diverticulosis-and-diverticulitis
SN explained that the symptoms / signs of congestive heart failure ( CHF ) may include: Shortness of breath ( also called dyspnea ) most commonly during activity, at rest, or while sleeping, which may come on suddenly and wake you up. You often have difficulty breathing while lying flat and may need to prop up the upper body and head on two pillows. You often complain of waking up tired or feeling anxious and restless. Blood backs up in the pulmonary veins ( the vessels that return blood from the lungs to the heart ) because the heart can't keep up with the supply. This causes fluid to leak into the lungs. Persistent coughing or wheezing, coughing that produces white or pink blood - tinged mucus. Fluid builds up in the lungs. Buildup of excess fluid in body tissues ( edema ) swelling in the feet, ankles, legs or abdomen or weight gain. You may find that your shoes feel tight.
SN instructed patient regarding new medication Tamsulosin. This medication is used to relieve the symptoms of benign prostatic hyperplasia ( BPH ) such as difficult urination and inability to empty your bladder completely, common symptoms of enlarged prostate. Tamsulosin works by relaxing bladder neck muscles and muscle fibers in the prostate itself and make it easier to urinate. Common side effects include dizziness, nasal congestion, rhinitis, rhinorrhea, sinus congestion and seasonal allergic rhinitis, drowsiness. Take this medication at bedtime to avoid becoming sleepy during the day. This medication may also cause you to become dizzy when standing up from a sitting or lying position, so rise slowly. Call 911 or get immediate emergency help if you have any signs of allergic reaction such as blistering rash, swelling of face; tongue, throat, or difficulty breathing. Patient verbalized understanding of all teaching.
SN instructed patient on ways to prevent Urinary tract infection ( UTI ). Cranberry juice contains active compounds that are able to survive the digestive process. In the urinary tract system, these compounds actively work to fight bacteria. Its effectiveness at treating urinary tract infections has been proven, and regularly consuming cranberry juice can help prevent them. You don’t have to choose straight cranberry juice, it can be blended with apple juice or even water for taste without losing its effectiveness. Water helps to keep the system flushed out, preventing bacteria from accumulating and causing problems. Cranberry juice or cranberry juice cocktails should be offered on a regular basis and water intake should be tracked daily to ensure the patients are consuming enough water. Never Force yourself and wait - when you need to go the bathroom, your needs should be tended to immediately. Do not, under any circumstances, wait for a long period of time. Holding a full bladder for long periods of time can quickly lead to a urinary tract infection. Patient / caregiver verbalized understanding.
Sn instructed that Carbamazepine toxicity frequently presents with neurologic, cardiovascular, and anticholinergic symptoms. Patients with mild carbamazepine toxicity or those presenting shortly after the ingestion when absorption remains incomplete may demonstrate drowsiness, nystagmus, and tachycardia. More severe intoxication may manifest as lethargy, seizure, coma, hypotension, or arrhythmia. Signs and symptoms of anticholinergic toxicity are expected. Toxicity may be prolonged due to carbamazepine's delayed and erratic absorption.
SN instructed patient and care giver that Silvadene is used with other treatments to help prevent and treat wound and skin infections. Silver sulfadiazine (silvadene) works by stopping the growth of bacteria. Silver sulfadiazine belongs to a class of drugs known as sulfa antibiotics. Possible SE may include: pain, burning, or itching of the treated skin. Skin and mucous membranes (such as the gums) may become blue/gray in color. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Tracheostomy care Instructed patient caregiver Signs and symptoms of difficulty breathing are: Retractions Pulling of the skin between the ribs, under the breastbone or around the trach itself. Also symptoms of difficulty breathing are: Sweaty and pale skin, a person is sweaty and pale and seems to be working hard to breathe while at rest, dusky lips or nail beds. The lips or nail beds look dark, dusky or blue.
Chronic obstructive pulmonary disease (COPD) is a condition in which the bronchioles (breathing tubes) leading to the lung develop thickened membranes that secrete large amounts of sputum and pus or in which the tine alveoli (air sacs) within the lungs become inelastic and sometimes break open and trap air. COPD causes breathing to become more difficult because air is taken in and cannot be expelled completely.
SN instructed patient on Diabetes. When you have diabetes, a meal plan is important. A meal plan tells you when to eat, how much to eat, and what kinds of food to eat for meals and snacks. You need to eat a variety of vegetables, fruits, and whole-grain foods. The meal plan can include sugar, salt, and saturated fats, but in a way that fits into the overall plan.
SN instructed patient that heart failure, also called Congestive Heart Failure (CHF), means your heart does not pump blood as well as it should. This does not mean your heart has stopped working, but that it is not as strong as it used to be and fluid builds up in the lungs and other parts of your body. This can cause shortness of breath, swelling in the legs, feet, and stomach. Heart failure starts slowly and can get worse over time.
SN instructed patient Brovana (arformoterol) is a bronchodilator. It works by relaxing muscles in the airways to improve breathing. Brovana inhalation solution is used to prevent bronchoconstriction in people with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. Use Brovana inhalation solution exactly as prescribed by your doctor. Follow all directions on your prescription label. Open the foil pouch and remove one vial, leave the rest in the package.Sit upright in a comfortable position. Breathe in slowly and evenly until you have inhaled all of the medicine (usually 5 to 10 minutes). The treatment is complete when no more mist is formed by the nebulizer and the drug chamber is empty.Clean the nebulizer after each use. Follow the cleaning directions that came with your nebulizer.