.
Instructed in how to recognize signs and symptoms of low blood sugar such as fatigue, headache, drowsiness, tremors, pale, moist skin, hunger anxiety, impared vision, etc.
Instructed in foods low in cholesterol such as fish, fruits, vegetables, egg substitutes, poultry, lean meats, grains, etc.
Instructed patient about how the thyroid hormone helps regulate metabolism. When this hormone is abnormally low the energy production decreases, disrupting many vital functions.
Instructed patient on how to recognize S/S low blood sugar, such as, fatigue, headache, drowsiness, tremors, paleness, moist skin, hunger, anxiety, and impared vision.