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Teachings for Nurses & Patients

Tylenol Teaching 111

Instructed in new medication Tylenol to manage mild pain or fever. In addition, warned of possible S/E such as hemolytuc anemia, neutropenia, leukopenia, pancytopenia, liver damage, jaundice, hypoglycemia, rash and urticaria. Consult prescriber before giving drug to children younger than age 2. Tylenol is only for short-term use. Consult prescriber if it is given to children for longer than 5 days or adults for longer than 10 days. Instructed not to use for marked fever (higher than 103.1 F), fever persisting longer than 3 days, or recurrent fever unless it is directed by prescriber. Warned that high doses or unsupervised long-term use can cause hepatic damage. Excessive ingestion of alcohol may increase the risk of hepatotoxicity. Breast-feeding women: acetaminophen appears in breast milk in low levels (less than 1% of dose). Drug may be used safely if therapy is short-term and does not exceed recommended doses.

HTN-stroke Teaching 319

Instructed patient on how when blood presses against a vessel wall with too much force, muscles in the wall lose their stretch. This causes the wall to thicken, which narrows the vessel passage and reduces blood flow.

Respiratory infection Teaching 500

Patient was instructed on respiratory infection. After initial infection, the viral replication cycle begins within 8 to hours. To prevent infection, washing or disinfecting hands has been found effective, as this minimizes person-to-person transmission of the virus.

COPD Teaching 827

Instructed on the importance of reporting changes in sputum characteristics or cough pattern.

Miscellaneous Teaching 946

Instructed on the importance of undergoing medical check-ups on a regular basis as well as having both her blood pressure and blood sugar monitored daily.

Hypertension Teaching 1304

Taught that the diastolic reading (the bottom number) represents the pressure on the blood vessel wall while the heart is at rest.

PICC Line Teaching 1636

Instructed patient / caregiver the arm with the PICC line must not be babied. Normal use, in fact increases blood circulation in that arm.

Fall precautions Teaching 1717

Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Skid-proof mats or strips in the shower and bathtub, Removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet. Patient currently uses cane while ambulating and states that it helps her with her balance. Patient advised that side effects of most medications taking can cause dizziness and to report and dizziness so that it can be addressed by MD. Patient voiced understanding SN will continue to monitor.

Tracheostomy Teaching 1857

Instructed patient supplies that can be cleaned and disinfected for re-use: Trach tubes Trach swivel adapters Trach ties, Aerosol masks ,T-Pieces, Speaking valves, Nebulizers, Most hard plastic supplies. Cleaning your respiratory equipment: (Weekly),Cleaning and Disinfecting the Humidifier: (Daily)

Jackson Pratt care Teaching 2052

SN instructed patient about Jackson Pratt Care. Seek immediate help if : Your JP drain breaks or comes out. You have cloudy yellow or brown drainage 
from your JP drain site, or the drainage smells bad.