Welcome to NurseTeachings.com. Our website is the key to completing nurse progress notes quickly and efficiently. We offer over 2,600 teachings and growing. Each day more and more nurses are adding new teachings. You can also share your teachings. Our user friendly interface allows you to navigate this website without difficulty.
If the inner cannula is designed for reuse, clean it in a solution of equal parts hydrogen peroxide and 0.9% sodium chloride. Wear sterile gloves and maintain aseptic technique. Remove encrusted secretions from the lumen of a metal tube with sterile pipe cleaners or a soft sterile brush. For a plastic tube, use only sterile pipe cleaners to prevent damage by a brush. After cleaning, thoroughly rinse the inner cannula with 0.9% sodium chloride solution.
Patient was instructed on list of precautions regarding medications: Keep each drug in its original, labeled container. Make sure labels are legible. Read labels carefully and follow all instructions.
Patient was instructed on hypoglycemia. Moderate hypoglycemia often makes people feel short-tempered, nervous, afraid, or confused. The vision may blur. People could also feel unsteady or have trouble walking.
Instructed on some measures aimed to preventing constipation, such as: exercise regularly at a slow, steady pace, as directed by MD.
Instructed on some measures aimed to controlling/managing Angina Pectoris, such as: learn stress management techniques, among others.
SN instructed patient to eat a balanced diet and drink fluids, increase protein and take vitamins to promote wound healing.
Instructed patient how to change the dressings and how to care for the tubes and drains. Recommend to splint the abdomen when coughing or sneezing.
The patient was instructed in valve repair replacement in the need of good care of the incision site. The patient was advised in the stress of lifelong anticoagulant therapy to stop emboli and block of the valve. The patient was instructed in other methods for dealing with pain. The patient was recommended to evade heavy lifting (10 pounds), pushing, pulling, and exercises for 6 weeks. The patient was recommended to evade driving for the first 4 to 6 weeks. The patient was recommended to evade sitting or driving for extended times. The patient was recommended to evade abrupt position variations from sitting and standing.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
Instructed patient eating yogurt or drinking buttermilk may help reduce gas, To control gas at night, do not eat after 8 p.m. This will give your bowel time to quiet down before you go to bed.