bedbound-patient
General
Instructed patient that PCP only receives one snapshot of vitals signs including BP, and stressed importance of maintaining BP log so that PCP may adjust as needed.
Instructed patient keep the PICC dry. The catheter and dressing must stay dry.
Instructed patient drink plenty of water. Staying hydrated helps keep clots from forming.
Instructed patient always wash your hands before and after changing the bag from the nephrostomy tube. If another person is assisting with changing your bag they must wear disposable gloves and protective eyewear. Ensure that tube is kept straight and not bent to allow proper flow of urine
Instructed patient Keep the dressing (or bandage) clean, dry, and secured to the skin. Do not put lotions or ointments under the dressing. Call your provider right away if you have any of the following: Pain or burning in your shoulder, chest, back, arm, or leg Fever of 100.4?F (38.0?C) or higher Chills Signs of infection at the catheter site (pain, redness, drainage, burning, or stinging)
Nephrostomy tube Instructed patient drink at least 1500mls - 2000mls (6 to 8 glasses of 250mls size) fluid everyday or as advised by the doctor.
Nephrostomy tube Instructed patient do not flush greater than 10 mls of sterile normal saline.
Nephrostomy tube Instructed patient observe for leakage at connection joints and seek advice if leakage evident.
Nephrostomy tube Instructed patient observe for continuous urine flow and signs of infection.
Patient instructed on fall safety precautions to include: locking w/c before transfers, use assistive device for mobility at all times, make sure walkways are free of clutter, & well lit, do not walk around barefoot or in socks, avoid using rugs, use non slip rug in bath tub & use shower chair for bathing.