medication compliance
General
Instructed patient a clean, dry work area should be identified to complete medication preparations and perform dressing changes.
SN instructed patient and/or caregiver on importance to follow medication regimen exactly as ordered by Md without skipping any doses, nor sharing with others.
Tramadol is used to relieve moderate to moderately severe pain. If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tramadol. Side effects can this medication cause: Tramadol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness, weakness, sleepiness,difficulty falling asleep or staying sleep,headache.
Instructed patient watch for these problems: a hole in the skin where the IV is -- medicine or fluid can go into the tissue around the vein. This could harm the skin or tissue.Swelling of the vein -- this can lead to a blood clot (called thrombophlebitis).
SN instructed patient about on gastric ulcer. Gastric ulcers occur on the inside of the stomach. Pain is the most common symptom. The pain is caused by the ulcer and is aggravated by stomach acid coming in contact with the ulcerated area. The pain typically may: Be felt anywhere from your navel up to your breastbone. Be worse when your stomach is empty. Flare at night. Often be temporarily relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication. Disappear and then return for a few days or weeks. See your doctor: If vomiting of blood — which may appear red or black. Dark blood in stools or stools that are black or tarry. Nausea or vomiting. Unexplained weight loss. Appetite changes.
SN instructed patient on hallucinations, you must use diversion tactics when hallucinations start, try telling yourself they are not real especially when they are scary, use music or television for distraction when auditory hallucinations start, continue to take medication as ordered, call a friend or family member for support when needed. Patient verbalized understanding.
SN instructed that a Urinary Tract Infection or UTI refers to an infection affecting any component of the urinary system, i.e. the kidneys, ureters, bladder or urethra. UTIs tend to be more common in women than men, with almost all females suffering from them at least once during the course of their lifetime. In uncomplicated cases, UTIs can be treated easily using antibiotics. In complicated cases, especially if the kidneys are affected, longer courses or medication may be required, depending upon the nature of complication. The following is a list of symptoms commonly associated with a Urinary Tract Infection. Anyone having these should get themselves checked for the same.
Sn instructed on monitoring vital signs blood pressure, temperature, oxygen and weight instructed on what equipment is needed and SN will instruct on equipment logging and reporting of vital signs. Sn instructed on importance in logging vital signs and monitoring if medication is working or change of condition. Sn will instruct patient after vitals are done on what to report to physician / nurse ( MD / SN ). Patient verbalized understanding.
Sn Instructed on importance in logging blood pressure daily to ensure medication treatment is working and to manage medical condition. Instruction to log at about the same time daily. Instructions on parameters and when to call physician / nurse. Instruction given to take log to physician's apt to show physician ( MD ) his blood pressure readings. Patient / caregiver verbalized understanding
SN instructed patient to increase fluid intake after discharge for constipation due to anesthesia and pain medication. Patient may also try warm prune juice, stool softener (Senokot) or magnesium citrate.