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Instructed in S/S of possible complication due to Foley Catheter removed such as bleeding, fever, urine sediment, bladder distention, pain, burning, etc. Instructed to report any of these S/S.
Instructed patient to secure the new ties to the tracheostomy tube flanges before removing the old ones. Insert your little finger between the tie tapes and your patient's neck to check the fit and ensure his comfort.
Patient was instructed on the importance to recognize the symptoms of depression to take action right away. Inability to remember things - fatigue or lost of energy, feeling "dragged out" and tire - lack of appetite or eating too much with accompanying weight changes - no interest in the things that used to bring pleasure - not sleeping at night or sleeping too much.
Taught that anemia and obesity are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
The patient was instructed in buerger’s disease in the role nicotine plays in advancing the disease. The patient was advised on daily foot care, wear well-fitted shoes, avoiding going barefoot, use cotton or wool socks.
Patient was educated about potassium 10 meq 1 tablet oral daily this medication is given for treatment/ prevention of potassium depletion.
Instructed patient/caregiver on general precautions while taking aspirin: take with food, milk, or large glass of water to decrease gastric symptoms. (Enteric coated or buffered may be better tolerated.); avoid alcohol due to possible internal bleeding; only take the recommended amount; use cautiously with Asthma; observe and report s/s of bleeding (easy bruising, bleeding gums, black stools); discard medications if vinegar odor is present; do not take antacids due to decreased effectiveness; avoid chewing or crushing enteric coated.
Instructed caregiver to call patient's doctor if patient have: fever or chills, redness, swelling, or pain that is getting worse. Bleeding or drainage from the hole.
SN instructed patient on signs of central catheter problems. The signs of catheter infection and problems are similar for all types of central venous catheters. If you have any sign of infection or catheter problem, call your doctor immediately. In addition signs of infection, clotting, or other problems include: Redness, tenderness, drainage, warmth, or odor around the catheter site Fever of 100.5F (38 C) or greater, or chills, swelling of the face, neck, chest, or arm on the side where your catheter is inserted, leakage of blood or fluid at the catheter site or the cap, inability to flush the catheter, or resistance to flushing the catheter, displacement or lengthening of the catheter. Patient verbalized understanding
SN instructed patient that Doxycycline is an antibiotic used in the treatment of a number of types of infections caused by bacteria and protozoa. Doxycycline can be used either by mouth or intravenously. Common side effect may include diarrhea, nausea, vomiting, a red rash, and an increased risk of a sunburn. Avoid combination of doxycycline with dairy, antacids, calcium supplements, iron products, and laxatives containing magnesium since these foods and supplements may decrease doxycycline's effectiveness.