skin-protection
Instructed patient caring for your stoma and the skin around it is very important to prevent infection of your skin and kidneys.
Instructed patient be sure to treat any skin redness or skin changes right away, when the problem is minor. DO NOT allow the problem area to become larger or more irritated before asking your provider about it.
SN instructed patient and caregiver that the key difference between a suspected deep tissue injury (sDTI) and an unstageable pressure ulcer is that sDTI involves intact skin, whereas an unstageable ulcer involves a breakdown into at least the subcutaneous tissue. An unstageable ulcer is covered with necrotic tissue, such as slough or eschar, formed from remnants of the collagen matrix of subcutaneous tissue. So it’s always a full-thickness ulcer either stage III or stage IV.
Instructed caregiver keep the patient's skin around her PEG tube dry. This will help prevent skin irritation and infection. Caregiver verbalized understanding.
SN instructed patient and caregiver on side effects of amoxicillin/clavulanate. Along with its needed effects, amoxicillin/clavulanate may cause some unwanted effects. Call your doctor immediately if any of the following side effects occur: hives or welts, itching, redness of the skin, skin rash, thick. Understanding was verbalized.
Educated patient on side effects of macrobid. Some of the side effects include: changes in facial skin color, general feeling of discomfort or illness, hives, itching, skin rash, sudden trouble in swallowing or breathing., swelling of the face, mouth, hands, or feet and troubled breathing. Understanding was verbalized.
Instructed patient caregiver some foods can produce odor: eggs, cabbage, cheese, cucumber, onion, garlic, fish, dairy foods, and coffee are among them. If you find that certain foods bother you, avoid them. Use an odor-resistant pouch. Check to see that the skin barrier is stuck securely to your skin, empty the pouch often. Place special deodorant liquids and/or tablets in the pouch.
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).
Instructed in factors that contribute to poor skin integrity such as immobilization, poor circulation, moisture, heat, anemia, shearing forces, poor nutritional status.
Instructed in new medication Sulfaprim and in S/E such as headache, mental depression, aseptic meningitis, tinnitus, apathy, seizures, hallucinations, ataxia, nervousness, fatigue, vertigo, insomnia, thrombophlebitis, nausea, vomiting, diarrhea, abdominal pain, anorexia, stomatitis, pancreatitis, pseudomembranous colitis, toxic nephrosis with oliguria and anuria, crystalluria, hematuria, interstitial nephritis, agranulocytosis, aplastic anemia, megaloblastic anemia, thrombocytopenia, leukopenia, hemolytic anemia, jaundice, hepatic necrosis, arthralgia, myalgia, muscle weakness, pulmonary infiltrates, erythema multiforme, Stevens-Johnson syndrome, generalized skin eruption, toxic epidermal necrolysis, exfoliative dermatitis, photosensitivity, urticaria, pruritus, hypersensitivity reactions, serum sickness, drug fever and anaphylaxis.