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Instructed in new medication Augmentin to manage infection. In addition, warned of possible S/E such as nausea, vomiting, headache, dizziness, skin rash, blurred vision, confusion, anxiety, redness, etc.
Patient was instructed on measures for fire safety. Always sleep with the bedroom doors closed. This will keep deadly heat and smoke out of the bedroom, giving additional time to escape.
Taught that difficult or infrequent passage of hard, dry stool may constitute as a sign/symptom of constipation.
Taught that hypertension and congenital heart defects are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
The patient was advised the importance of preventing respiratory infections by evading persons with infections to prevent atelectasis. The patient was instructed in coughing and deep breathing techniques. The patient was advised to use an incentive spirometer and how often to use it.
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.
The patient was instructed in hemophilia the necessity of good process in case of bleeding, applying cold compresses and tender direct compression to the place, raise the affected part. The patient was advised to defenses to stop bleeding, use an electric razor, evade constipation, and use a soft-bristled toothbrush. The patient was reviewed the importance of frequent valuation of joint function to permit rapid identification and conduct of hemophilic arthritis. The patient was recommended the essential to get regular dental care.
Instructed about diet as a major factor that can affect the stability of your Coumadin level. Explained about Vitamin K and its importance for blood to clot and why it's important in patients taking Coumadin, because high amounts of Vitamin K (e.g.green and leafy vegetables like lettuce, spinach and broccoli)can work against the drug. Instructed patient to eat what he normally eats just as long as he's consistent with his vitamin K foods. Verbalized understanding.
Instructed patient / caregiver the arm with the PICC line must not be babied. Normal use, in fact increases blood circulation in that arm.
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)