bedbound-patient
SN instructed patient and caregiver about Blood pressure. To check the blood pressure manually, sit in a relaxed position with the arm at rest on a table. Secure the cuff on the bicep, follow the machine instructions for starting the reading. If you move suddenly or are startled during the test, you should wait approximately 5 minutes before attempting to test again. Both parties verbalized understanding.
Instructed patient what are the risks of having a Jackson-Pratt drain. The JP drain site may be painful. You may have trouble lying on the side with your JP drain. Your JP drain site may leak. The JP drain may be pulled out by accident. The tubing may get blocked, crack, or break. The tubing may damage your tissue. You may have a scar. The JP drain site may get infected. This infection could spread inside your body.
Instructed patient When should I contact my healthcare provider. You drain less than 30 milliliters (2 tablespoons) in 24 hours. This may mean your drain can be removed. You suddenly stop draining fluid or think your JP drain is blocked. You have a fever higher than 101.5°F (38.6°C). You have increased pain, redness, or swelling around the drain site. If you have questions about your JP drain care contact your physician.
Patient instructed on new medication Abilify. Abilify is used to treat the symptoms of psychotic conditions such as schizophrenia and bipolar I disorder (manic depression). It is also used together with other medicines to treat major depressive disorder in adults. May be taken with or without food, take at the same time daily. Do not stop abruptly or change dosage without consulting prescriber. Notify prescriber if unusual or bothersome side effects occur.
Patient instructed Protonix (pantoprazole) is a proton pump inhibitor that decreases the amount of acid produced in the stomach. Take once daily in the morning with or without food. Common Protonix side effects may include: headache, dizziness; stomach pain, gas, nausea, vomiting, diarrhea; joint pain; or fever, rash, or cold symptoms. Instructed to notify prescriber if unusual or bothersome side effects occur or medication is not effective.
SN instructed patient and caregiver on how to stop a nosebleed. Make a thumbs up with hand on same side as nose bleed. Press side of nose that is bleeding closed and tilt head slightly down to prevent blood from going down into throat. Stay still for 5-10 minutes then gently release. Refrain from blowing nose or putting a tissue in nose x 24 hours. If bleeding does not stop seek medical attention.
SN provided teaching regarding hypokalemia. Low potassium (hypokalemia) refers to a lower than normal potassium level in your bloodstream. Potassium helps carry electrical signals to cells in your body. It is critical to the proper functioning of nerve and muscles cells, particularly heart muscle cells. S/s include weakness, muscle cramps, heart palpitations, and constipation. SN instructed that patient should report any of these to her nurse promptly. Verbal understanding noted.
SN instructed patient on stents. A stent is a tiny wire mesh tube. It props open an artery and is left there permanently. When a coronary artery (an artery feeding the heart muscle) is narrowed by a buildup of fatty deposits called plaque, it can reduce blood flow. If blood flow is reduced to the heart muscle, chest pain can result. If a clot forms and completely blocks the blood flow to part of the heart muscle, a heart attack results.
SN instructed patient about stents help keep coronary arteries open and reduce the chance of a heart attack. Stents help keep coronary arteries open and reduce the chance of a heart attack. A stent is inserted into the clogged artery with a balloon catheter. The balloon is inflated and the stent expands and locks in place. Then the balloon is removed and stent stays in place. This holds the artery open and allows blood to flow more freely.
SN instructed patient and caregiver about certain foods or eating habits are more likely to result in flushing, diarrhea, gas, bloating, and abdominal pain related to carcinoid syndrome. You only need to avoid particular foods if they cause you to have these symptoms. Keeping a food and symptom diary may be helpful. Record your daily food and drink consumption and any symptoms that you experience. You may start to notice a pattern. Carcinoid patients with symptoms should augment protein in their diets, add more tryptophan in the form of lean meats and protein, and avoid high tyramine-containing foods, which can cause flushing, such as hard and aged cheeses, including cheddar and Stilton; cured meats; and some nuts, specifically walnuts, peanuts, coconuts, and Brazil nuts.