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The patient was instructed in cholecystectomy specific care of the surgical incision and dressing changes. The patient was taught how to care for the T-tube and drainage bag. Laparoscopy, the patient was encouraged to increase mobility to reduce abdominal distention. Open Cholecystectomy, the patient was instructed avoid lifting > 10 pounds for the first 4 to 6 weeks.
The patient was instructed in gastrectomy indicating good wound management, dressing changes, process, regularity, and check of skin. The patient was advised in obtaining appropriate devices, such as ostomy appliances, sterile dressings, and tube feedings and feeding pump. The patient was explained in characteristic relief of abandoning syndrome. The patient was advised to plan a low-carbohydrate, high-fat, high-protein diet. The patient was taught to eat small, frequent meals and to avoid taking liquids with meals. The patient was recommended to adopt a reclining position after meals.
The patient was instructed in laminectomy in the use of antiembolism tube to stop thrombus formation. The patient was taught in techniques for ankle rotating and calf driving to increase venous movement in legs. The patient was reviewed in the use of braces or corsets. The patient was recommended in the use of assistive devices to help decrease trauma on the back, elevated toilet seats, tub railings. The patient was instructed to have the incision place clean and dry until sutures and staples are removed.
The patient was instructed in nephrectomy on caring for the incision and changing dressing. The patient was advised to wash hands, examine the incision, clean the part with Betadine, cover the incision with sterile gauze, if there are not drainage leave the place open to the air. The patient was taught how to care for nephrostomy tube.
SN instructed patient/cg if you notice leakage of bile around the biliary tube, this may be a sign that the catheter is blocked, call your nurse.
Instructed caregiver clean patient's skin daily: Clean the patient's skin around your tube 1 to 2 times each day.
Instructed patient call your doctor if the following persist: diarrhea, constipation, nausea, or dehydration, call your doctor if you have redness, pain, swelling, or unusual drainage at the stoma site.
Skilled nurse instructed patient about medication Famotidine is used to treat ulcers (sores on the lining of the stomach or small intestine); gastroesophageal reflux disease (GERD, a condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus [tube that connects the mouth and stomach. Shake the liquid well for 5 to 10 seconds before each use to mix the medicine evenly. Swallow the tablets and capsules with a full glass of water.The following symptoms are common, but if you experience any of them call your doctor immediately: hives, skin rash, itching, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs.
Instructed caregiver include ensuring that the tracheotomy tube is securely in place and is patent.
Instructed patient when should you contact your caregiver?, The skin around the nephrostomy tube is red, swollen, itches, or has a rash, you have a fever, you have lower back or hip pain, There are changes in how your urine looks or smells, a large amount of urine is draining into the drainage bag over a short period of time.