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Instructed patient not to use more than 50 feet of tubing between the oxygen source and the patient. Do not place oxygen tanks within 1/2 feet of windows/doors or items.
Instructed patient to avoid cutting corn or calluses.
Instructed patient that depression is more frequent in people with chronic or severe medical illness and also with substance abuse.
Patient was instructed on proper suctioning technique. To take a deep breath before applying suction to prevent depleting lung from oxygen.
Patient was instructed on another leading type of chronic wounds is pressure ulcers. That occurs when pressure on the tissue is grater than the pressure in capillaries, and thus restricts blood flow into the area. Muscle tissues, which needs more oxygen and nutrients than skin does, show the worst effects from prolonged pressure. As in other chronic ulcers, reperfusion injury damage tissue.
Patient was instructed on hypoglycemia symptoms such as, paleness, whitening or pallor of the skin. Localized pallor can also occur in areas of poor circulation such as the hands and fingers. Others signs of hypoglycemia are headache, irritability, sweating, and a cold, clammy feeling are also signs of low blood sugar.
Taught that Levothyroxine does not cure hypothyroidism; it just provides a thyroid hormone replacement and therapy is lifelong.
Skilled nurse advised patient to avoid activities needing good psychomotor coordination until CNS effect are known while taking alprazolam.
SN instructed patient / caregiver that urine drainage bag of the catheter should always be suspended below the level of the pubic bone, including during walking or sitting. Cleaning the groin and buttock areas regularly will decrease contamination of the catheter and the risk of infection. Anchoring the catheter to the leg with the provided strap prevents tugging injuries of the urethra.
SN instructed patient about tracheotomy care dressing changes promote skin integrity and help prevent infection at the stoma site and in the respiratory system. The patient should be instructed at least once per shift, apply a new dressing to the stoma site to absorb secretions and insulate the skin . After applying a skin barrier, apply either a split - drain or a foam dressing. Change a wet dressing immediately.