catheter-teaching-guide
SN educated patient/caregiver on oxygen therapy. Instructed that oxygen therapy is the administration of oxygen at a higher concentration than what is found in the environment. It can be given via cannula, mask, bipap/cpap, ect. Oxygen must be ordered by a MD and administered exactly as prescribed.
SN instructed to keep oxygen away from any open flame to include smoking and also in home pilot lights such as stove, furnace and water heater. Oxygen produced from concentrator and oxygen tanks is flammable. Do not use vaseline or petroleum based, products as these can cause irritation and skin complications. Avoid using aerosol sprays. Post no smoking/no Open Flame signs. Use caution with oxygen tubing so you do not trip over it or become entangled in furniture. Do not try to repair broken equipment on your own. Request this service from the oxygen provider. Notify the local fire department, gas and electric companies and telephone company when home oxygen therapy is started. Request a "priority service listing". This is for those times when there is a power or telephone failure or repairs are needed on any utility.
SN educated on medication Escitalopram. This medication is used to treat depression in adults and children and teenagers 12 years or older. Escitalopram is also used to treat generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life for 6 months or longer) in adults. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. Escitalopram may cause side effects such as nausea, diarrhea, constipation, changes in sex drive or ability, drowsiness, increased sweating, dizziness, heartburn, stomach pain, excessive tiredness, dry mouth, decreased appetite, weight loss, flu-like symptoms, runny nose, sneezing. Tell your doctor if any of those symptoms are severe or do not go away.
SN educated patient/caregiver on medication Trelegy inhaler. This inhaler combines 3 medicines in 1 inhaler, an inhaled corticosteroid (ICS) medicine (fluticasone furoate), an anticholinergic medicine (umeclidinium), and a long-acting beta2-adrenergic agonist (LABA) medicine (vilanterol). ICS medicines such as fluticasone furoate help to decrease inflammation in the lungs. Anticholinergic medicines such as umeclidinium and LABA medicines such as vilanterol help the muscles around the airways in your lungs stay relaxed to prevent symptoms such as wheezing, cough, chest tightness, and shortness of breath. Common side effects include: thrush in your mouth and throat, (rinse your mouth with water without swallowing after use to help prevent this.) bronchitis, PNA, upper respiratory infection, painful urination, throat/mouth pain, cough, hoarseness.
SN educated patient and caregiver on Lidocaine patches. These patches are used to relieve the pain of post-herpetic neuralgia (PHN; the burning, stabbing pains, or aches that may last for months or years after a shingles infection). It works by stopping nerves from sending pain signals. To apply the patches, follow these steps: 1. Look at the skin that you plan to cover with a lidocaine patch. If the skin is broken or blistered, do not apply a patch to that area. 2. Use scissors to remove the outer seal from the package. Then pull apart the zipper seal. 3. Remove up to three patches from the package and press the zipper seal tightly together. The remaining patches may dry out if the zipper seal is not tightly closed. 4. Cut patch(es) to the size and shape that will cover your most painful area. 5. Peel the transparent liner off the back of the patch(es). 6. Press the patch(es) firmly onto your skin. If you are applying a patch to your face, be careful not to let it touch your eyes. If you do get lidocaine in your eye, wash it with plenty of water or saline solution. 7. Wash your hands after handling lidocaine patches. 8. Do not reuse lidocaine patches.
SN educated patient and caregiver about Lidocaine patches. After you are finished using a patch, remove it and dispose of it and keep it out of reach of children and pets. Lidocaine patches may cause side effects like burning or discomfort in the place you applied the patch, redness or swelling of the skin under the patch. If any of these symptoms occur, remove your patch and do not put it back on until the symptoms go away. Tell your doctor if any of these symptoms are severe or do not go away:
SN educated patient and caregiver on medication Empagliflozin (jardiance). It is used along with diet and exercise, and sometimes with other medications, to lower blood sugar levels in people with type 2 diabetes. Empagliflozin is also used to reduce the risk of stroke, heart attack, or death in people who have type 2 diabetes along with heart and blood vessel disease.Taking medication(s), making lifestyle changes (e.g., diet, exercise, quitting smoking), and regularly checking your blood sugar may help to manage your diabetes and improve your health.This medication may cause changes in your blood sugar. You should know the symptoms of low and high blood sugar and what to do if you have these symptoms. Empagliflozin may cause side effects like urinating a lot, including at night, increased thirst. Tell your doctor if any of these symptoms are severe or do not go away:
SN instructed on check the left ventricular assist device (LVAD) each time you assess the patient’s vital signs. You will hear the continuous humming sound of the pump when auscultating the heart. Make sure the battery-charging station is plugged into the wall and at least two spare batteries are in the charge station; a green light indicates a full charge. Additional safety checks include assessing the driveline to ensure it’s securely in place and confirming there’s a backup system controller in the room.
SN teach the patient to perform a daily self-test to ensure the LVAD is working properly. When the patient presses and holds the battery button on the system controller, the screen displays "Self Test" If the panel is working properly, the audio alarm will sound and control panel alarms will light up. These alarms include power and battery alarms, a red heart (hazard) alarm, and a wrench (advisory) alarm.
SN teach the patient patients with LVADs are typically prescribed several medications, including anticoagulants, antiplatelet agents, antihypertensives, antiarrhythmics, fluids, and electrolytes.