skin breakdown
Instructed patient on new medication Santyl ointment. It is used for removing the dead skin from wounds or burned areas. Santyl ointment is an enzymatic debriding ointment. It works by breaking down dead skin.
The patient was instructed in lupus erythematosus systemic the importance of skin care consuming only no allergenic skin and hair care products. The patient was advised to evade sun contact and ultraviolet lights. The patient was recommended to evade infections by staying away from large masses and persons identified to have active infections. The patient was advised the need for careful oral care.
The patient was instructed in venous thrombosis in amount and records the size of the affected extremity daily. The patient was taught in the good skin care, using mild soap, rinse well, and dry gently. The patient was instructed in the use of antiembolic stockings for ambulation and times of extended sitting. The patient was instructed to remove them every 8 hours to evaluate the leg and skin. The patient was recommended to use of the bed cradle. The patient was recommended to apply of warm packs to the affected extremity.
Instructed caregiver about checklist for care your skin and catheter: Wash your hands to prevent
infections,check the skin around your catheter.
Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Take care of the Skin
Inspect the skin at least once every day. Pay attention to any red areas that remain even after
changing position.
Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Protect the Skin
patient from injury - Avoid massaging the skin on bony parts of the patient body. Limit pressure
on bony areas by changing positions frequently. If the patient in a bed, preferably every 2 hours.
SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which and can turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can help bring ones body temperature up. If frost bit occurs, one can warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.
SN instructed patient/CG keep the skin around your biliary catheter dry. You can take showers if you cover the area with plastic wrap. If the area does get wet, dry the skin completely after you shower.
SN instructed patient and caregiver about Bactrim. Bactrim is an antibiotic used to treat certain bacterial infections, including urinary tract infections, ear infections, enteritis, pneumonia, traveler's diarrhea, and episodes of difficulty breathing in people with chronic bronchitis. Serious allergic reactions, such as skin rash, sore throat, fever, joint pain, cough, shortness of breath, paleness, or yellowing of your skin or the whites of your eyes. Low platelet levels that may be life-threatening, but usually go back to normal within a week of stopping treatment with Bactrim. Watery and bloody stools.
SN instructed patient the skin around a fistula needs to be clean, dry, and grease-less for effective pouch adherence. Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition.