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Myelogram Teaching 1482

The patient was instructed in myelogram to lower the bed to the horizontal position to dismiss a headache. The patient was advised to take mild analgesics for insistent pain. The patient was recommended not to take phenothiazines for nausea and vomiting because these agents can increase symptoms of toxicity. The patient was recommended in the need to increase fluid drinking to improve defecation of the dye and to substitute cerebrospinal fluid.

Orchiectomy Teaching 1484

The patient was instructed in orchiectomy the importance of caring the surgical wound and dressing changes, dressing can be located over the incision and seized by the scrotal support.

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.

Catheter Teaching 1557

Instructed patient about your Foley catheter daily Care: Keep your skin and catheter 
clean. Clean the skin around your catheter at least once each day. Clean your skin area and 
catheter after every bowel movement. Always keep your urine bag below the level of your bladder.
Keeping the bag below this level will prevent urine from flowing back into your bladder from 
the tubing and urine bag. Back flow of urine can cause an infection. These will help prevent a
 bladder or kidney infection and will keep you more.

Lisinopril Teaching 1558

SN instructed pt on medication Lisinopril 20mg PO daily for HTN. Side effects include: dizziness due to a drop in blood pressure. Lisinopril can cause nausea, headaches, anxiety, insomnia, drowsiness, nasal congestion, and sexual dysfunction, and Severe allergic reactions (anaphylaxis) and hives may result. Contact the MD as soon as the above signs/symptoms occur.

Wound Care Teaching 1569

Instructed caregiver reduce friction by making sure when lifting a patient in bed that they are 
lifted, not dragged during repositioning, prevent ulcers from occurring and can also help them from 
 getting worse .

Teaching 1577

Patient instructed to take Benadril exactly as directed on the package or as directed by your doctor, Take each dose with a full glass of water can be taken with or without food.

Low Purine Diet Teaching 1613

SN instructed patient to follow a low purine diet to help minimize acute gout attacks by limiting meat, poultry and fish. Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily. SN instructed pt/cg to cut back on fat since saturated fat lowers the body's ability to eliminate uric acid. Also instructed patient Limit or avoid foods sweetened with high-fructose corn syrup. Fructose is the only carbohydrate known to increase uric acid. It is best to avoid beverages sweetened with high-fructose corn syrup, such as soft drinks or juice drinks. Juices that are 100 percent fruit juice do not seem to stimulate uric acid production as much. SN also discussed to choose complex carbohydrates and explained to patient/cg that pt will need to eat more whole grains and fruits and vegetables and fewer refined carbohydrates, such as white bread, cakes and candy. SN advised CG to ensure that pt. drinks plenty of fluids, particularly water. Fluids can help remove uric acid from your body.

Hypertension Teaching 1628

Instructed patient have many factors can affect blood pressure, including: How much water and salt you have in your body the condition of your kidneys, nervous system, or blood vessels, your hormone levels, heart damage.

Hypertension Teaching 1629

Instructed patient you can do many things to help control your blood pressure at home, including: Eat a heart-healthy diet, including potassium and fiber, and drink plenty of water, exercise regularly at least 30 minutes of aerobic exercise a day, limit the amount of sodium (salt) you eat and aim for less than 1,500 mg per day. Reduce stress by trying to avoid things that cause you stress.