chest pain
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.
Instructed patient the arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it avoid any activities that cause discomfort in your arm. Talk to your health care team if you have concerns about pain or range of motion.Don’t lift anything heavier than 10 pounds with the affected arm. Drink plenty of water. Staying hydrated helps keep clots from forming.
Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: you will be encouraged to walk, gradually increasing the distance and frequency. Your doctor may recommend an outpatient cardiac rehabilitation program for exercise and education, you will have soreness and bruising around the incision site. You will be given pain medication to keep you comfortable.
SN instructed patient to always assess wound dry sterile dressing when removed for any symptoms / signs of infection, such as increase drainage amount, any odor, drainage color, etc . Check your temperature once or twice a day. Report any fever or increase pain.
SN instructed that at the first sign of a migraine, retreat from your usual activities if possible. Instructed on ways to help treat migraine headaches such as, turn off the lights. Migraines often increase sensitivity to light and sound. Relax in a dark, quiet room. Sleep if you can.Try temperature therapy. Apply hot or cold compresses to your head or neck. Ice packs have a numbing effect, which may dull the sensation of pain. Hot packs and heating pads can relax tense muscles; warm showers or baths may have a similar effect. Suggested him to massage painful areas. Apply gentle pressure to your scalp or temples. Alleviate muscle tension with a shoulder or neck massage.
SN instructed patient / caregiver that valacyclovir is an antiviral drug used in the management of herpes simplex, herpes zoster, and herpes B. Common adverse drug reactions are the same as for valacyclovir and include: nausea, vomiting, diarrhea and headache. Infrequent adverse effects may include: agitation, vertigo, confusion, dizziness, edema, arthralgia, sore throat, constipation, abdominal pain, rash, weakness and/or renal impairment. Rare adverse effects include: coma, seizures, neutropenia, leukopenia, tremor, ataxia, encephalopathy, psychotic symptoms, crystalluria, anorexia, fatigue, hepatitis, Stevens–Johnson syndrome, toxic epidermal necrolysis and/or anaphylaxis.
SN instructed that the ciprofloxacin is an antibiotic that can treat a number of bacterial infections. The most common side effects of ciprofloxacin are: nausea, vomiting, diarrhea, abdominal pain, rash, headache, and restlessness. Other important side effects include:hives and anaphylaxis (shock), pseudomembranous colitis, among others.
SN instructed patient / caregiver about Bethanechol. Sometimes given orally or subcutaneously to treat urinary retention resulting from general anesthetic, diabetic neuropathy of the bladder, or a side effect of antidepressants or to treat gastrointestinal atony (lack of muscular tone). Adverse reaction are rare following oral administration of Bethanechol, but are more common following subcutaneous injection. Adverse reactions are more likely to occur when dosage is increased. Adverse reactions that have been observed: Body as a Whole: malaise; Digestive: abdominal cramps or discomfort, colicky pain, nausea and belching, diarrhea, borborygmi, salivation; Renal: urinary urgency; Nervous System: headache; Cardiovascular: a fall in blood pressure with reflux tachycardia, vasomotor response; Skin: flushing producing a feeling of warmth, sensation of heat about the face, sweating; Respiratory: bronchial constriction, asthmatic attacks; Special Senses: lacrimation, miosis.