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Instructed in the importance of decreased fluid intake and emphasize the removal of accumulated fluids should be implemented when applicable and adherence to therapeutic diet to prevent cardiac overload. Tracking your fluid intake and following the fluid intake guidelines from your doctor will also help.
Instructed patient to call MD if vomits or diarrhea persist for more than 6 hours.
Taught that, in Rheumatoid Arthritis, the joints most affected are knees, hands and feet.
The patient was instructed in endocarditis that can lead to bacteremia and reinfection by poor oral hygiene, dental work, cleaning, gum treatment, extractions, gastrointestinal, genitourinary procedures, vaginal deliveries, furuncles, staphylococcal infections, surgical procedures. The patient was advised the need for antibiotic prophylaxis before a procedure that may cause bacteremia.
The patient was instructed in hip replacement to get self-help devices to limit hip bending, elevated toilet seat, bath seat, and long-handled grippers. The patient was reviewed to evade putting extra weight on the hip and should use a walker, then crutched and then a cane until totally recuperated. The patient was instructed the importance of joining in physical therapy to recover muscle strength and guarantee adequate upper extremity strength for ambulating with a walker, crutches, or cane. The patient was advised to limit activities to evade loosening or displacing the prosthesis.
SN observed bag technique and performed proper hand washing per CDC guideline before and after patient contact. Vital signs taken & recorded. Assessed all body systems with focus on urological status. SN educated patient/pcg that benign prostatic hyperplasia (BPH) is a condition where the prostate glands become enlarged which usually happens when a man ages. It may compress the urethra which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder leading to the need to urinate frequently during the day and night. Signs and symptoms of BPH include hesitant, interrupted, weak stream of urine, urgency and leaking or dribbling, more frequent urination, especially at night. Possible complications of BPH include urinary tract infection and complete blockage of urethra/ SN instructed patient/pcg for patient to increase fluid intake, drink 6-8 glasses of water to prevent the onset of urinary tract infection which is characterized by cloudy urine, fever, foul odor, pain in bladder area. SN instructed patient to report to SN or MD if any of these symptoms occurs and become bothersome or if pain persists go to the nearest hospital or ER.
Instructed patient/caregiver on general precautions while taking aspirin: take with food, milk, or large glass of water to decrease gastric symptoms. (Enteric coated or buffered may be better tolerated.); avoid alcohol due to possible internal bleeding; only take the recommended amount; use cautiously with Asthma; observe and report s/s of bleeding (easy bruising, bleeding gums, black stools); discard medications if vinegar odor is present; do not take antacids due to decreased effectiveness; avoid chewing or crushing enteric coated.
SN instructed patient about prednisone is a corticosteroid and prevents the release of substances in the body that cause inflammation. It also suppresses the immune system and can make you prone to infections. Long term use may lead to bone loss and you should increase calcium and Vitamin D in your diet. S/E include anxiety, mood changes, irritability, headache, fast heart rate, weight gain, appetite increase, decreased urine.
SN instructed on Morphine. This is used to treat moderate to severe pain. Short - acting formulations are taken as needed for pain. You should not take morphine if you have severe asthma or breathing problems, a blockage in your stomach or intestines, or a bowel obstruction called paralytic ileus. Morphine can slow or stop your breathing. Never use this medicine in larger amounts, or for longer than prescribed. Do not crush, break, or open an extended - release pill. Swallow it whole to avoid exposure to a potentially fatal dose. Morphine may be habit - forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Take morphine exactly as prescribed by your doctor. Follow all directions on your prescription label.
Sn instructed patient about Bystolic. This is a prescription medicine that belongs to a group of medicines called “beta blockers.” The most common side effects people taking Bystolic report are headache, fatigue ( tiredness ), dizziness ( if you feel dizzy, sit or lie down and tell your doctor right away ), diarrhea, nausea, insomnia ( difficulty falling or staying asleep ), chest pain, bradycardia ( slow heartbeat ), dyspnea ( shortness of breath ), rash, and peripheral edema ( leg swelling due to fluid retention ). Other possible side effects include masking ( hiding ) the symptoms of low blood sugar and hyperthyroidism ( overactive thyroid ), especially a fast heartbeat. Tell your doctor if you gain weight or have trouble breathing while taking Bystolic. Patient verbalized fair understanding .