Patient Instruction

A patient who is a recent immigrant to the United Spates is seen in the outpatient clinic for a severe upper respiratory infection. The primary health care provider prescribes a cephalosporin and asks you to give the patient instructions for taking the drug. You note that the patient appears to underhand very little English. Discuss how you would solve this problem. Determine what information you would include in a teaching plan... 

If the nurse is responsible for administering the medication by nebulization, it is important to place the patient in a location where he can sit comfortably for 10 to 15 minutes. The compressor is plugged in and the medication mixed as directed, or the prepared unit dose vial is emptied into the nebulizer. Different types of medication are not mixed without checking with the physician or the pharmacist. The mask or mouthpiece is assembled and the tubing connected to the compressor. The patient is placed in a comfortable, upright position with the mask over the nose and mouth. The mask must fit properly so that the mist does not flow up into the eyes. If using a mouthpiece instead of a mask, have the patient place the mouthpiece into the mouth. The compressor is turned on and the patient instructed to take slow, deep breaths. If possible, the patient should hold his breath for 10 seconds before slowly exhaling. The treatment is continued until the medication chamber is empty. After treatment, the mask is washed with hot, soapy water, rinsed well, and allowed to air dry. 

Educating the Patient and Family If lypressin or desmopressin is to be used in the form of a nasal spray or is to be instilled intranasally usingthe nasal tube delivery system, the nurse demonstrates the technique of instillation (see Fhtient and Family Teaching Checklist Self-Adnrinistering Nasal Vasopressin). The nurse includes illustrated patient instructions with the drug and reviews them with the patient. If possible, the nurse lias the patient demonstrate the technique of administration. The nurse should discuss the need to take the drug only as directed by the primary health care provider. The patient should not increase the dosage (ie, the number or frequency of sprays) unless advised to do so by the primary health care provider. 

Educating the Patient and Family The instructions for starting oral contraceptive therapy vary with the product used. Each product has detailed patient instruction sheets regarding starting oral contraceptive therapy, and the nurse reviews them with the... 

The LidoPen Auto-Injector un t is for self-administration into deltoid muscle or anterolateral aspect of thigh. Patient instructions are provided with product. 

All patients Instruct patients to take methylphenidate chewable tablets with at least 240 ml (8 ounces) of water or other fluid. Taking this product without enough liquid may cause choking. 

Weekly dose Physicians and pharmacists should emphasize that the dose is taken weekly. Mistaken daily use has led to fatal toxicity. Encourage patients to read the Patient Instructions in the Dose Pack. Do not write or refill prescriptions on a PRN basis. 

Schedule for medication administration. Patients must be made aware of appropriate intends between drug doses. Timing of administration may affect absorption and blood or ocular levels of the drug. Clinicians should provide verbal definition of label instructions (e g., before meals, after meals, at bedtime two, three, or four times daily every 4,6, or 12 hours on an empty stomach). As directed is considered an inappropriate form of patient instruction. 

Develops patient education materials and participates in patient instruction programs to facilitate appropriate medication therapy and compliance. 

Rose Medick, 43, tells her story better than I can "I m so glad you asked for my story. I feel like a balloon about to explode. I do diabetic and ostomy patient instruction at the hospital. I have wanted a doctor to whom I could talk that would understand, and not think I was crazy for feeling better on hydrogen peroxide. 

Medications. Medications used for treatment should be explained to the patient. Instruction of how to correctly use intranasal corticosteroids should be given [145]. Intranasal steroids provide better control when used regularly than on an as needed basis. Such explanations increase compliance. The mode of action of antihistamines and nasal decongestants on nasal symptoms should be clarified. The side-effects and safety of long-term use of the newer antihistamines and intranasal steroids should be explained. 

Education of patients taking MAOIs regarding dietary and medication restrictions is extremely important. Printed and verbal patient instructions should be provided. Patients unable to read and those with difficulty understanding or remembering medication instrnc-tions should not be prescribed MAOIs unless they have competent caregivers. Patients should be instructed to consult a health care professional before taking over-the-counter medications. Patients should... 

Secondary pack Carton with patient instruction leaflet... 

That are a polished version of notes written largely in the late 1980s, available in part since then from < www.math.purdue.edu/"lipman>. I am grateful to Bradley Lucier for his patient instruction in some of the finer points of TgX, and for setting up the appearance macros in those days when canned style files were not common—and when compilation was several thousand times slower than nowadays. 

Reference Tesla Posilioning Type of sequence dynamic Single slice or slab Slice orientation Patient instruction Reference line Opacification ... 

Table 10.20 The instillation of eye drops - how to proceed. Example of a patient instruction for the administration of eye drops [130]...

Patient instructions Use of medicines Labelling Storage Feeding tube... 

Swallowing problems often make patients ask for a liquid dosage form of (licensed) medicines that are on the market only as a tablet or capsule. Or worse, they may crush tablets that are to be taken as a whole. The careful choice of active substance and dosage form is an important step in pharmaceutical care for this kind of patients. Instruction about easier swallowing may be worthwhile. But even then some adaptation of the medicine may be necessary. Any... 

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