bleeding-precautions!
Procedures
Instructed patient on hip precautions after a hip replacement. Hip precautions are various maneuvers a patient who has undergone a hip replacement needs to avoid. Hip precautions include: Do not cross your legs, do not bend our legs up beyond 90 degrees, do not sit on sofas or in low chairs, do not sleep on your side.
The patient was instructed in bone marrow transplantation in preventing complications like infection, bleeding, and stomatitis. The patient was advised to prevent infections in to wear mask when outside the in public, avoid contact with persons who may be infectious, avoid crowds, grocery stores, theaters, etc. The patient was taught in measures to prevent bleeding maintaining a safe environment, avoid using sharp objects etc. The patient was encouraged in prevent stomatitis maintaining a routine oral hygiene in the morning, after meals and at bedtime, avoid patient to use mouthwash containing alcohol.
The patient was instructed in thrombolytic therapy in the need that bed rest will be continued during the process and for 12 hours after an intracoronary infusion. The patient was advised that common blood sampling will be done to monitor coagulation times and that signs and symptoms of successful myocardial reperfusion, coronary reocclusion and bleeding will be checking. The patient was reviewed that signs of bleeding below the skin are probable and will clear with time.
Skilled nurse remove PICC,line per doctor order, the catheter tip should also be examined and there is no breakage at the end, no S/S of infections noted. Skilled nurse applied at the insertion site with sterile gauze to prevent bleeding which and when the bleeding stops, the gauze is removed and a sterile dressing is applied. Instructed patient the dressing should remain for approximately 24 hours. After this time, the site should be assessed and a new dressing applied if needed. Patient understand the instructions given.
The patient was instructed in carpal tunnel release on care of the hands and dressings, to keep the arm and hand elevated above heart level to reduce swelling and healing. The patient was reviewed to check the dressing daily for signs of bleeding or drainage, when bathing are permitted the patient should be shower with the dressing covered by a plastic bag. The patient was recommended to follow prescribed exercises to maintain circulation and improve range of motion such as sponge squeezing.
The patient was instructed in percutaneous transluminal coronary angioplasty (PTCA), intracoronaru stenting that a band-aid over the wound site may be changed and may not be needed after a day or two. The patient was taught that if bleeding does occur at the groin site compression should be applied immediately.
Patient instructed to restrict vigorous activity or lifting heavy objects for a week or two. The incision site is usually completely healed after two or three weeks. During this initial period you should watch for signs of bleeding or infection, such as swelling, increased redness or worsening pain, and let your doctor know if any of these signs occur. You will need to have your pacemaker checked periodically to see whether it is functioning normally and to make sure its battery has plenty of energy. Usually, these pacemaker checks are done by telephone every month or two (using a special device your doctor will give you for telephone follow-up), and by visits to your doctor's office once or twice a year.
Patient with biliary catheter SN instructed patient when to call the doctor or go to emergency: Active bleeding at the drain site that does not stop after you put finger, pressure on it, more pain or swelling at or around the drain site, your temperature is greater than 101 degrees fahrenheit, with or without chills
Instructed patient / caregiver if the catheter breaks, whether bleeding does or does not occur, do not panic. Using sterile gauze, apply sufficient pressure at the site so it is tightly and well covered and immediately report this to the physician. Maintain pressure on the site at all times.
Instructed patient / caregiver that if the catheter breaks, whether bleeding does or does not occur, do not panic. Using sterile gauze, apply sufficient pressure at the site so it is tightly and well covered and immediately report this to the physician. Maintain pressure on the site at all times.