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Instructed to perform oral inhalation correctly: Shake the inhaler. Clear nasal passages and throat. Breathe out, expelling as much air from lungs as possible. Place mouthpiece well into mouth as dose from inhaler is released and inhale deeply. Hold breath for several seconds, remove mouthpiece and exhale slowly. Or, inhaler may be held about 1 inch (two finger widths) from open mouth; inhale while dose is released.
Patient and caregiver instructed that in the event of a power outage flashlights and new batteries should be placed by their bedside.
Instructed patient to follow a healthy eating plan that includes his/her favorites foods, but with the proper number of calories and sugars that they should eat daily.
Patient was instructed on how to remove bubble from the syringe. Draw up the insulin slowly and steadily. When bubbles are forming in the syringe means that the drawing has been done too fast, so push the insulin back into the bottle and re-draw. Patient was told to do this many times as needed until the bubbles are gone.
Instructed on the importance, when taking Hyzaar, of getting up slowly when rising from a seated or lying position, in order to minimize dizziness and light-headedness.
Taught that Hyzaar is to be taken by mouth, with or without food.
Instructed on some signs/symptoms of low blood sugar (hypoglycemia), such as: hunger, anxiety and impaired vision, among others.
The patient was instructed in glaucoma and the causes that rise intraocular pressure and should be evaded, constrictive clothing around the neck or torso, lifting heavy objects. The patient was advised of the need to wear an eye patch or sunglasses to evade anxiety with light exposure. The patient was reviewed the meaning of not touching the eye. The patient was taught in the way for cleansing the eye. The patient was instructed in the significance of using glaucoma medication in the unoperated eye. The patient was instructed in the home safety precautions wanted because of reduced bordering vision, turn the head to visualize either sideways, use up-and-down head movements to reviewer stairs and oncoming objects and walk slowly.
Empty your pouch when one-third to one-half full. Change your skin barrier every 3-7 days. You should not experience frequent leakage of your pouch seal. If you do, consult a WOC Nurse. Usually soap is not needed to clean the peristomal skin. If you use soap, make sure it does not contain any oils or lotions that can interfere with adhesives. Always rinse your skin and dry completely before you adhere the new pouch. After you apply your skin barrier, hold it in place against your skin for about one minute. This will help to activate the adhesive. You can shower, bathe, or swim with your ostomy after you are cleared by your physician. If you are using a bedside collection bag, clean it daily with a recommended solution to help minimize odor, crystal formation, and bacteria.
SN instructed patient about Coreg is a beta blocker used for heart failure, hypertension or after a MI. Side effects include dizziness, shortness of breath, slow heart rate, lightheadedness, weight gain, swelling of feet and legs. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.