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Tracheostomy Teaching 463

Instructed patient to begin assessing his tracheostomy by inspecting the stoma site, which is typically slightly larger than the tracheostomy tube.

Injection Teaching 732

Caregiver was instructed on injecting at the proper depth is an important part of good injection technique. Insulin be injected in the subcutaneous fat, which is the layer of fat just below the skin. If injected too deep, the insulin could go into muscle, where it's absorbed faster but might not last so long.

Hyperglycemia Teaching 756

Patient was instructed on Hyperglycemia. If the body doesn't produce enough insulin (which occurs in people with type 1 diabetes and a few people with type 2 diabetes), blood sugar levels may rise. This may cause high blood sugar in the morning before the person eats.

Hyperglycemia Teaching 757

Patient was instructed on Hyperglycemia. When the blood sugar level rises abovemg/dL, the kidneys will eliminate some of the extra sugar through the urine. Along with sugar, the kidneys release large amounts of fluid, which causes increased urination. If the blood sugar level continues to rise and patient hasn

Hypoglycemia Teaching 764

Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes, which include: Spontaneous reactive hypoglycemia. Symptoms of hypoglycemia within 1 to 2 hours after a meal in people who have not had stomach surgery is called spontaneous reactive hypoglycemia. It also is sometimes called functional or idiopathic hypoglycemia. In many cases, it is difficult to verify that the symptoms are caused by low blood sugar.

Hypoglycemia Teaching 774

Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes, which include: Alimentary hypoglycemia. Hypoglycemia within 1 to 2 hours after a meal sometimes occurs when stomach contents empty into the intestines too rapidly. This causes the rapid absorption of glucose into the blood and an overproduction of insulin (hyperinsulinism) in response. This problem may develop after surgery for peptic ulcers, obesity, or other stomach problems.

Hypoglycemia Teaching 778

Patient was instructed on how to avoid hypoglycemia. Choose high fiber, low sugar bedtime snacks such as two graham crackers with 1/2 cup skim milk. Avoid eating excessive amounts of high sugar foods, which will make the blood sugar spike then plummets. When the blood sugar falls after a sugar high it tends to drop dramatically low.

Diabetes Teaching 801

Patient was instructed on diabetes. Diabetes mellitus, often simply called diabetes, is a common disorder in which the body cannot properly use the carbohydrates (starches and simple sugars), fats and proteins in foods.

Diabetes Teaching 802

Patient was instructed on diabetes. All body cells require glucose for energy. Glucose enters body cells with the help of a hormone called insulin, which acts somewhat like a gatekeeper. If the body becomes less responsive to insulin, or if the body is not producing insulin, glucose cannot pass through the cell wall and the cell "starves."

Hypoglycemia Teaching 806

Patient was instructed on hypoglycemia. When blood sugar drops too low, the level of insulin declines and other cells in the pancreas release glucagon, which causes the liver to turn stored glycogen back into glucose and release it into the blood. This brings blood sugar levels back up to normal.