chronic kidney disease
RN instructed on low fat diet for treatment of high cholesterol and triglyceride levels. RN explained patient to avoid foods that are rich in fat / cholesterol, choose only lean meat and avoid the fat, eat more fish and poultry, have baked / broiled red meats, fish or poultry instead of fried, use low-fat or fat-free milk, try fat-free or low fat cottage cheese or yogurt in place of cream and sour cream, have steamed vegetables and dress salads with lemon juice, fat free mayonnaise or fat free dressing. RN also instructed patient that Atorvastatin reduces levels of "bad" cholesterol and triglycerides in the blood, while increasing levels of "good" cholesterol and is used to lower cholesterol and triglycerides in the blood and therefore it is used to lower the risk of stroke, heart attack and other heart complications in people with diabetes, coronary heart disease or other risk factors.
SN instructed patient / caregiver that the stroke occurs when a clot or a torn blood vessel in the brain stops blood from reaching a part of the brain. Damage to that part of the brain from lack of blood and oxygen can cause various signs and symptoms of stroke, such as facial drooping, numbness and paralysis. Although anyone can have a stroke, your risk increases if you're male, over age 65, or have one of these conditions: high blood pressure, high cholesterol, heart disease, or diabetes. Being overweight, smoking, abusing drugs or alcohol, and taking birth control pills increase risk, too. African - Americans, people who are Hispanic or Asian, and those with a close relative who's had a stroke are also at higher risk.
SN teaching patient Ventolin HFA ( albuterol sulfate inhalation aerosol ) is a bronchodilator used to treat or prevent bronchospasm in people with reversible obstructive airway disease. Ventolin HFA is also used to prevent exercise - induced bronchospasm.
SN instructed about Ventolin HFA ( albuterol sulfate inhalation aerosol ) is a bronchodilator used to treat or prevent bronchospasm in people with reversible obstructive airway disease. Ventolin HFA is also used to prevent exercise - induced bronchospasm. Ventolin HFA is an albuterol inhaler that helps relieve bronchospasm and its symptoms. Ventolin HFA acts within minutes, and symptom relief should last 4 to 6 hours. Albuterol treats bronchospasm by quickly opening the airways within your lungs to ease breathing during an asthma attack.
SN instructed patient on spontaneous coronary artery dissection ( SCAD ) and stent placement. A stent is a small rod made out of metal or fabric. It is inserted into a coronary artery when there is a blockage or when the artery is narrow. A coronary artery is a blood vessel that carries oxygen to the heart muscle. You received a stent due to coronary artery disease ( also called SCAD). That is caused by a thickening of the inside walls of the coronary arteries. This thickening is called atherosclerosis. A fatty substance called plaque builds up inside the thickened walls of the arteries, blocking or slowing the flow of blood. If your heart muscle doesn't get enough blood to work properly, you may have angina ( chest pain ) or a heart attack. The stent will help hold the artery open so blood can flow and help keep the artery from narrowing again. You will need to take medicine that keeps the stent open and blood flowing. It is very important to take the medicine exactly how your doctor tells you to take it. In addition to taking medicine, the best way to keep your heart healthy is to maintain a healthy lifestyle. Quit smoking. Make sure you keep your blood pressure and cholesterol at healthy levels. Exercise as recommended by your doctor. Eat a heart - healthy diet. Patient verbalized understanding well.
SN explain that Heart failure is a condition in which the heart can not pump the amount of blood the body needs. Heart failure does not mean that the heart has stopped or is about to stop working. It indicates that the heart can not pump blood the way it should. It can affect one or both sides of the heart the weakening of the pumping capacity of the heart causes: Accumulation of blood and fluid in the lungs Accumulation of fluid in the feet, ankles and legs called edema Tiredness and shortness of breath The most common causes of heart failure are coronary artery disease, high blood pressure and diabetes. It is most common in people over 65, African - Americans, overweight people, and people who have already had a heart attack. Men are at greater risk than women.
SN instructed patient on the 'Bad' fats in your diet. There are two types of fat that should be eaten sparingly: saturated and trans fatty acids. Both can raise cholesterol levels, clog arteries, and increase the risk for heart disease. Saturated fats are found in animal products ( meat, poultry skin, high - fat dairy and eggs ) and in vegetable fats that are liquid at room temperature, such as coconut and palm oils. There is evidence that saturated fats have an effect on increasing colon and prostate cancer risk, so we recommend whenever possible to choose healthy unsaturated fats and always strive to be at a healthy weight. Patient / caregiver verbalized understanding of teaching.
SN Instructed patient and caregiver on good fats vs bad fats basically. There are two groups of fats: saturated and unsaturated. Within each group are several more types of fats. The unsaturated fats. Unsaturated fats include polyunsaturated fatty acids and monounsaturated fats. Both mono and polyunsaturated fats, when eaten in moderation and used to replace saturated or trans fats, can help lower cholesterol levels and reduce your risk of heart disease, Polyunsaturated fats, found mostly in vegetable oils, help lower both blood cholesterol levels and triglyceride levels, especially when you substitute them for saturated fats. One type of polyunsaturated fat is omega - 3 fatty acids.
SN instructed patient / caregiver regarding Metoprolol Tartrate, which is in a group of drugs called beta - blockers. That is affect the heart and circulation ( blood flow through arteries and veins ). Metoprolol is used to treat angina ( chest pain ) and hypertension ( high blood pressure ). It is also used to treat or prevent heart attack. Call your doctor at once if you have any of these serious side effects: chest pain, pounding heartbeats or fluttering in your chest, feeling light - headed, fainting; feeling short of breath, even with mild exertion, swelling of your hands or feet, nausea, upper stomach pain, itching, loss of appetite, dark urine, clay - colored stools, jaundice ( yellowing of the skin or eyes ), easy bruising, unusual bleeding ( nose, mouth, vagina, or rectum ), purple or red pinpoint spots under your skin, wheezing, trouble breathing. Less serious side effects may include: dry mouth, constipation, heartburn, vomiting, diarrhea, headache, drowsiness, tired feeling, sleep problems ( insomnia ), or anxiety, nervousness. Do not suddenly stop taking metoprolol tartrate. Sharp chest pain, irregular heartbeat, and sometimes heart attack may occur if you suddenly stop metoprolol tartrate. The risk may be greater if you have certain types of heart disease. Tell your doctor or dentist that you take metoprolol tartrate before you receive any medical or dental care, emergency care or surgery.
SN instructed that the joint that is damaged by injury or disease can be removed and replaced with a new one. There are times when only a part of the joint needs to be replaced or repaired. Your healthcare provider may try other treatments before joint replacement surgery, such as steroid injections or medicines. Pain relief and increased function are the goals of joint replacement. Knee, hip, and shoulder joints are the most common joints replaced. Joints in your elbows, fingers, and ankles can also be repaired or replaced. Your risk of infection, bleeding, and blood clots increase with surgery. You may be allergic to the material used in your new joint. Nerves, muscles, tendons, and blood vessels near your joint may become damaged during surgery. The new joint may loosen or come out of the socket. Sn instructed patient on symptoms / signs ( S/S ) of infection such as fever, drainage, swelling, redness. Patient recalls back partial teaching of redness. Patient instructed to report any symptoms should they occur to physician / nurse ( MD / SN ).