Discharge And Home Healthcare Guidelines

To prevent IE, provide patients in the high-risk category with the needed information for early detection and prevention of the disease. Instruct recovering patients to inform their healthcare providers, including dentists, of their endocarditis history, since they may need future prophylactic antibiotic therapy to prevent subsequent episodes.

Be sure the patient understands all medications, including the dosage, route, action, and adverse effects. Encourage the patient to seek prompt medical attention if side effects occur. Make sure the patient or significant others can demonstrate the appropriate method of antibiotic administration. Instruct the patient on proper IVs catheter site care, as well as the signs of infiltration. Encourage good oral hygiene, and advise the patient to use a soft toothbrush and to brush at least twice a day. Teach patients to avoid irrigation devices and flossing. Teach the patient to monitor and record the temperature daily at the same time. Encourage the patient to take antipyretics according to physician orders. Instruct the patient to report signs of heart failure and embolization, as well as continued fever, chills, fatigue, malaise, or weight loss.

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