pressure ulcer
SN instructed patient's CG about Quetiapine (Seroquel), it is an atypical antipsychotic approved for the treatment of schizophrenia, bipolar disorder, and along with an antidepressant to treat major depressive disorder. Possible SE/AR may include, dry mouth, dizziness, headache, somnolence. Some common adverse effects, high blood pressure, orthostatic hypotension, high pulse rate, high blood cholesterol, elevated serum triglycerides, abdominal pain, constipation, increased appetite, vomiting, among others.
Fludrocortisone is a corticosteroid. It works by causing the kidneys to retain sodium and acting as a replacement for cortisone when the body does not produce enough.Carry an ID card at all times that says you take fludrocortisone. Tell your doctor or dentist that you take fludrocortisone before you receive any medical or dental care, emergency care, or surgery.Fludrocortisone may cause an increase in blood pressure, salt and water retention, and calcium and potassium loss. Talk with your doctor to see if you need to decrease the amount of salt in your diet or take a calcium or vitamin D supplement. Check with your doctor if any of these most common side effects persist or become bothersome:Difficulty sleeping; dizziness or lightheadedness; headache; increased appetite; increased sweating; indigestion; nervousness
Instructed patient through the use of negative pressure wound therapy, a standard surgical drain, and optimized nutrition, fistula drainage was redirected and the abdominal wound healed, leaving a drain controlled enterocutaneous fistula. Patient control of fistula drainage and protection of surrounding tissue and skin is a principle of early fistula management.
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.
Instructed patient/caregiver on no-added-salt or salt-controlled diet can help control high blood pressure. Even if you are taking medication, it's important to follow a salt-controlled diet to help the medication work more effectively. Use a limited amount of salt in cooking. Don't add salt to your food at the table, either at home or when dining out. Most restaurants add salt when preparing food. Use fresh or dried herbs, spices, and lemon juice to season foods. Avoid ham, bacon, salt pork, and cheese, because these are made with salt. Patient/caregiver verbalized understanding.
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 the key to successful wound healing is regular podiatric medical care to ensure the following “gold standard” of care: Lowering blood sugar, appropriate debridement of wounds, treating any infection, reducing friction and pressure, restoring adequate blood flow.
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 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.