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Instructed in management and control such as diet as prescribed by MD, adequate hydration 1000-2000cc 24 hours if not contraindicated, importance of high protein (meat, legumes, eggs, daily), iron and vitamin supplements if indicated.
Instructed in possible effects of a stroke such as paralysis or weakness on one side of the body, difficulty with speech and language, urine and fecal incontinence, visual deficits, emotional lability.
Instructed in S/S of hyperglycemia, such as excessive urination, thirst, nausea, vomiting, abdominal pain, or cramping, weak-tired feeling, drowsiness, deep-rapid breathing, or fruity breath. If these S/S occur client S/O instructed to notify MD.
Instructed patient to use moderation when eating foods that are high in sugar to prevent glucose levels from raising.
Instructed on some signs/symptoms of Rheumatoid Arthritis, such as: loss of appetite and low-grade fever, among others.
Instructed on the importance, when having Congestive Heart Failure (CHF), of reporting immediately signs/symptoms, such as: increased shortness of breath and edema (fluid retention), among others.
SN advised patient and caregiver to report any signs and symptoms of ototoxicity or nephrotoxicity. Caregiver verbalizzed understanding of instructions given.
Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: follow-up visits with your doctor are very important for management of your medications. You will require blood tests periodically if you are on blood thinners to ensure the dose you are taking is safe.
SN instructed patient about urinary infection's Diet. The use of cranberry products seems to decrease the ability of bacteria to adhere to the lining of the urethra and bladder. As cranberry juice can have a high amount of sugar, cranberry extract can be taken in capsule or pill form instead. Increasing water intake by one or two glasses per day may help limit the length of time that you have symptoms and reduce the infections.
SN instructed patient / caregiver regarding medication Diovan. Explained that diovan is used to treat high blood pressure ( hypertension ) and heart failure. Explained that the high blood pressure reduction helps prevent strokes, heart attacks, and kidney problems and that this drug works by blocking the hormone angiotensin thereby relaxing blood vessels, causing them to widen. SN explained to patient / caregiver that side effects of this medication includes dizziness, lightheadedness, tiredness, or blurred vision as your body adjusts to the medication. SN instructed that if any of these effects persist or worsen, to notify doctor immediately.