catheter-teaching-guide
SN instructed about Morphine. This is can slow or stop your breathing, especially when you start using this medicine or whenever you dose is changed. Never take morphine in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain. Get emergency medical help if you have signs of an allergic reaction to morphine: hives; difficult breathing, swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: slow heart rate, sighing, weak or shallow breathing, chest pain, fast or pounding heartbeats, extreme drowsiness, feeling like you might pass out. Morphine is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated. Common morphine side effects may include: drowsiness, dizziness; constipation, stomach pain, nausea, vomiting, headache, tired feeling, anxiety or mild itching.
SN instructed patient on Colostomy Care.The patient should limit foods that may cause gas and odor: These include vegetables such as broccoli, cabbage and cauliflower. Beans, eggs and fish may also cause gas and odor. Eat slowly and do not use a straw to drink liquids. Yogurt, buttermilk and fresh parsley may help control odor and gas.
SN Instructed the patient about Colostomy Care and healthy eating. Healthy foods include: fruits, vegetables, whole - grain breads, low - fat dairy products, and lean meats. Do not eat foods that give you cramps or diarrhea.
SN instructed patient on Colostomy Care. You contact your healthcare provider if: You have a fever, you have a foul odor coming from your colostomy bag or stomach that lasts longer than a week, your skin around the stomach becomes red and irritated, you have nausea, vomiting, pain, cramping, or bloating, you do not have regular bowel movements through your stomach, the size of your stomach changes, you have questions or concerns about your condition.
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.
SN instructed patient about the risks of having a Jackson Pratt drain. The JP drain site may be painful. You may have trouble lying on the side with your JP drain. Your JP drain site may leak. The JP drain may be pulled out by accident. The tubing may get blocked, crack, or break. The tubing may damage your tissue. You may have a scar. The JP drain site may get infected. This infection could spread inside your body.
SN instructed patient about Jackson Pratt Care. Seek immediate help if : Your JP drain breaks or comes out. You have cloudy yellow or brown drainage from your JP drain site, or the drainage smells bad.
SN instructed patient about Jackson Pratt care. Call your caregiver if: You drain less than 30 milliliters ( 2 tablespoons ) in 24 hours. This may mean your drain can be removed. You suddenly stop draining fluid or think your JP drain is blocked. You have a fever higher than 101.5°F ( 38.6°C ).
SN instructed patient / caregiver regarding medication Diltiazem. Explained that Diltiazem is a calcium channel blocker that is used in the treatment of hypertension, angina pectoris, and some types of arrhythmia. Explained that the side effects of this medication includes stuffy nose, skin rash or itching, dizziness, headache, tired feeling, nausea or warmth, itching, redness, or tingly feeling under your skin. Instructed to notify Physician if experiencing persistence or worsening of medication side effects.
SN instructed patient / caregiver on Xanax / Alprazolam Which is a medication in the class of benzodiazepines. Explained that this medication is indicated in the management of anxiety and panic attacks and that it works by acting on the CNS to decrease anxiety. Explained to patient that the side effects include: dizziness, drowsiness, lethargy, headache, rashes, nausea, vomiting. Explained that abrupt discontinuation of this medication can cause withdrawal symptoms such as: sweating, nausea, vomiting, muscle cramps, tremors and seizures. Instructed patient to avoid ETOH, CNS depressants, and grapefruit juice while taking Xanax. Instructed to notify Physician if experiencing unrelieved anxiety or if experiencing persistence or worsening of medication side effects