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Instructed in state safety tips necessary for oxygen therapy: Place no-smoking signs to warn the dangers of smoking. Keep oxygen away from open flames, heat, gas sloves, hot pipes, radiators, etc. Equip home with a fire extinguisher and a smoke alarm. Avoid use of electrical equipment such as electric beds, heating pads or electric razors. Avoid using flammable products such as body lotion, face creams, rubbing, alcohol, etc. Avoid using aerosol sprays.
Instructed in possible adverse reactions to Vasotec, including headache, dizziness, fatigue, drop in B/P, diarrhea, and nausea. Instructed to report any adverse reactions to MD.
Instructed in S/S of complications which require need for medical intervention, including redness, increase or change in drainage, heat at the wound site, fever, bleedind or increased pain.
Instructed on the importance of establishing regular times for evacuations.
Taught that using adjunctive equipment (e.g., cane, walker) as directed by MD, is a measure aimed to increasing tolerance in response to increased physical activity.
The patient was instructed in fixator devices external fixator on pin and fixator care, wash fixator with sterile water and cover each pin head with plug or rubber tip to prevent injury. The patient who has gone through external fixation was reviewed in stress the need to increase movements and weight manner slowly to reduce tenderness and to permit muscles to recover strength. The patient was advised do not use the external fixator as a handle or support for the extremity but to support the extremity with pillows, two hands, or a sling to prevent excessive stress on the pins. The patient was advised to elevate the extremity when sitting or lying down. The patient was recommended of not changing or adjusting the fixator’s bars, since this can cause misalignment. The patient was explained that showering is permitted but that swimming should be evaded because chlorine and salt can corrode metal.
Patient instructed in Coronary Artery Disease (CAD) is when the heart vessels become narrow, which decreases the blood flow to the heart muscle. The narrowing of the heart vessels can be caused by plaque build-up from high cholesterol, fat, and calcium. The decrease in blood flow decreases the oxygenation of the heart muscle and leads to heart damage.
Instructed patient call your doctor or nurse if: You have chest pain or shortness of breath that does not go away when you rest. You have pain in and around your incision that does not continue to get better at home.Your pulse feels irregular it is very slow (fewer than 60 beats a minute) or very fast (over 100 to 120 beats a minute).
Instructed patient when you have a stoma that drains urine or loose stool you may want to consider using an extended wear skin barrier because it will give your skin added protection. Itching or burning under the skin barrier may indicate that you have leakage, a skin rash, or a skin infection. You need to remove your pouching system as soon as possible to check your skin for any irritation.
SN instructed patient / caregiver on Hydrocodone is an orally active narcotic analgesic ( pain reliever ) and antitussive ( cough suppressant ). SN instructed patient / caregiver that common side effects include dizziness, light - headedness, nausea, sedation, vomiting. SN instructed that side effects may be alleviated by lying down, and if they persist or worsen to notify physician. SN instructed to call physician immediately if the patient experiences slow / irregular breathing, slow / irregular heartbeat, change in the amount of urine or any allergic reactions. SN instructed patient / caregiver not to take more than 8 tabs in one day and wait 6 hours in between administration to avoid complications.