respiratory failure
The patient was instructed in endometrial cancer uterine cancer the importance of applies pain management techniques. The patient was instructed to care for the incision with general sanitation and daily bathing. The patient was taught in radiation therapy the need to prevent infection by evading large multitudes and persons with upper respiratory infections. The patient was advised in skin care including maintenance of colorant markings and the need to evade use of soap and other ointments. The patient was taught the importance of oral hygiene; elude tight or constricting clothing around the radiation site.
The patient was instructed in lung cancer the importance of evading persons with higher respiratory area infections. The patient was advised that after release should evade heavy lifting. The patient was instructed in examine radiation places daily. The patient was advised in skin precaution, including care of color markings and the need to evade use of soap and other ointments. The patient was instructed to evade close-fitting or compressing clothing around the radiation place. The patient was advised that weakness and other side effects begin during the first week of therapy and slowly disappear 2 to 4 weeks after therapy ends.
The patient was instructed in multiple sclerosis disseminated sclerosis in the need to control bath water temperature because of the loss of sense of temperature. The patient was advised to evade persons with upper respiratory infections. The patient was recommended to get suitable devices like assistive aids for ambulation and self-care. The patient was advised to use incontinence pads.
SN advised patient on some serious adverse effects of gentamycin such as: neuromuscular blockade finding, ototoxicity, nephrotoxicity, respiratory tract paralysis, concomitant anesthesia, and muscle relaxants.
The patient was instructed in thoracentesis in the need that movement or coughing during the process is prohibited to prevent unintentional needle injury to the lung or pleura. The patient was advised that if coughing is inavoidable the physician can remove the needle a little to prevent hole. The patient was reviewed to evade persons with upper respiratory tract infections.
Instructed patient on signs and symptoms that indicate a need for suctioning include: Seeing mucus in the opening of the trach tube or hearing mucus in the airway Increased respiratory rate or effort Retractions (which is seen when the skin between the ribs pulls in while breathing.
Instructed patient supplies that can be cleaned and disinfected for re-use: Trach tubes Trach swivel adapters Trach ties, Aerosol masks ,T-Pieces, Speaking valves, Nebulizers, Most hard plastic supplies. Cleaning your respiratory equipment: (Weekly),Cleaning and Disinfecting the Humidifier: (Daily)
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.
SN instructed patient about tracheotomy care dressing changes promote skin integrity and help prevent infection at the stoma site and
in the respiratory system. The patient should be instructed at least once per shift, apply a new dressing to the stoma site to absorb secretions and insulate the skin
. After applying a skin barrier, apply either a split - drain or a foam dressing. Change a wet dressing immediately.
SN instructed patient / caregiver regarding medication Cephalexin. SN explained that Cephalexin is used to treat urinary tract infections, respiratory tract infections, and skin and soft tissue infections. SN explained that the side effects of this medication includes: diarrhea, dizziness, headache, indigestion, joint pain, stomach pain and tiredness. SN explained that the drug can also cause yellowing of the eyes or skin; red, blistered, swollen or peeling skin, unusual bruising or bleeding, decreased urination, severe cramps and confusion. SN instructed to notify physician if experiencing persistence or worsening of side effects.