hypertensive heart disease
SN instructed patient about some things that he can do to help control your blood pressure , including: Eat a heart-healthy diet, including potassium ( bananas ) and fiber ( cereals,beans ) , drink plenty of water, exercise regularly : walking for a few minutes every day , limit the amount of sodium ( salt ) you eat ( avoid canned foods ), reduce stress by trying to avoid things that cause you stress.
SN instructed that Torsemide is a loop diuretic. It works by making the kidney eliminate larger amounts of electrolytes ( especially sodium and potassium salts ) and water than normal ( diuretic effect ). It is used to treat edema ( swelling ) associated with heart, kidney, or liver failure, or with conditions in which there is excess body water. It is also used alone or with other medicines to treat high blood pressure. Torsemide may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep, try to take your dose before 6 pm. If you also take cholestyramine, do not take it within 4 hours before or after taking torsemide. may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects. Torsemide may affect your blood sugar. Check blood sugar levels closely. Weight should be monitored while taking this medication.
SN instructed that doxycycline is a tetracycline antibiotic. It fights bacteria in the body. Take doxycycline exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Take doxycycline with a full glass of water. Drink plenty of liquids while you are taking this medicine. Most brands of doxycycline may be taken with food or milk if the medicine upsets your stomach. Different brands of doxycycline may have different instructions about taking them with or without food. Take Oracea on an empty stomach, at least 1 hour before or 2 hours after a meal.Call your doctor at once if you have: changes in your vision; severe stomach pain, diarrhea that is watery or bloody, fever, swollen glands, body aches, flu symptoms, weakness, skin rash, pale skin, easy bruising or bleeding, severe tingling, numbness, pain, muscle weakness; upper stomach pain ( may spread to your back ), loss of appetite, dark urine, jaundice ( yellowing of the skin or eyes ); chest pain, irregular heart rhythm, feeling short of breath; confusion, nausea and vomiting, swelling, rapid weight gain, little or no urinating; new or worsening cough with fever, trouble breathing;increased pressure inside the skull - skin pain, followed by a red or purple skin rash that spreads ( especially in the face or upper body ) and causes blistering and peeling. Severe headaches, ringing in your ears, dizziness, nausea, vision problems, pain behind your eyes; or severe skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes.
SN instructed about Morphine. This is can slow or stop your breathing, especially when you start using this medicine or whenever you dose is changed. Never take morphine in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain. Get emergency medical help if you have signs of an allergic reaction to morphine: hives; difficult breathing, swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: slow heart rate, sighing, weak or shallow breathing, chest pain, fast or pounding heartbeats, extreme drowsiness, feeling like you might pass out. Morphine is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated. Common morphine side effects may include: drowsiness, dizziness; constipation, stomach pain, nausea, vomiting, headache, tired feeling, anxiety or mild itching.
Sn instructed patient on managing hyperlipidemia means controlling cholesterol and triglycerides. Read food labels and choose foods with low cholesterol and saturated trans fat. For people who would benefit from lowering their cholesterol, the American Heart Association recommends aiming for a dietary pattern that limits saturated fat to 5 to 6 percent of daily calories and reduces the percent of calories from trans fat.
SN instructed patient / caregiver that Aldactone is a potassium - sparing diuretic ( water pill ) that prevents the body from absorbing too much salt and keeps potassium levels from getting too low, treating congestive heart failure. SN instructed patient / caregiver to take Aldactone as prescribed by the doctor and do not use salt substitutes or low - sodium milk products that contain potassium, because it may increase potassium levels too much. SN explained that side effects may include mild nausea, dizziness, headache, gastric pain. SN instructed to report to physician ( MD ) if patient experiences an allergic reaction, numbness, muscle pain or weakness, irregular heartbeats, urinating less, shallow breathing or tremors.
SN instructed patient / caregiver that Guaifenesin is an expectorant used to help clear mucous and congestion and codeine is used to quiet to cough. SN instructed patient / caregiver to take as directed and with food if stomach upset occurs. Informed that drowsiness, constipation, stomach upset, nausea, vomiting, dizziness or headache may occur the first several days the body adjusts to the medication, call physician ( MD ) if these effects continue or become bothersome or if developing skin rash, itching or rapid heart rate. SN instructed patient / caregiver to take the needed cough medication and stop when symptoms clear up.
SN instructed patient / caregiver regarding medication Digoxin. Explained that Digoxin helps make the heart beat stronger and with a more regular rhythm to treat A - fib. Explained that the side effects may include mild nausea, vomiting, diarrhea and headache. SN instructed patient / caregiver to avoid becoming overheated or dehydrated during exercise, in hot weather or by not drinking enough fluids, because Digoxin overdose can occur more easily if dehydrated, and to call 911 if overdose is suspected. Explained that the overdose symptoms may include severe nausea, severe vomiting or diarrhea, loss of appetite, blurred vision, seeing halos around lights or objects, severe skin rash, fast / slow or uneven heartbeats, and feeling like passing out. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistent side effects or adverse effects.
SN instructed patient / caregiver regarding medication Glimepiride. SN instructed patient / caregiver that Glimepiride is a antidiabetic medication that lowers blood sugar level. SN instructed patient / caregiver to check blood sugar before taking the medication to avoid hypoglycemia. SN explained to patient / caregiver that low blood sugar ( hypoglycemia ) can occur during glimepiride therapy. SN explained that the symptoms of low blood sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion, or loss of consciousness. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of these side effects.
SN instructed patient / caregiver regarding medication Glipizide. SN informed patient / caregiver that Glipizide is used to help control blood sugar levels, causing the pancreas to release insulin, which helps to lower blood sugar. SN explained to patient / caregiver that the side effects include low blood sugar ( hypoglycemia ) can occur when on this medication. SN explained that symptoms of low blood sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion or loss of consciousness and should be reported to physician ( MD ) if persistently experienced.