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Instructed in the importance of decreased fluid intake and emphasize the removal of accumulated fluids should be implemented when applicable and adherence to therapeutic diet to prevent cardiac overload. Tracking your fluid intake and following the fluid intake guidelines from your doctor will also help.
Instructed about good lighting is essential to prevent accidental falls.
Patient was instructed on fluid retention. Fluid retention leaks into body tissues from the blood. The lymphatic system is a network of tubes throughout the body that drains this fluid from tissues and empties it back into the bloodstream.
Taught that constipation, accompanied by excessive straining, may constitute as a precipitating factor of Angina Pectoris.
The patient was instructed in dysrhythmia arrhythmia the importance of not smoking or using tobacco products. The patient was taught how to take the pulse for a full minute. The patient was advised the importance of leading a normal, productive life. The patient was instructed to understand what precautions to take at work and at home. The patient was advised the need to identify a health care facility near home and work.
The patient was instructed in pleural effusion to evade persons with infections. The patient was taught in coughing and deep breathing to maintain lung ventilation. The patient was advised to use of the incentive spirometer.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, this medication is used to treat CHF, tachy arrhythmias, atrial fibrillation and atrial flutter (slows ventricular rate).
Patient instructed to restrict vigorous activity or lifting heavy objects for a week or two. The incision site is usually completely healed after two or three weeks. During this initial period you should watch for signs of bleeding or infection, such as swelling, increased redness or worsening pain, and let your doctor know if any of these signs occur. You will need to have your pacemaker checked periodically to see whether it is functioning normally and to make sure its battery has plenty of energy. Usually, these pacemaker checks are done by telephone every month or two (using a special device your doctor will give you for telephone follow-up), and by visits to your doctor's office once or twice a year.
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 in possible complication of PVD such as ulcers, cellulites, gangrene, thrombophlebitis, etc. SN instructed patient to walk for at least 15 minutes three to four times per day, gradually increasing her pace and duration of exercise. It is recommended not to cross the legs, which may interfere with blood flow; manage swelling by elevating the feet at rest. Vasodilation can be achieved by providing warmth to the affected extremity and preventing long periods of exposure to cold; maintain a warm environment at home and wear socks or insulated shoes at all times. Never apply direct heat to the limbs, such as with the use of a heating pad or extremely hot water to reduce the risk of burns. Verbalized understanding.