high blood pressure
SN instructed patient and caregiver on SIMVASTATIN. Simvastatin is a cholesterol-lowering medicine. It inhibits the production of cholesterol by the liver. Highblood cholesterol is first treated with exercise, weight loss, and a diet low in cholesterol and saturated fats. When these measures fail, cholesterol-lowering medications such as Simvastatin can be added. Simvastatin is generally well-tolerated and side effects are rare. Minor side effects of Simvastatin include constipation, diarrhea, fatigue, gas, heartburn, and headache. Major side effects of Simvastatin include abdominal pain or cramps, blurred vision, dizziness, easy bruising or bleeding, itching, muscle pain or cramps, rash, and yellowing of the skin or eyes.
Patient and caregiver educated on precautions to be exercised while taking Topiramat (Topamax). Topamax can induce extreme dry mouth and diarrhea. Sucking on a sugar free hard candy can help with symptomatic relief of dry mouth. Proper hydration measures and compliance with daily fluid intake recommendations can help with fluid supplementation. Topamax intake can induce some dizziness. Also, Topamax use can result in a side-effect of increased ammonia in the blood, which also contributes to increased nausea, confusion, and dizziness. Patient instructed to avoid activities where loss of consciousness (passing out) could result in serious danger to self or those around you (including swimming, driving a car, climbing in high places, etc.). Patient instructed to talk to his doctor before engaging in such activities.
Instructed in measures to manage chronic renal failure, such as, following prescribed information closely, following activity as instructed, avoiding stress, monitoring blood pressure closely and reporting any signs of bleeding tendencies.
Instructed in use of Verapamil, to help regulate heartbeat, prevent chest pain, and reduce blood pressure.
Instructed in possible adverse reactions to Lopressor, including fatigue, lethargy, dizziness, low heart rate, low blood pressure, nausea, vomiting, diarrhea, rash, and fever.
Instructed SO to change patient's position slowly when transferring from sitting or lying positions to standing positions. This will avoid dizziness and falls due to a sudden decrease of blood pressure.
Instructed patient to take blood pressure at the same time everyday and also report elevated S/P levels.
Instructed patient about blood pressure. How it should be checked every time when she/he goes to the doctor.
Instructed patient on the importance of incorporating fruits and vegetables to his/her diet to help managing hypertension. Decreasing the salt in your diet, limiting alcohol and not smoking help as well. Regular monitoring of blood pressure track the progress of the condition. Patient verbalized understanding.
Patient was instructed on hypertension. It is possible to lower blood pressure by making healthy changes in the lifestyle. There are 6 lifestyle changes that can help to prevent this disease such as loosing extra weight, eating less salt, exercising, limiting alcohol drinks at 2 daily, getting potassium every day, following a diet rich in fruits, vegetables and low-fat dairy products.