high blood pressure
SN instructed that the Metformin is used with a proper diet and exercise program and possibly with other medications to control highblood sugar. It is used in patients with type 2 diabetes. Controlling highblood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb.
Instructed patient about how a stroke can result from the damage that ongoing highblood pressure causes in the body vessels. If the affected vessel stops supplying blood to the brain, as a result a stroke occurs.
The patient was instructed in coronary artery disease the importance of no smoking or using tobacco products, the effect nicotine has on the cardiac system causing the heart to work faster, constricting blood vessels, and decreasing the amount of oxygen delivered to the heart, and in the presence of coronary artery disease, increasing the probability of chest pain. The patient was advised that the role that stress plays in aggravating coronary artery disease. The patient was recommended the benefits of exercise, increase in high-density lipoproteins, which lowers blood pressure, weight loss, improved cardiovascular status.
Patient was instructed about Taztia ( Diltiazem ), it belongs to a group of drugs called calcium channel blockers. It works by relaxing the muscles of your heart and blood vessels. It is used to treat hypertension (highblood pressure), angina (chest pain), and certain heart rhythm disorders. Possible SE/AR may include, dizziness. When you sit or lie down for a while, get up slowly to allow your body to adjust and minimize dizziness. Also may also experience bloating, heartburn, muscle cramps, headache, flushing, nasal congestion, sore throat, constipation or diarrhea. Inform your doctor if they become bothersome. Notify your doctor if you develop, breathing difficulties, swelling of the hands or feet, an irregular heartbeat.
SN instructed patient on diabetes and kidney problem, that diabetes mellitus ( DM ) is one of the leading cause of kidney failure in the United States. Approximately one-half of people who need dialysis have kidney disease from diabetes.With that, tight control of blood sugar must be done by avoiding concentrated sweets and high-carbohydrate content foods.Diabetic patients with hypertension have a special lower blood pressure target of less than 130 / 80 mmHg to reduce cardiovascular risk and delay progression of kidney disease.
SN instructed patient / caregiver that Hydralazine medication relaxes and expands blood vessels and is used to treat highblood pressure ( hypertension ). SN explained to patient / caregiver that side effects of this medication includes: dizziness, drowsiness, headache, constipation, loss of appetite, fatigue and nasal congestion may occur as your body adjusts to the medication. SN explained to patient / caregiver that to avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. SN instructed patient / caregiver to inform doctor if you develop: chest pain, muscle pain, swelling of the hands or feet, yellowing of the eyes / skin, joint pain, a change in the amount of urine. SN explained to patient / caregiver that this drug may cause numbness or tingling of the fingers and toes and that if this occurs, notify doctor. SN explained to patient / caregiver that symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing and should be reported immediately for prompt treatment.
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 ( highblood 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.
Instructed in signs and symptoms of lack of oxigen (hypoxemia) such as fast heartrate, rise in pulse and blood pressure, shortness of breath, headache, restlessness and anxiousness, confusion, lethargy, agitation, drop in heartrate and blood pressure as condition progressess, cyansis and others.
The patient was instructed in glomerulonephritis in the significance of daily weights, same time, same clothing, after urination and before eating. The patient was advised on finding supplies for home blood pressure checking. The patient was taught to measurement blood pressure and how frequently to do it. The patient was instructed the need to keep good skin care of edematous body areas to stop excoriation and skin breakdown. The patient was instructed in fluid limitations, fluids may be contingent on how much urine is put out.
The patient was instructed in nephrotic syndrome in the significance of daily weights, same time, same clothing, after urination and before eating. The patient was advised on finding supplies for home blood pressure checking. The patient was taught to measurement blood pressure and how frequently to do it. The patient was instructed the need to keep good skin care of edematous body areas to stop excoriation and skin breakdown. The patient was instructed in fluid limitations, fluids may be contingent on how much urine is put out.