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Instructed in measures to decrease risk of angina pectoris: exercise regularly, take regular rest periods, eat small frequent meals, dress warmly in cold weather, take medications as prescribed, eat diet high in fiber and others.
Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.
Instructed on some signs/symptoms of Osteoporosis, such as: curvature of the spine and loss of height, among others.
SN instructed patient and caregiver that a sudden physical exertion may constitute as a precipitating factor of Angina Pectoris. Angina occurs when one or more of the coronary arteries become narrowed or blocked. Not be discouraged from exercising, but start slowly and do it regularly. Both patient and caregiver verbalized understanding.
Taught that taking corresponding medications exactly as directed by MD is a measure aimed to controlling/managing Congestive Heart Failure (CHF).
Taught that Coronary Artery Disease (CAD) develops very slowly and may be very advanced before symptoms develop.
Advised hypertensive patients to keep blood pressure under control and alleviate excessive pressure on the vessels, including the site of repair the aortic aneurysm.
Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.
Instructed patient when skin redness where the tape or dressing was the nurse may need to change the dressing size or the type of tape or dressing used. Call home care nurse.
Instructed patient on signs and symptoms that indicate a need for suctioning include: Nasal flaring (which is seen when the nostril flares out when a person breaths in) Change in skin color from normal to pale or blue Changes in activity, such as if a child is upset or inconsolable, or appears to be sleepy Increased coughing.