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Teaching 1516

The patient was instructed in sickle cell anemia in the need to evade persons with infections. The patient was advised to blow the nose gently, evade coughing.

Thoracentesis Teaching 1535

The patient was instructed in thoracentesis in the need that movement or coughing during the process is prohibited to prevent unintentional needle injury to the lung or pleura. The patient was advised that if coughing is inavoidable the physician can remove the needle a little to prevent hole. The patient was reviewed to evade persons with upper respiratory tract infections.

Hyperbaric Teaching 1540

Skilled nurse instructed patient/care giver in Hyperbaric oxygen therapy is a treatment in which the patient breathes 100 percent oxygen inside a pressurized chamber for approximately two hours. The therapy quickly delivers high concentrations of oxygen to the bloodstream, accelerating the healing rate of wounds and is effective in fighting certain types of infections. It also stimulates the growth of new blood vessels, improving circulation, and helping to prevent future problems.

Catheter Teaching 1541

Instructed caregiver about checklist for care your skin and catheter: Wash your hands to prevent
infections,check the skin around your catheter.

Infection Teaching 1673

Patient educated that there is good and bad bacteria in our body’s and the ABT will kill both which result in the yeast infection. Yeast infection is identify by area is likely an area that is moist it is red and has raised pumps. Patient instructed on possible yeast infections related to long term use of ABT, in areas that include but is not limited to between legs, under breast, and in between groin. Patient instructed to report any symptoms to MD or SN during visit.

PICC Line Teaching 1688

Skilled nurse remove PICC,line per doctor order, the catheter tip should also be examined and there is no breakage at the end, no S/S of infections noted. Skilled nurse applied at the insertion site with sterile gauze to prevent bleeding which and when the bleeding stops, the gauze is removed and a sterile dressing is applied. Instructed patient the dressing should remain for approximately 24 hours. After this time, the site should be assessed and a new dressing applied if needed. Patient understand the instructions given.

Colostomy Teaching 1705

SN instructed patient diarrhea can occur for a variety of reasons, such as viral or bacterial infections. Eating foods which thicken stool may be helpful,as listed in a later food table. Be aware that diarrhea can lead to dehydration. Increase your fluid intake during this time.

Colostomy Teaching 1711

Skilled nurse teach patient's and describe each step of the procedure , encouraging participation in ostomy care,teach patient about a new stoma techniques to use for cleansing. No signs of symptoms of infections noted.

Cefalexin Teaching 1755

SN instructed patient and/or caregiver that Cephalexin is an antibiotic that can treat a number of bacterial infections. Common adverse effects of Cefalexin, like other oral cephalosporins, are gastrointestinal , disturbances and hypersensitivity reactions. Gastrointestinal disturbances include nausea, vomiting, and diarrhea. Hypersensitivity reactions include skin rashes, urticaria, fever, and anaphylaxis. Pseudomembranous colitis has been reported with use of Cefalexin. Signs and symptoms of an allergic reaction include rash, itching, swelling, trouble breathing, or red, blistered, swollen, or peeling skin.

Robitussin Teaching 1769

SN instructed patient that Robitussin its used as a cough medicine, and it is sell over the counter. It contains (Dextromethorphan and guaifenesin) a combination medicine used to treat cough and chest congestion caused by the common cold, infections, or allergies. Common side effects may include: dizziness, drowsiness; sleep problems (insomnia); diarrhea; or feeling nervous, restless, anxious, or irritable. Robitussin Overdose may cause breathing problems and cardiac arrhythmia.