SN used hand cleaner, donned gloves. Drainage bag from old catheter has clear yellow with sediments urine. SN donned sterile gloves, cleaned the perineum around the urinary meatus with chlorhexidine swabs. Flush Foley with 50 cc NS and immediately drained clear yellow urine. Then connected Foley to new drainage bag, then statlock placed on right thigh to secure catheter. Adult diaper put on patient. All items used for procedure disposed of in plastic bag, tied shut and put in household trash.
Instructed patient To care for your skin:Wash your skin with warm water and dry it well before you attach the pouch. Avoid skin care products that contain alcohol. These can make your skin too dry.
Instructed patient caregiver that It is normal to feel some pain and discomfort for about a week after the tracheostomy procedure. If you have difficulty breathing and it is not relieved by your usual method of clearing secretions. when secretions become thick, if crusting occurs or mucus plugs are present. Your physician may recommend increasing.
SN instructed patient High blood pressure often has no warning signs or symptoms, so many people don’t realize they have it. Some symptoms may include headache, blurred vision, nervousness, sweating, difficulty sleeping or facial flushing. Even with no symptoms, hypertension needs ongoing treatment to protect the heart, kidneys and other organs from further damage.
SN instructed patient What can you do to control blood pressure? To minimize the risk of hypertension, control sodium, potassium, and other essential electrolytes the body uses to maintain fluid balance. The recommendation for patients with kidney disease: limit sodium intake to no more than 1,500 mg per day. Most sodium in today’s diet comes from processed foods and restaurants foods. Unhealthy lifestyles choices, such as smoking tobacco, obesity, and excessive alcohol consumption, may also contribute to hypertension.
Instructed patient always clean your hands before and after you come in contact with any part of the PICC line. Your caregivers, family members, and any visitors should use good hand hygiene, too. Instructed patient keep the PICC dry. The catheter and dressing must stay dry.
Instructed patient when showering, cover the area with plastic wrap or another cover as recommended by your healthcare provider. And keep the area out of the water spray. If the dressing does get wet, change it only if you have been shown how. Otherwise, call your healthcare team right away for help.
Instructed patient avoid damage. Don’t use any sharp or pointy objects around the catheter. This includes scissors, pins, knives, razors, or anything else that could puncture or cut it. Also, don’t let anything pull or rub on the catheter, such as clothing
Instructed patient watch for signs of problems. Pay attention to how much of the catheter sticks out from your skin. If this changes at all, let your healthcare provider know. Also watch for cracks, leaks, or other damage. And if the dressing becomes dirty, loose, or wet, change it (if you have been instructed to) or call your healthcare team right away.
You may need to check your weight daily or weekly. Keep a record of your weights and bring it to your follow-up visits. Your healthcare provider may need to change your feedings if your weight changes too quickly.