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Patient was instructed on pain management. Pain is an unpleasant sensation that is caused by actual or perceived injury to body tissues and produces physical and emotional reactions.
SN instructed patient and caregiver that Plavix is used to prevent heart attacks and strokes in persons with heart disease. Avoid alcohol as very serious interactions can occur. To take this medication regularly with or without food. Patient and caregiver verbalized understanding.
Taught that, when taking Levothyroxine, if a dose is missed, it should be taken as soon as possible.
SN advised patient and caregiver to report any signs and symptoms of ototoxicity or nephrotoxicity. Caregiver verbalizzed understanding of instructions given.
Patient was instructed in a list measures to meet diet requirements to avoid constipation such as: increase fiber foods (grains, vegetables, legumes) and increase sugar free liquids, avoid prolonged sitting or bed to promote bowel movement, also take medication as order, Docusate Ca 240 mg 1 tab PO PRN for constipation
Instructed patient / caregiver for minimizing problems associated with PICC lines, guidelines include: Always wash hands before touching the PICC line, do not allow any sharp objects near the line, do not clean the skin near the line with any acetone containing cleanser.
Instructed caregiver although the formula has water in it, patient may need extra water to keep from getting dehydrated. Patient may need more water when sweating, such as during hot weather or if you have a fever. Patient may also need more water if you have diarrhea or if you are vomiting.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
Instructed patient about external fistulas cause discharge through the skin. They are accompanied by other symptoms, including: abdominal pain, painful bowel obstruction, fever, elevated white blood cell count. Prevent skin maceration and breakdown from corrosive effluent and wound infection. Patient comfort, accurate measurement of effluents, patient mobility protect skin from damage from effluent, containment of effluent, odor control.
Instructed patient when should I call my clinician when on V.A.C. Therapy: immediately report to your clinician if you have any of these symptoms: fever over 102°, diarrhea, headache, sore throat, confusion, sick to your stomach or throwing up, dizziness or feel faint when you stand up, redness around the wound, skin itches or rash present, wound is sore, red or swollen, pus or bad smell from the wound, area in or around wound feels very warm.