Discharge And Home Healthcare Guidelines

PREVENTION. To prevent worsening of varicosities, teach the patient to avoid prolonged standing in one place, to avoid sitting with the legs crossed, to elevate the legs frequently during the day, to wear support stockings as ordered, and to drink 2 to 3 L of fluid daily. The patient should wear shoes that fit comfortably and are not too tight.

MEDICATIONS. Teach the patient the purpose, dosage, route, and side effects of any medications ordered.

COMPLICATIONS. Teach the patient to recognize, and observe daily for, signs of thrombophlebitis, which include redness, local swelling, warmth, discoloration (not related to surgery area), and back pain on bending. Teach the patient which signs to report to the physician.

POSTOPERATIVE COMPLICATIONS. Teach the patient to report any signs of infection, such as redness at incision sites or injection sites, severe pain, purulent drainage, fever, or swelling.

Ventricular DRG Catego|r 138

Mean LOS: 3.9 days Dysrhythmias Description: MEDICAL: Cardiac Arrhythmia and

Conduction Disorders with CC

^K ventricular dysrhythmia is a disturbance in the normal rhythm of the electrical activity of the heart that arises in the ventricles (Fig. 1). Types of ventricular dysrhythmias include premature ventricular contractions (PVCs), which can have one focus or can arise from multiple foci; ventricular tachycardia (VT), which can lead to ventricular fibrillation or sudden cardiac death; ventricular fibrillation (VF), which results in death if not treated immediately; and ventricular asystole (cardiac standstill), in which no cardiac output occurs and full cardiopulmonary arrest results (Table 1).

Figure 1 The Cardiac Conduction System:

The hearts electrical impulses normally originate spontaneously in the sinoartrial node, located high in the right atrium. The impulse travels along special conduction pathways in the right and left atria and stimulates the atria to contract. The impulse then travels through the atrioventricular node, through the bundle of His, and then down the right bundle branch into the right ventricle and down the anterior fascicle and the left posterior fascicle. The impulse terminates in the Purkinje fibers in the ventricle, stimulating ventricular contraction.

Figure 1 The Cardiac Conduction System:

The hearts electrical impulses normally originate spontaneously in the sinoartrial node, located high in the right atrium. The impulse travels along special conduction pathways in the right and left atria and stimulates the atria to contract. The impulse then travels through the atrioventricular node, through the bundle of His, and then down the right bundle branch into the right ventricle and down the anterior fascicle and the left posterior fascicle. The impulse terminates in the Purkinje fibers in the ventricle, stimulating ventricular contraction.

• TABLE 1 Types of Ventricular Dysrhythmias
Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

Get My Free Ebook


Post a comment