diverticulosis-and-diverticulitis
SN explained to patient that Lovenox is to be administered as one pre-filled syringe by deep subcutaneous injection in the abdominal fat. Only one shot is administered in the morning and one shot is administered at night for physician ordered specific number of days. SN instructed patient on technique and importance of rotating injection sites around abdomen.
SN instructed patient how Lovenox is used to reduce the chance of blood clots when another blood thinner is held for a short time. When you take an oral blood thinner and need a procedure/surgery, your doctor asks you to temporarily stop taking your usual blood thinner and instead take enoxaparin to help prevent blood clots before the procedure/surgery. After the procedure/surgery, your doctor will tell you when it is safe to start taking your regularly prescribed oral blood thinner again. This is called bridge therapy it allows for continued blood thinning without the blood being too thin for too long as oral blood thinners stay in the body for a much longer time.
SN instructed about Acetaminophen/codeine is a combination medication used to help relieve mild to moderate pain. It contains an opioid pain reliever (codeine) and a non-opioid pain reliever (acetaminophen). Codeine works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. Potential side effects are nausea, vomiting, constipation, lightheadedness, dizziness, or drowsiness may occur.
SN instructed patient about poor technique and incorrect landmarking of the injection site can lead to site reactions , suboptimal medication absorption and adverse events.
Neuropathy assessment and teaching on management, medication, and alternative therapies to alleviate pain.
Instructed to take all medications at the times indicated. Instructed to read the label and follow your health-care provider's instructions.
Instructed in new medication Trental and in S/E such as headache, dizziness, dyspepsia, nausea, vomiting.
Instructed in storage and disposal of equipment: check expiration date, keep spare bottle in refrigerator, do not change brand, match syringe type.
Instructed that depression may surface with other mood disorders such as seasonal major depression, postpartum depression and bipolar disorder.
Instructed in wound care as ordered by MD such as proper storage of dressing supplies, proper handwashing technique and removal of dressing, proper storage of dressing supplies, cleansing of wound as specifically ordered by MD, proper application of ointments, powders, solutions, etc, if ordered by MD, proper application of specific dressing change if ordered by MD, return demonstration of complete dressing change technique; more than one teaching may be needed.