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Instructed patient on S/S of hypoglycemia such as: cold sweat, shaking, blurred vision, faintness, hunger, headache, confused thinking and impatience. Instructed patient that if these S/S occur to take fast acting sugar, such as orange juice with sugar or glucose tablets.
Patient instructed in following a daily exercise routine but to avoid exertion as this may worsen pain.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if jaw pain and/or eye/vision problems occur.
The patient was instructed to obtain appropriate supplies for care of a urinary diversion by the bladder cancer. The female patient was taught to reduce the incidence of urinary tract infections by voiding after sexual intercourse, avoiding bubble baths, and wearing cotton undergarments. The patient was advised to avoid fluids and foods that irritate the bladder such alcohol, tea, and spices.
Instruct the patient in the aplastic anemia and its causes. Encouraged the importance to avoiding contact to persons known to have serious infections, trauma, abrasions, and breakdown of the skin which could lead to infection. Encouraged that antibiotics must be taken for the entire period prescribed. Encouraged the need to maintain a well-balanced diet.
Patient with biliary catheter SN instructed patient when to call the doctor or go to emergency: Active bleeding at the drain site that does not stop after you put finger, pressure on it, more pain or swelling at or around the drain site, your temperature is greater than 101 degrees fahrenheit, with or without chills
SN instructed patient about oxycodone/ acetaminophen ,non-serious adverse reactions include lightheadedness, dizziness, drowsiness or sedation, nausea, and vomiting. These effects seem to be more prominent in ambulatory than in no ambulatory patients, and some of these adverse reactions may be alleviated if the patient lies down. Other adverse reactions include euphoria, dysphoria, constipation, and pruritus. Serious SE/AR include respiratory depression, apnea, respiratory arrest, circulatory depression, hypotension, and shock .
Instructed patient if your trach tube comes out Don’t panic! Stay calm. Your stoma will stay open. If you do not know how to put the tube back in or you can’t get it in, have someone take you to the nearest Emergency Department, or go to your family doctor’s office. Take your extra trach tube with you.
Instructed patient watch for signs of problems. Pay attention to how much of the catheter sticks out from your skin. If this changes at all, let your health care provider know. Also watch for cracks, leaks, or other damage. And if the dressing becomes dirty, loose, or wet, change it or call your health care team right away.
SN instructed caregiver that symptoms of low blood pressure may include: blurry vision, confusion, dizziness, fainting (syncope), lightheadedness, nausea or vomiting, sleepiness, weakness. Treatment depends on the cause of your low blood pressure and your symptoms. If any symptoms from a drop in blood pressure, lie patient down right away, then raise patient's feet above heart level.