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Laryngectomy Teaching 1471

The patient was instructed in laryngectomy to evade voice stress and to murmur or use alternative methods of communication when the voice needs rest. The patient was instructed in pain administration using minor analgesics.

Liver Biopsy Teaching 1473

The patient was instructed in liver biopsy providing him/her pain controlling. The patient was encouraged to use minor painkillers. The patient was advised to evade taking no steroidal anti-inflammatory medications and hepatotoxic medications.

Mitral Stenosis Teaching 1478

The patient was instructed in mitral stenosis viewing the position of the affected valve and explains its part in the arterial circulation. The patient was advised to follow on anticoagulation therapy. The patient was recommended to follow procedures for dealing with pain.

Myelogram Teaching 1482

The patient was instructed in myelogram to lower the bed to the horizontal position to dismiss a headache. The patient was advised to take mild analgesics for insistent pain. The patient was recommended not to take phenothiazines for nausea and vomiting because these agents can increase symptoms of toxicity. The patient was recommended in the need to increase fluid drinking to improve defecation of the dye and to substitute cerebrospinal fluid.

Retinal Detachment Teaching 1511

The patient was instructed in retinal detachment in lie in the suggested position following the scleral buckling process. The patient was advised to apply cold bandages to the eye to decrease inflammation and ease anxiety. The patient was recommended to use dark glasses to reduce photophobia and pain when eye drops are used. The patient was advised to wear an eye shield at night for protection.

Valve Replacement Teaching 1533

The patient was instructed in valve repair replacement in the need of good care of the incision site. The patient was advised in the stress of lifelong anticoagulant therapy to stop emboli and block of the valve. The patient was instructed in other methods for dealing with pain. The patient was recommended to evade heavy lifting (10 pounds), pushing, pulling, and exercises for 6 weeks. The patient was recommended to evade driving for the first 4 to 6 weeks. The patient was recommended to evade sitting or driving for extended times. The patient was recommended to evade abrupt position variations from sitting and standing.

Catheter Teaching 1563

Skilled nurse assess patient for S/S of complication related to diagnostic.
 Instructed caregiver about your Foley catheter daily Care: Keep the skin and catheter 
clean. Clean the skin around your catheter at least once each day. Clean the skin area and 
catheter after every bowel movement. Call the patient MD if: you cannot get the catheter to 
drain urine into the bag, the catheter comes out or it is leaking, the urine is thick and 
cloudy. Your urine has mucus, red specks, or blood in it. Urine with blood in it may appear
pink or red. the urine has a strong (bad) smell, No urine has drained from the catheter in 6 to 
8 hours, have pain or burning in your urethra, bladder, abdomen, or lower back, have shaking 
chills or your temperature is over 101° F (38.3° C).

PICC Line Teaching 1567

Instructed patient assess PICC line site, line note any leakage from catheter or around the site. 
Note any redness, drainage or pain at the site.

Pacemaker Teaching 1573

Patient instructed to restrict vigorous activity or lifting heavy objects for a week or two. The incision site is usually completely healed after two or three weeks. During this initial period you should watch for signs of bleeding or infection, such as swelling, increased redness or worsening pain, and let your doctor know if any of these signs occur. You will need to have your pacemaker checked periodically to see whether it is functioning normally and to make sure its battery has plenty of energy. Usually, these pacemaker checks are done by telephone every month or two (using a special device your doctor will give you for telephone follow-up), and by visits to your doctor's office once or twice a year.

Catheter Teaching 1625

Patient with biliary catheter SN instructed patient when to call the doctor or go to emergency: Active bleeding at the drain site that does not stop after you put finger, pressure on it, more pain or swelling at or around the drain site, your temperature is greater than 101 degrees fahrenheit, with or without chills