hypertensive heart disease
Instructed patient a particular diet, it's important that you follow it. If a special diet has not been recommended, balanced, heart
-healthy nutrition can speed healing and lessen fatigue. Patient weight control is also important for your heart
health; excess weight increases the work of the heart
and slows recovery.
Instructed patient common post-operative guidelines following minimally invasive heart
valve surgery include the following: you must notify your doctor before undergoing any invasive medical or dental procedures. All heart
valve surgery patients will require antibiotic medications prior to certain dental or medical procedures to prevent a serious infection of the heart
and valves called bacterial endocarditis.
SN instructed patient about the Eliquis, also known as Apixaban is an anticoagulant. “ANTI” means against and “COAGULANT” refers to the clotting of blood. Apixaban is a medicine ordered by your doctor to prevent harmful blood clots from forming. It does not dissolve existing clots. Sometimes apixaban is referred to as a “blood thinner”, but it does not actually thin your blood. Apixaban is commonly prescribed to people with a heart
rhythm problem called atrial fibrillation. Atrial fibrillation increases the risk of a clot forming in the heart
. A clot in the heart
can dislodge and cause a stroke. The role of apixaban in patients with atrial fibrillation is to prevent formation of a clot in the heart
and lower the risk of stroke. Tell your doctor right away if you have these side effects: Unusual bleeding: Vomiting blood or brown material that looks like coffee grounds, Bleeding from cuts that do not stop with pressure, Frequent bleeding from Coughing up blood gums, Nose bleeds, Black or red tarry stools, Bruises that appear without injury, blood in your urine, excessive vaginal bleeding / menstrual flow, Weakness, lightheadedness, dizziness, or fainting Itching or hives, Swelling in your face, hands, mouth, or throat Difficulty breathing or chest tightness.
SN instructed patient / caregiver regarding medication Metoprolol. Metoprolol is used for treating high blood pressure, heart
pain, abnormal rhythms of the heart
, and some neurologic conditions; it reduces the force of contraction of heart
muscle and thereby lowers blood pressure. Side effects to report to physician ( MD ) when taking Metoprolol including diarrhea, constipation, fatigue, insomnia, nausea, depression, memory loss, fever, lightheadedness, slow heart
rate, low blood pressure, cold extremities, sore throat, and shortness of breath or wheezing. If experiencing any of these side effects or when systolic BP is >160 or < 90 and / or diastolic BP is > 90 or < 60 notify physician ( MD )
SN explained that the symptoms / signs of congestive heart
failure ( CHF ) may include: Shortness of breath ( also called dyspnea ) most commonly during activity, at rest, or while sleeping, which may come on suddenly and wake you up. You often have difficulty breathing while lying flat and may need to prop up the upper body and head on two pillows. You often complain of waking up tired or feeling anxious and restless. Blood backs up in the pulmonary veins ( the vessels that return blood from the lungs to the heart
) because the heart
can't keep up with the supply. This causes fluid to leak into the lungs. Persistent coughing or wheezing, coughing that produces white or pink blood - tinged mucus. Fluid builds up in the lungs. Buildup of excess fluid in body tissues ( edema ) swelling in the feet, ankles, legs or abdomen or weight gain. You may find that your shoes feel tight.
SN instructed patient on stents. A stent is a tiny wire mesh tube. It props open an artery and is left there permanently. When a coronary artery (an artery feeding the heart
muscle) is narrowed by a buildup of fatty deposits called plaque, it can reduce blood flow. If blood flow is reduced to the heart
muscle, chest pain can result. If a clot forms and completely blocks the blood flow to part of the heart
muscle, a heart
attack results.
SN taught that Parkinson's disease
is the second-most common neurodegenerative disorder, after Alzheimer's disease
. While classically considered a movement disorder, there is a growing recognition that Parkinson's disease
produces a wide variety of non motor symptoms as well.
The patient was instructed in buerger’s disease
in the role nicotine plays in advancing the disease
. The patient was advised on daily foot care, wear well-fitted shoes, avoiding going barefoot, use cotton or wool socks.
Diabetic Chronic Kidney disease
Treatment for diabetic kidney disease
includes controlling blood pressure and blood sugar levels, reducing dietary protein intake, avoiding medications that may damage the kidneys, treating urinary tract infections and exercise and weight loss (under the supervision of a physician).
Instructed caregiver alzheimer's disease
is not a preventable condition. However, a number of lifestyle risk factors for alzheimer's can be modified. Evidence suggests that changes in diet, exercise and habits — steps to reduce the risk of cardiovascular disease
may also lower your risk of developing. Caregiver verbalized.