catheter-teaching-guide
SN advised patient to report the development of a late skin rash with symptoms of fever, fatigue, and sore throat while on ampicillin therapy.
SN instructed patient that Ampicillin may cause diarrhea, nausea, vomiting, or rash.
SN advised patient on some serious adverse effects of gentamycin such as: neuromuscular blockade finding, ototoxicity, nephrotoxicity, respiratory tract paralysis, concomitant anesthesia, and muscle relaxants.
SN advised patient to report signs or symptoms or ototoxicity or nephrotoxicity during gentamycin therapy.
SN advised patient to maintain adequate fluid intake and avoid dehydration during gentamycin therapy as this may increase risk for toxicity.
Avoiding foods that are rich in fat/cholesterol. Choose only lean meat and avoid the fat. Eat more fish and poultry. Have baked/broiled red meats, fish or poultry instead of fried. Use low-fat or fat-free milk. Try fat-free or low fat cottage cheese or yogurt in place of cream and sour cream. Have steamed vegetables. Dress salads with lemon juice, fat free mayonnaise or fat free dressing.
The patient was instructed in ulcerative colitis (Crohn’s Disease, Inflammatory Bowel Disease in the need for perianal care daily and after each bowel movement. The patient was taught perianal and perianeal skin care. The patient was encouraged a diet is bland, low in residue, fiber, and fat, but high in protein, calories, carbohydrates, and vitamins. The patient was recommended to evade seasoned foods, raw fruits and vegetables, foods containing rough cereals, bran, seeds or nuts, milk, fatty or fried foods, caffeine, alcohol and carbonated beverages.
The patient was instructed urolithiasis (kidney stones, renal calculi) in the need to put on warm blankets or pads to the affected area. The patient was advised that a warm bath or shower may help to relax muscles. The patient was instructed to quantity and straining urine and recognizing sand elements. The patient was reviewed to monitor the urine for quantity, color, and smell. The patient was recommended to keep the drainage bag below the level of the kidney when up or lying down.
The patient was instructed in valve repair replacement in the need of good care of the incision site. The patient was advised in the stress of lifelong anticoagulant therapy to stop emboli and block of the valve. The patient was instructed in other methods for dealing with pain. The patient was recommended to evade heavy lifting (10 pounds), pushing, pulling, and exercises for 6 weeks. The patient was recommended to evade driving for the first 4 to 6 weeks. The patient was recommended to evade sitting or driving for extended times. The patient was recommended to evade abrupt position variations from sitting and standing.
The patient was instructed in venous thrombosis in amount and records the size of the affected extremity daily. The patient was taught in the good skin care, using mild soap, rinse well, and dry gently. The patient was instructed in the use of antiembolic stockings for ambulation and times of extended sitting. The patient was instructed to remove them every 8 hours to evaluate the leg and skin. The patient was recommended to use of the bed cradle. The patient was recommended to apply of warm packs to the affected extremity.