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PICC Line Teaching 1567

Instructed patient assess PICC line site, line note any leakage from catheter or around the site. 
Note any redness, drainage or pain at the site.

Coumadin Teaching 1568

Instructed about diet as a major factor that can affect the stability of your Coumadin level. Explained about Vitamin K and its importance for blood to clot and why it's important in patients taking Coumadin, because high amounts of Vitamin K (e.g.green and leafy vegetables like lettuce, spinach and broccoli)can work against the drug. Instructed patient to eat what he normally eats just as long as he's consistent with his vitamin K foods. Verbalized understanding.

Wound Care Teaching 1569

Instructed caregiver reduce friction by making sure when lifting a patient in bed that they are 
lifted, not dragged during repositioning, prevent ulcers from occurring and can also help them from 
 getting worse .

Pacemaker Teaching 1573

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.

Bicalutamide (Casodex) Teaching 1575

Instructed patient in new medication side effects ; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.

Teaching 1577

Patient instructed to take Benadril exactly as directed on the package or as directed by your doctor, Take each dose with a full glass of water can be taken with or without food.

Teaching 1578

Patient was instructed that Diabetes Mellitus is a Syndrome in which insulin production is decreased or absent. Lack of insulin leads to elevated blood sugars.

Diabetes Teaching 1579

SN instructed patient on diabetic diet:it is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrates (carbs) for that meal or snack is consistent.Many research studies have shown that meals which contain sugar do not make the blood sugar rise higher than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carbs, the blood sugar levels will go up.

Teaching 1580

Patient was instructed that Diabetes Mellitus is a Syndrome in which insulin production is decreased or absent. Lack of insulin leads to elevated blood sugar levels.

Nausea Teaching 1581

Instructed Caregiver A.L.F's staff give a patient the new medication with a full glass of water unless your doctor directs you otherwise. Do not lie down for at least 10 minutes after taking this medication Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may result in a return of the infection. Some side effects may occur such as Nausea, vomiting, or diarrhea If any of these effects persist or worsen, tell your doctor, Rn, or pharmacist promptly