blood
Instructed patient about Midline activities to avoid do not lift heavy items or do very hard
exercise, such as shoveling. Do not use sharp objects near the catheter to avoid cutting or damaging it. Remind caregivers
not to check your blood pressure or give needles in the arm where the catheter is placed.
Instructed patient catheters that present resistance to flushing and aspiration may be partially or completely occluded. Do not flush against resistance. If the lumen will neither flush nor aspirate and it has been determined that the catheter is occluded with blood, a declotting procedure per nurse may be appropriate.
Instructed patient training for patients and their caregivers who
will be using the device at home should include how to: Recognize signs and symptoms of complications, such as redness,
warmth, and pain associated with possible infection Contact appropriate healthcare providers, especially in emergency
situations, respond to emergency situations; for instance, if bright red blood is seen in the tubing or canister, to immediately stop NPWT, apply direct manual pressure to the dressing, and activate emergency medical services.
Skilled nurse flush blader catheter and performed urostomy care was done. Instructed patient When should I contact your caregiver? You have a fever, You have blood in your urine, and your urine has a strong odor, your incision wound or stoma is red or swollen, or you have a rash.
Instructed patient watch for these problems: a hole in the skin where the IV is -- medicine or fluid can go into the tissue around the vein. This could harm the skin or tissue.Swelling of the vein -- this can lead to a blood clot (called thrombophlebitis).
Instructed patient the arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it avoid any activities that cause discomfort in your arm. Talk to your health care team if you have concerns about pain or range of motion.Don’t lift anything heavier than 10 pounds with the affected arm. Drink plenty of water. Staying hydrated helps keep clots from forming.
SN instructed caregiver on some measures aimed to controlling/managing Angina Pectoris, such as: have blood pressure monitored, eat a diet high in fiber, exercise regularly (as directed by MD) and take stool softeners, as needed, dress warmly in cold weather, avoid sleeping in cold rooms and avoid becoming overheated, eat small, frequent meals and rest after meals, learn stress management techniques.
SN instructed patient / caregiver on abnormal glucose also known as impaired glucose tolerance which is a term that refers to people who have blood glucose level that are higher than normal, but are not high enough to be classified as diabetes. SN instructed patient / caregiver on symptoms of abnormal glucose such as increased thirst, frequent urination, fatigue, blurred vision. SN instructed patient / caregiver on risk factors such as weight, waist size, inactivity, age, family history. SN instructed patient / caregiver on healthy lifestyle choices that can help prevent diabetes such as eating healthy foods, getting more physical activity, losing excess pounds.
SN instructed that the metoprolol lowers blood pressure by decreasing workload of heart. Watch for dizziness, lightheadedness when getting up, headache, stomach upset, loss of taste, fatigue and insomnia.
SN instructed patient / caregiver about Bethanechol. Sometimes given orally or subcutaneously to treat urinary retention resulting from general anesthetic, diabetic neuropathy of the bladder, or a side effect of antidepressants or to treat gastrointestinal atony (lack of muscular tone). Adverse reaction are rare following oral administration of Bethanechol, but are more common following subcutaneous injection. Adverse reactions are more likely to occur when dosage is increased. Adverse reactions that have been observed: Body as a Whole: malaise; Digestive: abdominal cramps or discomfort, colicky pain, nausea and belching, diarrhea, borborygmi, salivation; Renal: urinary urgency; Nervous System: headache; Cardiovascular: a fall in blood pressure with reflux tachycardia, vasomotor response; Skin: flushing producing a feeling of warmth, sensation of heat about the face, sweating; Respiratory: bronchial constriction, asthmatic attacks; Special Senses: lacrimation, miosis.