Discharge And Home Healthcare Guidelines

MEDICATIONS. Be sure the patient understands all medications, including the dose, route, action, adverse effects, and need for routine laboratory monitoring for anticoagulants.

COMPLICATIONS OF ANTICOAGULANTS. Explain the need to avoid activities that may predispose the patient to excessive bleeding. Teach the patient to hold pressure on bleeding sites to assist in clotting. Remind the patient to notify healthcare providers of anticoagulant use before medical, surgical, or dental procedures. Identify foods high in vitamin K (green, leafy vegetables; oats; wheat; rye), which need to be eaten in a consistent amount, no binging, so the effect of anticoagulants is not reversed.

TEACHING. Instruct the patient to report the recurrence or escalation of signs and symptoms of AS, which could indicate that the medical therapy needs readjusting or the replaced valve is malfunctioning. Patients with synthetic valves may hear an audible click like a ticking watch from the valve closure.

PREVENTION OF BACTERIAL ENDOCARDITIS. Patients who have had surgery are susceptible to bacterial endocarditis, which will cause scarring or destruction of the heart valves. Because bacterial endocarditis may result from dental work, surgeries, and invasive procedures, people who have repaired or replaced heart valves should be given antibiotics before and after these treatments.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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