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Instructed in S/S of possible complication due to Foley Catheter removed such as bleeding, fever, urine sediment, bladder distention, pain, burning, etc. Instructed to report any of these S/S.
Instructed patient on how the most effective way to prevent infections is by frequent hand washing. That is the first line of defense that our body has. Hands may spread hundreds of microorganisms to our clothes, meals, environment or skin.
Patient was instructed on hypoglycemia. Normally, blood glucose levels increase slightly after you eat a meal. When blood sugar rises, cells in the pancreas release insulin, causing the body to absorb glucose from the blood and lowering the blood sugar level to normal.
Instructed on some measures aimed to controlling/managing Coronary Artery Disease (CAD), such as: avoid/decrease intake of foods and drinks containing caffeine, among others.
The patient was advised to avoid lifting/stooping in order to decrease back pain. The patient was encouraged to avoid or stop smoking (nicotine decreases diskal circulation).
One of these complications is infiltration, or fluid leaks into the tissue surrounding the vein. This may be accompanied by swelling, burning, and discomfort. Extravasation occurs when a vesicant drug, such as those used in chemotherapy, leaks into the surrounding tissue, with similar signs and symptoms to infiltration. In this case, however, the vesicant may destroy the surrounding tissue making it extremely important to catch and treat this early.
Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.
SN instructed that Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. SN instructed that common side effects include dizziness, lightheadedness, headache, or blurred vision may occur as your body adjusts to the medication.
SN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain, numbness or severe weakness, change in vision or difficulty speaking. Patient and caregiver were advised to seek immediately medical assistance and/or call 9-1-1 if any of these signs or symptoms appear. Patient and caregiver verbalized understanding. Family is independent with hypertension process.
SN instructed patient about Jackson Pratt care. The JP drain removes fluids by creating suction in the tube. The bulb is squeezed flat and connected to the tube that sticks out of your body. The bulb expands as it fills with fluid. SN instructed patient use soap and water or saline ( saltwater ) solution to clean your JP drain site. Dip a cotton swab or gauze pad in the solution and gently clean your skin.