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Instructed in accurate preparation of insulin syringes using aseptics techniques.
Instructed patient on the reason why patients with an internal pacemaker must avoid extraneous activities.
Instructed patient about S/S of hypertension such as: blurred vision, nose bleeds, dizziness, headache, palpitations.
Instructed on the importance of avoiding all respiratory irritants, such as: smoke, dust and air pollution, among others.
Taught that a cerebrovascular accident is a loss of brain function resulting from a disruption of blood flow to part of the brain.
Instructed on the importance of avoiding/decreasing sodium intake in order to decrease retention of fluid and the workload of the heart.
The patient was instructed in coronary artery disease the importance of no smoking or using tobacco products, the effect nicotine has on the cardiac system causing the heart to work faster, constricting blood vessels, and decreasing the amount of oxygen delivered to the heart, and in the presence of coronary artery disease, increasing the probability of chest pain. The patient was advised that the role that stress plays in aggravating coronary artery disease. The patient was recommended the benefits of exercise, increase in high-density lipoproteins, which lowers blood pressure, weight loss, improved cardiovascular status.
The patient was instructed in craniectomy 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.
SN instructed patient about oxygen use precautions: Oxygen is a safe gas as long as it is used properly. Do not store your oxygen system near any heat sources or open flames. Do not smoke or allow others to smoke in the same room as your oxygen system, sparks from a cigarette could cause facial burns. Post “No Smoking” signs in the room where your oxygen is kept.
Instructed patient flush PICC line after and before the procedure, resistance to flushing may indicate partial or complete catheter occlusion. Do not proceed with power injection study until occlusion has been cleared.