catheter-teaching-guide
Skilled Nursing visited PT, PT alert and oriented x 3 PERRL. SN assessed PT head to toe , Vital signs taken and recorded using universal precaution standard . Lungs Bilateral even , unlabored respiration, abdomen soft non distended, skin warm and dry to touch , no distress and complications noted at this time. Osteoarthritis can occur in any joint. It occurs most often in the hands, knees, hips, and spine. Warning signs are: Stiffness in a joint after getting out of bed or sitting for a long time. Swelling or tenderness in one or more joints. A crunching feeling or the sound of bone rubbing on bone. Taught that eating well-balanced meals and avoiding.Taught that avoiding excess sugar intake and avoiding excess salt intake are measures aimed to preventing/controlling Osteoarthritis.Taught that using assistive and/or protective devices, as needed, is a measure aimed to preventing/controlling Osteoarthritis.
Patient and CG instructed on Pravastatin. Pravastatin is used to lower cholesterol and triglycerides (types of fat) in the blood. Pravastatin is also used to lower the risk of stroke, heart attack, and other heart complications in people with or without coronary heart disease or other risk factors. Pravastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. This condition may be more likely to occur in older adults and in people who have kidney disease or poorly controlled hypothyroidism (underactive thyroid). Get emergency medical help if you have signs of an allergic reaction to pravastatin: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. In rare cases, pravastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Stop using and call your doctor at once if you have:unexplained muscle pain, tenderness, or weakness; fever, unusual tiredness; dark colored urine; chest pain; upper stomach pain, loss of appetite; or jaundice (yellowing of the skin or eyes). Common pravastatin side effects may include: muscle or joint pain; nausea, vomiting, diarrhea; headache; or cold symptoms such as stuffy nose, sneezing, sore throat.
SN instructed patient about the drug lisinopril is a drug of the angiotensin-converting enzyme inhibitor class used primarily in treatment of hypertension ACE is important because it is an enzyme responsible for producing the chemical, angiotensin II. Angiotensin II causes muscles in most arteries, including the arteries of the heart, to contract, thereby narrowing the arteries and elevating blood pressure. ACE inhibitors such as lisinopril lower blood pressure by reducing the production of angiotensin II, thereby relaxing arterial muscle and enlarging arteries. When the blood pressure is lower, the heart - including the failing heart - does not have to work as hard to pump blood. The arteries supplying the heart with blood also enlarge during treatment with ACE inhibitors. This increases the flow of blood and oxygen to the heart, further improving the ability of the heart to pump bloodSide effects include: dizziness due to a drop in blood pressure, trouble breathing, blistering, peeling, red skin rash, confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips, dark urine or pale stools. Pt verbalized understanding.
Instructed patient keep the skin around your PEG tube dry. This will help prevent skin irritation and infection.
Instructed patient to check for redness and swelling in the area where the tube goes into your body. Check for fluid draining from your stoma (the hole where the tube was put in).
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 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 patent / CG wash skin around the tube with soap and warm water. Clean around G-tube to remove any drainage and / or crusting. Rinse soap off with clear water. Dry skin thoroughly. Keep this site clean and dry.
Instructed patient check for redness, swelling, any drainage or excess skin growing around the tube. A small amount of clear tan drainage can be normal. Call your care team with any concerns. Instructed patient remove old dressing (if dressing is being used). Look at the area where the tube enters the skin