insulin injection
Instructed patient about proper subcutaneous injection technique using asepsis.
Instructed patient about the importance of site rotation at the time of the subcutaneous injection.
Caregiver was instructed that blood sugar may be check at different times of the day to get an idea of how well your treatment program is working for you. Typical times to check are before breakfast, before lunch, before dinner, and before bedtime. Sometimes it is helpful to check blood glucose one or two hours after a meal to see the effect of food on your glucose levels. There are certain times when should check the blood sugar more often than usual: During periods of illness or stress, when is suspect that blood glucose is low or high. When there are changes made in the treatment program - such as a change in medication doses, meal plan or activity, when taking new medications.
Caregiver was instructed that most people pinch up a fold of skin and insert the needle at aangle to the skin fold. To pinch the skin properly, follow these steps: Squeeze a couple of inches of skin between the thumb and two fingers, pulling the skin and fat away from the underlying muscle. (If use a 5 millimeter mini-pen needle to inject, you don't have to pinch up the skin when injecting at aangle; with this shorter needle, you don't have to worry about injecting into muscle.)" Insert the needle, Hold the pinch so the needle doesn't go into the muscle, Push the plunger, "release the grip on the skin fold. Remove the needle from the skin.
SN explained to patient that Lovenox has to be administer by deep subcutaneous injection with patient lying down.
SN advised patient on proper position to adminsiter Lovenox (lie down during injection). Patient verbalized understanding of instructions given.
Instructed in Vitamin B12, ordered to manage polyneuropathy, and in S/E, such as, pain in site of injection, burning, etc.
The patience was advised the effect stress can have on hormone levels. Instructed patient how to administer a hydrocortisone (IM) injection in case of adrenal crisis. Encouraged other methods of dealing with stressful events (relaxation techniques, diversional activities.
Patient instructed LOVENOX®, like all medications, may have side effects. The most common include
mild reactions or irritation, pain, bruising, and redness of the skin where you have the injection.
The patient was instructed in hepatitis viral to wash hands meticulously after toileting. The families of the patient were reviewed to wear gloves if interaction with feces. The patient was instructed not to make food for others during the symptomatic time of the illness. The patient was recommended not to share stuffs, like eating utensils, razors, toothbrushes, toys, needles. The patient was advised to use an electric razor and soft-bristled toothbrush to help prevent bleeding. The families of the patient were reviewed for injection of gamma globulin. The patient was taught to exercise blood and body fluid protections until is free of the disease. The patient was advised to handle scratches and slashes carefully. The patient was encouraged to provide separate bed and bathroom. The patient was advised to evade using alkaline soaps and to use mild soaps. The patient was advised to save the skin moist with soothing ointments.