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Instructed to follow therapeutic diet, including adequate fluid intake to ensure proper nutrition and hydration.
Instructed patient about foods that can be used freely, such as tea or decaffeinated coffee, lime juice, spices, sour or dill pickles, raw vegetables, sugar free soft drinks, sugarless gum and others.
Instructed patient to cut the toenails straight across and file the edges, don't rip off hangnails.
Taught that setting realistic goals and balancing work with rest are measures aimed to preventing/controlling Osteoarthritis.
Advise patient to never share insulin pens or cartridges, sharing needles or pens can result in transmission of hepatitis viruses, HIV, or other blood-borne pathogens.
Skilled nurse assess patient for S/S of complication related to diagnostic. Instructed caregiver about your Foley catheter daily Care: Keep the skin and catheter clean. Clean the skin around your catheter at least once each day. Clean the skin area and catheter after every bowel movement. Call the patient MD if: you cannot get the catheter to drain urine into the bag, the catheter comes out or it is leaking, the urine is thick and cloudy. Your urine has mucus, red specks, or blood in it. Urine with blood in it may appear pink or red. the urine has a strong (bad) smell, No urine has drained from the catheter in 6 to 8 hours, have pain or burning in your urethra, bladder, abdomen, or lower back, have shaking chills or your temperature is over 101° F (38.3° C).
Empty your pouch when one-third to one-half full. Change your skin barrier every 3-7 days. You should not experience frequent leakage of your pouch seal. If you do, consult a WOC Nurse. Usually soap is not needed to clean the peristomal skin. If you use soap, make sure it does not contain any oils or lotions that can interfere with adhesives. Always rinse your skin and dry completely before you adhere the new pouch. After you apply your skin barrier, hold it in place against your skin for about one minute. This will help to activate the adhesive. You can shower, bathe, or swim with your ostomy after you are cleared by your physician. If you are using a bedside collection bag, clean it daily with a recommended solution to help minimize odor, crystal formation, and bacteria.
SN instructed patient about Glimepiride is an oral blood sugar-lowering drug in a class of medicines for controlling diabetes. Glimepiride lowers the sugar level in the blood by stimulating insulin to be secreted from the pancreas into the blood. Nausea and upset stomach may occur.
Instructed patient a secure, clean and intact dressing is essential to prevent catheter migration and infection. Never pull on the catheter. Protect the lumen so they do not inadvertently get caught or tugged on. Call your nurse right away if you have any of the following: Pain in your shoulder, chest, back, arm, or leg, fever of 100.4°F or higher, chills.
Instructed patient Clean technique includes: Hand washing, Using gloves is optional. Re-using a trach tube and/or inner cannula that has been properly cleaned, Using prepared sterile water and normal saline. Re-using the same trach ties if they are properly cleaned. Re-using suction catheters if they are properly cleaned(up to 8 hrs or 3/per day)