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Instructed in complication of diarrhea such as dehydration, electrolyte imbalance or anal excoriation. Dehydration is indicated by dry mouth, poor skin tugor, dry, flushed skin, decreased urine output, sunken eyes and weak, rapid pulse.
Patient was instructed how to reduce friction and shear. Use draw sheet for repositioning, encourage use of trapeze if possible, keep head of bed elevated (if tolerated), elevate foot of bed slightly (if condition permits), use pillow or wedge to support hip (side lying, lateral position), utilize lifts and transfer devices.
Taught that Lamictal may be used to help prevent the extreme mood swings of bipolar disorder in people age 18 and older.
Instructed on some signs/symptoms of Rheumatoid Arthritis, such as: lumps or nodules under the skin and weight loss, among others.
Instructed on the importance of never attempting to restrain a person that is experiencing a seizure episode.
Taught that, in Emphysema, the lungs are in a chronic state of hyper-expansion, causing expiration to be more difficult.
Instructed on some potential complications of Congestive Heart Failure (CHF), such as: acute pulmonary edema and pneumonia, among others.
The patient was advised the importance of preventing respiratory infections by evading persons with infections to prevent atelectasis. The patient was instructed in coughing and deep breathing techniques. The patient was advised to use an incentive spirometer and how often to use it.
Instructed patient when should you contact your caregiver: you have little or no urine draining from the nephrostomy tube, you have nausea and are vomiting, the black mark on your tube has moved or is longer than when it was put in ,you have questions or concerns about your condition or care.
SN instructed patient on medication Daclatasvir is used with another antiviral medication ( sofosbuvir ) to treat chronic ( long-lasting ) hepatitis C, a viral infection of the liver. Daclatasvir should never be used without sofosbuvir. Daclatasvir and sofosbuvir may also be used with another antiviral medication ( ribavirin ). These medications together reduce the amount of hepatitis C virus in your body, which helps your immune system fight the infection and may help your liver recover. Chronic hepatitis C infection can cause serious liver problems such as scarring (cirrhosis), or liver cancer.It is not known if this treatment can prevent you from passing the virus to others. Do not share needles, and practice "safer sex" ( including the use of latex condoms ) to lower the risk of passing the virus to others. Patient fairly understood the teachings.