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Instructed to contact physician inmediately if uncontrolled bleeding or excruciating pain occurs at wound site.
Instructed in new medication Alprazolam to manage anxiety. In addition, warned of possible S/E such as drowsiness, light-headedness, headache, confusion, tremor, dizziness, syncope, depression, insomnia, memory impairment, nervousness, minor changes in EEG patterns, hypotension, tachycardia, blurred vision, nasal congestion, dry mouth, nausea, vomiting, diarrhea, constipation, increased salivation, weight gain or loss, muscle rigidity, dermatitis. Avoid hazardous activities that require alertness and good psychomotor coordination until CNS effects of drug are known. Avoid alcohol while taking drug. Smoking may decrease effectiveness of drug. Do not stop using drug abruptly because withdrawal symptoms or seizures may occur.
Patient advised to get a morrow and place it near suction machine so in that way he will see how to introduce suction catheter into tracheostomy tube without touching anything and in that way prevent contamination and further RTI.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Damage to the nerve that control the bladder, digestive tract and reproductive organ is called autonomic neuropathy and it can cause problems with nausea, vomiting, diarrhea and constipation.
Instructed on some measures aimed to controlling/managing constipation, such as: establish regular times for evacuations (usually after a meal) and drink a warm liquid one-half hour before breakfast to stimulate bowel movement, among others.
Instructed on the importance, when having Congestive Heart Failure (CHF), of reporting immediately signs/symptoms, such as: increased shortness of breath and edema (fluid retention), among others.
The patient was instructed in hemophilia the necessity of good process in case of bleeding, applying cold compresses and tender direct compression to the place, raise the affected part. The patient was advised to defenses to stop bleeding, use an electric razor, evade constipation, and use a soft-bristled toothbrush. The patient was reviewed the importance of frequent valuation of joint function to permit rapid identification and conduct of hemophilic arthritis. The patient was recommended the essential to get regular dental care.
The patient was instructed in nephrectomy on caring for the incision and changing dressing. The patient was advised to wash hands, examine the incision, clean the part with Betadine, cover the incision with sterile gauze, if there are not drainage leave the place open to the air. The patient was taught how to care for nephrostomy tube.
Instructed patient Call your doctor if the skin around your stoma: Pulls back, Is red or raw, has a rash, is dry, hurts or burns, swells or pushes out.
Skilled nurse performed PICC line dressing change , prepare to change your dressing in a sterile (very clean) way , Remove the dressing and check patient's skin, clean the area and catheter, place a new dressing, Tape the catheter to secure it and write down the date you changed your dressing.