pain m
Instructed patient about external fistulas cause discharge through the skin. They are accom
panied by other sym
ptom
s, including: abdom
inal pain
, pain
ful bowel obstruction, fever, elevated white blood cell count. Prevent skin m
aceration and breakdown from
corrosive effluent and wound infection. Patient com
fort, accurate m
easurem
ent of effluents, patient m
obility protect skin from
dam
age from
effluent, containm
ent of effluent, odor control.
Instructed patient a secure, clean and intact dressing is essential to prevent catheter m
igration and infection. Never pull on the catheter. Protect the lum
en so they do not inadvertently get caught or tugged on. Call your nurse right away if you have any of the following: Pain
in your shoulder, chest, back, arm
, or leg, fever of 100.4°F or higher, chills.
Instructed patient call your nurse right away if you have any of the following: Signs of infection at the catheter site (pain
, redness, drainage, burning, or stinging) Coughing, wheezing, or shortness of breath, a racing or irregular heartbeat. Call your nurse right away if you have any of the following: M
uscle stiffness or trouble m
oving, gurgling noises com
ing from
the catheter, the catheter falls out, breaks, cracks, leaks, or has other dam
age.
SN instructed patient and caregiver that Zithrom
ax (Azithrom
ycin) is an antibiotic useful for the treatm
ent of bacterial infections. M
ost com
m
on side effects are diarrhea , nausea, abdom
inal pain
and vom
iting. Nervousness, derm
atologic reactions, and anaphylaxis have been reported. As with all antim
icrobial agents, pseudom
em
branous colitis can occur during and up to several weeks after azithrom
ycin therapy.
Instructed patient when to call your doctor although it's com
m
on to have som
e food-related sym
ptom
s after surgery, it is im
portant to contact your surgeon if you experience the following sym
ptom
s, since they m
ay be sym
ptom
s of a serious com
plication: Persistent, worsening, or severe abdom
inal pain
, severe nausea or vom
iting, yellowing of your skin, called jaundice.
Instructed patient when should you contact your caregiver?, The skin around the nephrostom
y 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 sm
ells, a large am
ount of urine is draining into the drainage bag over a short period of tim
e.
Instructed patient stop any activity im
m
ediately if you feel short of breath, notice irregular heart beats, feel faint or dizzy, or have chest pain
. Rest until the sym
ptom
s subside. If they do not subside within 20 m
inutes, notify your doctor.
Instructed patient check your skin where the
catheter enters it every day. Look for signs of infection and other problem
s. Instructed patient call your health care provider if you: Have bleeding, redness or swelling at the PICC line or M
idline site, have pain
near the site or in your arm
, have signs
of infection (fever, chills), are short of breath.
Instructed patient training for patients and their caregivers who
will be using the device at hom
e should include how to: Recognize signs and sym
ptom
s of com
plications, such as redness,
warm
th, and pain
associated with possible infection Contact appropriate healthcare providers, especially in em
ergency
situations, respond to em
ergency situations; for instance, if bright red blood is seen in the tubing or canister, to im
m
ediately stop NPWT, apply direct m
anual pressure to the dressing, and activate em
ergency m
edical services.
Instructed patient when you call your nurse or doctor you have nausea, bloating, pain
, or are vom
iting, you have little or no urine com
ing from
your stom
a, your stom
a changes in size or appearance, you are weak and unable to do your norm
al activities.