back-pain
Procedures
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
Instructed patient call your doctor if the following persist: diarrhea, constipation, nausea, or dehydration, call your doctor if you have redness, pain, swelling, or unusual drainage at the stoma site.
Instructed patient call doctor if increase pain in the abdomen or the incision,fever, redness or drainage of the incision, irritation, or redness , or drainage of the incision, change bowel habits, such as:diarrhea, or constipation or skin irritation.
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.
Instructed patient call your nurse right away if you have any of the following: Signs of infection at the catheter site (pain, redness, drainage, burning, or stinging) Coughing, wheezing, or shortness of breath, a racing or irregular heartbeat. Call your nurse right away if you have any of the following: Muscle stiffness or trouble moving, gurgling noises coming from the catheter, the catheter falls out, breaks, cracks, leaks, or has other damage.
Instructed patient when to call your doctor although it's common to have some food-related symptoms after surgery, it is important to contact your surgeon if you experience the following symptoms, since they may be symptoms of a serious complication: Persistent, worsening, or severe abdominal pain, severe nausea or vomiting, yellowing of your skin, called jaundice.
Instructed patient stop any activity immediately if you feel short of breath, notice irregular heart beats, feel faint or dizzy, or have chest pain. Rest until the symptoms subside. If they do not subside within 20 minutes, notify your doctor.
Instructed patient check your skin where the catheter enters it every day. Look for signs of infection and other problems. Instructed patient call your health care provider if you: Have bleeding, redness or swelling at the PICC line or Midline site, have pain near the site or in your arm, have signs of infection (fever, chills), are short of breath.
Instructed patient training for patients and their caregivers who will be using the device at home should include how to: Recognize signs and symptoms of complications, such as redness, warmth, and pain associated with possible infection Contact appropriate healthcare providers, especially in emergency situations, respond to emergency situations; for instance, if bright red blood is seen in the tubing or canister, to immediately stop NPWT, apply direct manual pressure to the dressing, and activate emergency medical services.
Instructed patient when you call your nurse or doctor you have nausea, bloating, pain, or are vomiting, you have little or no urine coming from your stoma, your stoma changes in size or appearance, you are weak and unable to do your normal activities.