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Instructed in new medication Dibucaine and in S/E such as hypersensitivity reactions, rash, swelling, burning, stinging and tenderness.
Instructed in safe ambulation, using assistive device as indicated to avoid injury.
Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
The patient was instructed in hodgkin’s disease the importance of eluding large multitudes and persons supposed to have an active infection because chemotherapy declines resistance to infection. The patient was reviewed to elude trauma which can cause bruising and bleeding. The patient was instructed in care procedures to reductions itching. The patient was advised the need to follow the chemotherapy routine.
The patient was instructed in polycystic kidney disease in the need of stopping urinary zone infections. The patient was advised to rise fluid intake. The patient was taught in good perineal area care after urination and defecation. The patient was reviewed in proceeds, monitor, and record blood pressure.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, side effects may include: fatigue headache, weakness, blurred vision, yellow vision, ARRHYTHMIAS , bradycardia, anorexia , nausea , vomiting , diarrhea, this medication has an action time of 30-120 min, the peak time is about 206 hr and the duration is about 2-4 days.
Patient was instructed in new medication Vitamin C side effects such as; nausea, vomiting, heartburn, abdominal cramps, and headache. Dental erosion may occur from chronically chewing vitamin C tablets.
SN instructed patient on importance of protecting skin by: keeping your skin moist with lotions or ointments to prevent cracking, wearing shoes that fit well and provide enough room for your feet, learning how to trim your nails to avoid harming the skin around them, wearing appropriate protective equipment when participating in work or sports.
SN instructed patient / caregiver regarding medication Coumadin / Warfarin. SN explained to patient / caregiver that Coumadin / Warfarin is an anticoagulant which is prescribed to people with an increased tendency for thrombosis or as secondary prophylaxis ( prevention of further episodes ) in those individuals that have already formed a blood clot ( thrombus ). Explained that Warfarin treatment can help prevent formation of future blood clots and help reduce the risk of embolism. Informed that Warfarin will prolong bleeding time, instructed to avoid activities that increase risks of trauma. SN explained to patient / caregiver that the adverse effects of this medication includes: hemorrhage, nosebleeds and blood in urine or stool ( black tarry stools ). Instructed to notify physician if experiencing unusual bleeding while on this medication.