patient-unable
SN instructed patient Patients with LVADs experience many physical and emotional changes. Although there are many physiological benefits (increased energy, reduced shortness of breath), patients may become depressed or even suicidal. Many patients feel socially isolated and express frustration over loss of control and dependency on family and caregivers. Others may be afraid of their device.
SN instructed patient on s/s of prostate cancer. While most prostate cancer does not cause any symptoms at all, the symptoms and signs of prostate cancer may include: frequent urination, weak or interrupted urine flow or the need to strain to empty the bladder, the urge to urinate frequently at night, blood in the urine, new onset of erectile dysfunction, pain or burning during urination, which is much less common and discomfort or pain when sitting, caused by an enlarged prostate.
SN instructed on proper method of medication intake, as many people taking prescription medications do not follow their doctors orders. SN instruct on medication compliance to better control the patients disease process, to refill medication on time to prevent missed/skipped doses. do not take any medication that does not belong to you. Also ask your doctor before taking any over the counter medication to avoid interactions. Patient verbalized understanding.
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 patient that the following are the common symptoms of spinal stenosis: Tingling or numbness in legs or arms, Stiffness and severe back pain, difficulty in walking and standing for long time, might experience balancing problems and resting may provide temporary relief but the symptoms reoccur.
Instructed patient on medication Amiodarone. This medication is used to stabilize the rhythm of your heart. Amiodarone is used to treat ventricular tachycardia or ventricular fibrillation. Take this medication at the same time daily as directed. May take with or without food. Avoid grapefruit, St. John's wort, & sunlight or tanning beds. common side effects include: nausea, vomiting, loss of appetite; or constipation. Call your doctor or get medical help at once if you have: chest pain, fast or pounding heartbeats, trouble breathing, vision problems, upper stomach pain, vomiting, dark urine, jaundice (yellowing of the skin or eyes), or if you cough up blood. Tell your doctor if you have signs of a thyroid problem, such as weight changes, extreme tiredness, dry skin, thinning hair, feeling too hot or too cold, irregular menstrual periods, or swelling in your neck (goiter).
SN did head to toe assessment and vital signs monitoring done. SN instructed patient on medication Losartan, it is used to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It works by relaxing blood vessels so that blood can flow more easily. Dizziness, lightheadedness, or upset stomach may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Instructed patient in position and reposition every hour to prevent skin breakdown.
SN instructed patient about poor technique and incorrect landmarking of the injection site can lead to site reactions , suboptimal medication absorption and adverse events.