bleeding-precautions!
Instructed in new medication Aspirin to manage rheumatoid arthritis. In addition, warned of possible S/E such as tinnitus, hearing loss, nausea, GI distress, occult bleeding, dyspepsia, GI bleeding, leukopenia, hepatitis, rash, urticaria and others.
The patient was instructed in bone marrow suppression that will be more susceptible to infection, bleeding, and anemia. The patient was encouraged in the prevention of the infection by eating healthy meals, keep mouth, teeth and gums clean, avoid people who are sick. The patient was encouraged in the prevention of the bleeding avoiding physical activities that could cause injuries. The patient was encouraged in the prevention in the anemia by eating a high-protein diet, and multivitamin supplement with minerals.
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 gastrointestinal bleeding in how to observer stools for blood and show stool occult blood test. The patient was instructed the status of smoking termination and complete abstinence from alcohol. The patient was advised to evade coughing, sneezing, lifting, straining during defecation, or vomiting. The patient was reviewed whether medicines should be taken with food or require an empty stomach. The patient was advised to evade use of aspirin having medications like ibuprofen and other nonsteroidal anti-inflammatory medicines. The patient was taught to design a diet high in vitamin K. The patient was instructed to eat small, frequent meals, to chew food well, and to eat slowly. The patient was instructed to drink water with meals. The patient was taught with a list of irritating foods and drugs to evade like coffee, tea, caffeine, spicy foods, rough foods, citric acid juices, hot foods. The patient was advised to evade milk because it occasionally gives to increase gastric acid secretion.
The patient was instructed in hemophilia the necessity of good process in case of bleeding, applying cold compresses and tender direct compression to the place, raise the affected part. The patient was advised to defenses to stop bleeding, use an electric razor, evade constipation, and use a soft-bristled toothbrush. The patient was reviewed the importance of frequent valuation of joint function to permit rapid identification and conduct of hemophilic arthritis. The patient was recommended the essential to get regular dental care.
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.
Instructed ALF's staff in new medication Aspirin in addition, warned of possible side effects such as tinnitus, hearing loss, nausea, GI distress, occult bleeding, dyspepsia, GI bleeding, leukopenia, hepatitis, rash, urticaria and others.
SN advised patient should call your doctor immediately if you notice any of the following: unusual bleeding or bleeding that lasts a long time, unusual bruising, signs of thrombocytopenia (such as a rash or dark spots under the skin), tingling or numbness (especially in the lower limbs), and muscular weakness.
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.
SN instructed patient if PICC line accidentally comes out place a sterile gauze pad on the site and press firmly until the bleeding has stopped ( 2 o 5 minutes ), after the bleeding stops, apply antibiotic ointment and a bandage snugly, then call your nurse or doctor