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Instructed patient you may need to keep track of how much formula and other liquids you have each day. You may also need to keep track of how much you urinate and how many times you have a bowel movement each day. Bring this record to your follow-up visits.
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.
Instructed patient you may need to check your weight daily or weekly, Your healthcare provider may need to change your feeding if your weight changes too quickly. Instructed patient watched closely for any complications, such as an infection or bleeding.
instructed patient call nurse or doctor if your body changes: Nausea or vomiting that does not go away, constipation with no bowel movement for 3 days. Diarrhea of more than 6 loose stools a day, stomach becomes bloated or swollen and tight, a stomach residual more than the amount your doctor has set for you.
Instructed patient caregiver clean technique includes tracheostomy care: hand washing, using gloves is optional, re-using a trach tube and/or inner cannula that has been properly cleaned, using prepared sterile water and normal saline, re-using the same trach ties if they are properly cleaned, re-using suction catheters if they are properly cleaned ( up to 8 hrs or 3/per day )
Tracheostomy Care Instructed patient long term complications include acute airway obstruction, blocked tube, Infection localized to stoma or tracheo-bronchial
SN to instruct patient Call your doctor or nurse call line now or seek immediate medical care if: you have new or worse symptoms of a kidney infection. These may include: pain or burning when you urinate, a frequent need to urinate without being able to pass much urine, pain in the flank, which is just below the rib cage and above the waist on either side of the back, blood in the urine.
SN to instruct patient Keep the site covered when you shower. Tape a piece of clear adhesive plastic over the dressing to keep it dry while you shower. Do not take tub baths.
Instructed patient ensure that tube is kept straight and not bent to allow proper flow of urine. Also patient waterproof the dressing before shower and to change the urine drainage bag every 7 days.
Nephrostomy tube Instructed patient drink at least 1500mls - 2000mls (6 to 8 glasses of 250mls size) fluid everyday or as advised by the doctor.