Diseases Process

HIV Teaching 1739

Instructed patient it's very important for you to take your HIV medicines exactly as directed. Not taking medications correctly may lower the level of immune system defenders called CD4 cells and cause the level of virus in your blood (viral load) to go up.

General medication Teaching 1740

Instructed patient the medicines then become less effective when taken. Some people report not feeling well as a reason for stopping their medication or not taking it as prescribed. Tell your doctor if your medicines are making you sick. Don't just stop taking your medicines, because your health depends on it.

Acid reflux Teaching 1746

Pantoprazole is used to treat gastroesophageal reflux. Pantoprazole may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: headache,nausea and vomiting.

Fistula Teaching 1748

SN instructed patient the skin around a fistula needs to be clean, dry, and grease-less for effective pouch adherence. Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition.

Fistula Teaching 1749

Instructed patient Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition. Adequate protein and calories must be provided to maximize healing and minimize complications.

Fistula Teaching 1750

Instructed patient classic barriers to spontaneous closure include distal obstruction, mucocutaneous continuity (ie, a short or epithelialized tract), and infection or malignancy in the tract. Comprehensive and effective management of the patient with fistula requires attention to fluid and electrolyte replacement, per fistula, skin, protection, infection control.

Fistula Teaching 1751

Instructed patient through the use of negative pressure wound therapy, a standard surgical drain, and optimized nutrition, fistula drainage was redirected and the abdominal wound healed, leaving a drain controlled enterocutaneous fistula. Patient control of fistula drainage and protection of surrounding tissue and skin is a principle of early fistula management.

Fistula Teaching 1752

Instructed patient about external fistulas cause discharge through the skin. They are accompanied by other symptoms, including: abdominal pain, painful bowel obstruction, fever, elevated white blood cell count. Prevent skin maceration and breakdown from corrosive effluent and wound infection. Patient comfort, accurate measurement of effluents, patient mobility protect skin from damage from effluent, containment of effluent, odor control.

Dehydration Teaching 1756

Patient was instructed to drink adequate amounts of fluids to prevent dehydration. Sports drinks and fruit juices are helpful too, but they don't provide the ideal balance of water, sugar, and salt. However, drinking more fluid than your body can process can reduce the amount of sodium (salt) in your blood.

COPD Teaching 1757

COPD Instructed patient about effective coughing by following these steps: While sitting in a chair, take several deep breaths as like for diaphragmatic breathing. Placing the hand over their stomach while breathing normally. Tightening up the stomach and chest muscles with the mouth open. Forcing air out while whispering the word "huff."