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Lisinopril Teaching 2219

SN instructed patient about the drug lisinopril is a drug of the angiotensin-converting enzyme inhibitor class used primarily in treatment of hypertension ACE is important because it is an enzyme responsible for producing the chemical, angiotensin II. Angiotensin II causes muscles in most arteries, including the arteries of the heart, to contract, thereby narrowing the arteries and elevating blood pressure. ACE inhibitors such as lisinopril lower blood pressure by reducing the production of angiotensin II, thereby relaxing arterial muscle and enlarging arteries. When the blood pressure is lower, the heart - including the failing heart - does not have to work as hard to pump blood. The arteries supplying the heart with blood also enlarge during treatment with ACE inhibitors. This increases the flow of blood and oxygen to the heart, further improving the ability of the heart to pump bloodSide effects include: dizziness due to a drop in blood pressure, trouble breathing, blistering, peeling, red skin rash, confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips, dark urine or pale stools. Pt verbalized understanding.

Peg Tube Teaching 2220

Instructed patient keep the skin around your PEG tube dry. This will help prevent skin irritation and infection.

Peg Tube Teaching 2221

Instructed patient to check for redness and swelling in the area where the tube goes into your body. Check for fluid draining 
from your stoma (the hole where the tube was put in).

Peg Tube Teaching 2222

Instructed patient you may need to keep track of how much formula and other liquids you have each day. You may also 
need to keep track of how much you urinate and how many times you have a bowel movement each day. Bring this record to
 your follow-up visits.

PICC Line Teaching 2224

Instructed patient watch for signs of problems. Pay attention to how much of the catheter sticks out from your skin. If this changes at all, let your healthcare provider know. Also watch for cracks, leaks, or other damage. And if the dressing becomes dirty, loose, or wet, change it (if you have been instructed to) or call your healthcare team right away.

PICC Line Teaching 2225

Instructed patient avoid damage. Don’t use any sharp or pointy objects around the catheter. This includes scissors, pins, knives, razors, or anything else that could puncture or cut it. Also, don’t let anything pull or rub on the catheter, such as clothing

PICC Line Teaching 2226

Instructed patient when showering, cover the area with plastic wrap or another cover as recommended by your healthcare provider. And keep the area out of the water spray. If the dressing does get wet, change it only if you have been shown how. Otherwise, call your healthcare team right away for help.

PICC Line Teaching 2231

Instructed patient call your health hare provider immediately if you have: pain, fever, a large amount of bright red bleeding and also if you have: warmth, redness, or swelling along the arm or PICC line insertion site. A tear or break in the PICC line catheter or tubing.

Peg Tube Teaching 2233

instructed patient call nurse or doctor if your body changes: Nausea or vomiting that does not go away, constipation with no bowel movement for 3 days. Diarrhea of more than 6 loose stools a day, stomach becomes bloated or swollen and tight, a stomach residual more than the amount your doctor has set for you.

PICC Line Teaching 2235

Instructed patient what are some of the benefits of the care wear PICC line cover. The unique mesh window provides an innovative way to allow patients and caretakers to view the site and check for infection and leakage. The innovative designs . and colors allow for patients to get back to living their lives. Skilled nurse instructed care giver in medication management review and update medication schedule, specially new or changed medications (action side effects, adverse reactions) and complications.