high-blood-press
Procedures
Ferrous sulfate 325 is used to treat iron deficiency anemia (a lack of red blood cells caused by having too little iron in the body). Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
SN completed assessment done on all body systems and noted patient with elevated blood pressure during visit. SN completed treatment during visit and noted no drainage on old tx, wound callused and new area found to left medial top of foot remains intact with no drainage noted. SN noted patient complaint of pain to bilateral lower extremities with +2 edema noted. SN educated primary caregiver on the importance of elevation of bilateral lower extremities as well as pain management for patient.
SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit. SN informed M.D. of patients elevated blood pressure and no new orders received, SN was advised to continue with patients current regimen.
SN educated caregiver on Hypertensive urgency which is a situation where the blood pressure is severely elevated or higher for your diastolic pressure an that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest pain, back pain, numbness/weakness, change in vision, difficulty speaking do not wait to see if your pressure comes down on its own. SN advised caregiver to seek immediately medical assistance and/or call 9-1-1 if listed above occurs or worsen with patient. Caregiver verbalized understanding of all teachings during visit.
Skilled nurse monitored blood pressure on patient and assess medication Instructed patient diet: early after a cardiac event, while you are still in the hospital. This phase usually includes light supervised exercise such as walking the halls and stair climbing.
Instructed caregiver to keep patient's ulcer from becoming infected, it is important to: keep blood glucose levels under tight control; keep the ulcer clean and bandaged; cleanse the wound daily, using a wound dressing or bandage; and avoid walking barefoot.
Instructed patient about Midline activities to avoid do not lift heavy items or do very hard exercise, such as shoveling. Do not use sharp objects near the catheter to avoid cutting or damaging it. Remind caregivers not to check your blood pressure or give needles in the arm where the catheter is placed.
Instructed patient catheters that present resistance to flushing and aspiration may be partially or completely occluded. Do not flush against resistance. If the lumen will neither flush nor aspirate and it has been determined that the catheter is occluded with blood, a declotting procedure per nurse may be appropriate.
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.
Skilled nurse flush blader catheter and performed urostomy care was done. Instructed patient When should I contact your caregiver? You have a fever, You have blood in your urine, and your urine has a strong odor, your incision wound or stoma is red or swollen, or you have a rash.