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Instructed in S/E of oxygen therapy such as respiratory depression, collapse lung, irritation of airway mucosa, oxygen toxicity, local skin irritation.
Instructed patient on the proper disposal of sharps. They will be disposed off in the container provided.
Patient was instructed on hypertension. Untreated hypertension can damage blood vessels, and after a blood vessel is damaged, fat and calcium can easily build up along the artery wall, forming a plaque and the blood flow through the blood vessel will be reduced.
Patient was instructed on Hyperglycemia. Drink plenty of liquids. If the blood sugar levels are above the target range, drink extra liquids to replace the fluids lost through the urine. Waters and diet drinks are best. Avoid caffeinated drinks, alcohol, and soda pop and other liquids that contain a lot of sugar.
Taught the patient using heart models or diagrams the location of the aortic insufficiency and show the affected valve. Encouraged the patient the importance of avoiding strenuous activities. Advised the patient for frequent rest periods and avoid fatigue.
The patient was instructed in craniotomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
The patient was instructed in hysterectomy radical to care for the incision with general hygiene and daily bathing. The patient was advised to evade constipation by taking mild laxatives and stool softeners. The patient was taught to care of the suprapubic catheter. The patient was reviewed that no interaction tampons, douching, or tub baths. The patient was explained that menstruation will no longer happen.
The patient was instructed urolithiasis (kidney stones, renal calculi) in the need to put on warm blankets or pads to the affected area. The patient was advised that a warm bath or shower may help to relax muscles. The patient was instructed to quantity and straining urine and recognizing sand elements. The patient was reviewed to monitor the urine for quantity, color, and smell. The patient was recommended to keep the drainage bag below the level of the kidney when up or lying down.
SN instructed patient on low salt diet. SN instructed patient on how to read nutritional labels on commercially prepared foods. Other salt alternatives such as Mrs. Dash was encouraged. SN explained how sodium affects blood pressure and water retention.
Instructed patient measure your stoma once a week for the first 6 to 8 weeks after your ostomy surgery. Your stoma shrinks while it is healing and you need to keep measuring so you can make sure that the opening in the skin barrier is the right size for your stoma. Remeasure your stoma if any irritation develops between the stoma and skin barrier wafer.