shortness of breath
PICC line removal Education provided on site care following PICC line removal: positioning, keep dressing clean, dry and intact 24 hrs, do not lift over 5 lbs, report immediately S&S complications to on call RN: fever; chills;redness at site, swelling or purulent drainage at site, bruising or bleeding at site, increased shortness of breath.
SN to assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. SN to instruct patient on disease process, typical symptoms of an underlying cardiovascular issue include: pain or pressure in the chest, which may indicate angina, pain or discomfort in the arms, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweats
SN assessed portacath insertion site every visit. SN instructed s/sx to report to SN / MD such as redness, pain, puffiness around port, drainage from insertion site, temperature above 100 degrees, shortness of breath and chest pain. Sn instructed on portacath care and protection of the skin over the port.
Instructed patient call your doctor if you have:fever or chills, redness, swelling, or pain that is getting worse, bleeding or drainage from the hole, cough or shortness of breath, even after you suction your tube, nausea or vomiting, any new or unusual symptoms.
SN instructed patient and caregiver about corona virus is a respiratory illness that causes fever, coughing, and shortness of breath. Call your doctor iImmediately or go to ER.
SN instructed patient about people with covid-19 have had a wide range of symptoms reported ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have covid-19: fever or chills, cough, shortness of breath or difficulty breathing, fatigue muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting & diarrhea.
SN instructed patient to stop smoking, instructed that around 3 days after quitting, most people will experience moodiness and irritability, severe headaches, and cravings as the body readjusts. In as little as 1 month, a person's lung function begins to improve. As the lungs heal and lung capacity improves, former smokers may notice less coughing and shortness of breath.
SN educated patient/caregiver on medication Trelegy inhaler. This inhaler combines 3 medicines in 1 inhaler, an inhaled corticosteroid (ICS) medicine (fluticasone furoate), an anticholinergic medicine (umeclidinium), and a long-acting beta2-adrenergic agonist (LABA) medicine (vilanterol). ICS medicines such as fluticasone furoate help to decrease inflammation in the lungs. Anticholinergic medicines such as umeclidinium and LABA medicines such as vilanterol help the muscles around the airways in your lungs stay relaxed to prevent symptoms such as wheezing, cough, chest tightness, and shortness of breath. Common side effects include: thrush in your mouth and throat, (rinse your mouth with water without swallowing after use to help prevent this.) bronchitis, PNA, upper respiratory infection, painful urination, throat/mouth pain, cough, hoarseness.
SN instructed patient Patients with LVADs experience many physical and emotional changes. Although there are many physiological benefits (increased energy, reduced shortness of breath), patients may become depressed or even suicidal. Many patients feel socially isolated and express frustration over loss of control and dependency on family and caregivers. Others may be afraid of their device.
SN did head to toe assessment and vital signs monitoring done. Received patient sitting on the chair with elevated blood pressure. SN instructed patient on the disease process, and management of CHF. Heart failure occurs when the heart muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath. Certain heart conditions gradually leave the heart too weak or stiff to fill and pump blood properly. SN instructed patient to have a healthy lifestyle. Try to lose weight, exercise, use less salt and manage stress. SN will continue to assess and instruct the patient.