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Instructed in possible adverse reactions to Verapamil, including, dizziness, headache, fatigue, intermittent decrease in B/P and heart rate, nausea, and constipation.
Instructed in the proper disposal of sharps, in the container provided.
Patient instructed in never ignore numbness or tingling as these sensations are often related to nerve compression, and they may be warning signs indicating serious injury that should always be seen by a physician.
Taught that scheduling activity when most tolerated (after rest periods and, at least, one hour after meals) is a measure aimed to increasing tolerance in response to increased physical activity.
Instructed on some signs/symptoms of low blood sugar (hypoglycemia), such as: hunger, anxiety and impaired vision, among others.
SN advised patient to call doctor immediately if any of the following happen: The cast gets wet, damaged, or breaks, skin or nails on the toes below the cast become discolored, such as blue or gray, skin, or toes below the cast are numb, tingling, or cold, the swelling is more than before the cast was put on, bleeding, drainage, or bad smells come from the cast, and severe or new pain occurs. Patient verbalized understanding of instructions given.
The patient was instructed in craniectomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
Instructed the patient/caregiver on important foot care: inspect feet daily, report any foot problems to MD or Podiatrist, wash feet daily with warm soap and water and pat dry especially between toes, clip nails straight across and gently file with an emery board, wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid going barefooted, avoid exposure to extreme temperatures, and avoid tobacco
Instructed patient if your trach tube comes out Don’t panic! Stay calm. Your stoma will stay open. If you do not know how to put the tube back in or you can’t get it in, have someone take you to the nearest Emergency Department, or go to your family doctor’s office. Take your extra trach tube with you.
Instructed patient be careful not to touch the trach cannula while changing the tube. You do not want to contaminate the cannula. Other times to suction include before eating, or before and after sleeping. Be aware that every sound you hear does not mean they need to be suctioned.