SS. 2412. Josmine Jose - Anusha Kyatham

---

SPEAKERS NURSE (85%), INTERLOCUTER (15%)

IA INTERLOCUTER ANUSHA KYATHAM 0:00 Morning Good Morning nurseNJ NURSE JOSMIN JOSE 0:03 I'm Jasmine just one of the registered nurses working in this hospital was Guinness for my verification Could you please state your name?IA INTERLOCUTER ANUSHA KYATHAM 0:15 My name is AliciaNJ NURSE JOSMIN JOSE 0:19 Okay, Mr. Nisha How are you feeling today?IA INTERLOCUTER ANUSHA KYATHAM 0:22 Nice I am 45 years old how been admitted to the hospital with suspected strokeNJ NURSE JOSMIN JOSE 0:33 okay, I'm so sorry to hear about you have setting for this course but the thing you know the doctor is to overcome that condition the doctor ordered for a Warfarin injection for you. Are you aware with that?IA INTERLOCUTER ANUSHA KYATHAM 0:49 No nurseNJ NURSE JOSMIN JOSE 0:53 No. Regarding the verifier in injectionIA INTERLOCUTER ANUSHA KYATHAM 0:58 yes nurseNJ NURSE JOSMIN JOSE 1:02 Yeah, I'm here to expand regarding the barber mentation in order to prevent this doctor, doctor prescribe the warfarin injection for you. So, before giving the infection I wanted to take some distress from you, is it okay? Okay nurse Okay, could you please tell me about you have any previous medical history?IA INTERLOCUTER ANUSHA KYATHAM 1:26 No, I do not have any significant medical history expect for polycystic ovary syndrome for which I take herbal supplementsNJ NURSE JOSMIN JOSE 1:38 okay. So, you are taking the herbal supplement for your Polycystic Ovarian disease Am I right?IA INTERLOCUTER ANUSHA KYATHAM 1:45 Yes nurseNJ NURSE JOSMIN JOSE 1:48 Do you have any medicines allergy anything? No nurse. So, do you have any idea regarding Warfarin injectionIA INTERLOCUTER ANUSHA KYATHAM 2:00 no nurse.NJ NURSE JOSMIN JOSE 2:04 So, based on the doctor's diagnosis, you are suspected for this stroke actually stroke means there is a blood clot is occurring in your arteries the veins were through which the blood is passing Are you with me? Yes. Okay. So, our foreign invasion will help to dissolve the clot and it will enhance the blood flow to your brain okay. Okay not lowering the hospital administration, we will give the warfarin an injection for form then after when you are you will be discharged that you have to take this Warfarin as tablet form for every day for the next four weeks are able to follow me yes nurse then as you said regarding you are taking some herbal supplements for your Polycystic Ovarian disease, you know, I need to be confirmed regarding that with your doctor whether you need to be continue or you need to be discontinued because you know, some of the medications will give you negative reaction with this Warfarin injection. Are you following me?IA INTERLOCUTER ANUSHA KYATHAM 3:21 Yes nurse, nurse, can you give me more about the data reporter I should follow for this problem.NJ NURSE JOSMIN JOSE 3:32 Okay, this is a good question from your side. Because you know, as I said the barbarian will dissolve this float and it will help enhance the blood flow, I wanted to tell you that you need to be minimise the vitamin K in your diet. Because you know, it is the opposite action of warfarin, vitamin C will promote the blood flows. Okay. So you need to be decreased the vitamin K in your life like you know, spinach, broccoli, soya bean oil because these are the foods which are having more vitamin K. So you need to be good this one from your diet. Okay.IA INTERLOCUTER ANUSHA KYATHAM 4:16 Okay nurse, thank you so much for the information.NJ NURSE JOSMIN JOSE 4:22 Okay, and one more thing I wanted to tell you until the confirmation of the unit to avoid over the counter drugs okay, because there is a chance to have the adverse reaction with Warfarin injection. And the other thing you know the warfarin injection when you are taking the tablet when you are taking after the discharge. It should be the same time in each day. Are you getting my point?IA INTERLOCUTER ANUSHA KYATHAM 4:47 Yes nurse.NJ NURSE JOSMIN JOSE 4:51 Other than that, I can provide a leaflet for you please go through that one, which a which has the detailed information regarding the warfarin issue. You have any concerns, please ask me and also I wanted to stress to you that if ever you will be having any unusual symptoms in your after your discharge, please try to contact the doctor immediately are able to follow this oneIA INTERLOCUTER ANUSHA KYATHAM 5:21 he is nervous.NJ NURSE JOSMIN JOSE 5:24 Okay. So, do you have any other consentsIA INTERLOCUTER ANUSHA KYATHAM 5:28 nownessNJ NURSE JOSMIN JOSE 5:32 Okay so today we have discussed about the warfarin injection on the side effects what are the wardrobe and dietary pattern you have to follow? I hope all you got the clarification.IA INTERLOCUTER ANUSHA KYATHAM 5:44 Okay nurse, thank you so much nurse.NJ NURSE JOSMIN JOSE 5:49 Okay, thank you for accepting my suggestions. If you have any more consensus, press this buzzer. I will be here to help you.IA INTERLOCUTER ANUSHA KYATHAM 5:59 Guinness thank you so much for the information.

---