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Instructed in new medication Bactroban to manage wound care. In addition, warned of possible S/E such as headache, rhinitis, pharyngitis, burning or stinging with intranasal use, taste perversion, upper respiratory tract congestion, cough with intranasal use, burning pruritis, stinging, rash, pain, and erythema with topical use. Instructed to notify prescriber immediately if no improvement occurs in 3 to 5 days or if condition worsens. Advised not to use other nasal products with Bactroban. Warned patient about local adverse reactions related to drug use. Advised not to use cosmetics or other skin products on treated area.
Instructed patient to take blood pressure at the same time everyday and also report elevated S/P levels.
Patient was instructed about the swine flu. Swine Influenza (swine flu) is a respiratory disease of pigs caused by type A influenza viruses that causes regular outbreaks in pigs. People do not normally get swine flu, but human infections can and do happen. Swine flu viruses have been reported to spread from person-to-person.
Patient was instructed on fluid retention
Instructed on some measures aimed to controlling/managing depression, such as: allow time for responses and encourage patient to make decisions, among others.
Instructed patient Don't allow a humidifier to empty.
The patient was instructed in valve repair replacement in the need of good care of the incision site. The patient was advised in the stress of lifelong anticoagulant therapy to stop emboli and block of the valve. The patient was instructed in other methods for dealing with pain. The patient was recommended to evade heavy lifting (10 pounds), pushing, pulling, and exercises for 6 weeks. The patient was recommended to evade driving for the first 4 to 6 weeks. The patient was recommended to evade sitting or driving for extended times. The patient was recommended to evade abrupt position variations from sitting and standing.
Instructed patient training for patients and their caregivers who will be using the device at home should include how to: Recognize signs and symptoms of complications, such as redness, warmth, and pain associated with possible infection Contact appropriate healthcare providers, especially in emergency situations, respond to emergency situations; for instance, if bright red blood is seen in the tubing or canister, to immediately stop NPWT, apply direct manual pressure to the dressing, and activate emergency medical services.
Instructed patient sterile technique includes: Hand washing, Wearing sterile gloves. Using a new trach tube, inner cannula, and trach tie. Using sterile water (new bottle or bag every 24 hours). Discarding suction catheters after each use.
The patient was instructed to return to the emergency department if: your JP drain breaks or comes out. You have cloudy yellow or brown drainage from your JP drain site, or the drainage smells bad.