low blood pressure
SN to educate patient on CPAP machine as follow
s: CPAP stands for continuous positive airway pressure. The machines help people with sleep apnea breathe more easily and regularly every night while they are sleeping. A CPAP machine increases the air pressure in your throat to prevent your airway from collapsing when you inhale. Patient admits that most nights he goes to bed with Cpap, but finds mask on floor after waking in AM. SN to advise patient of importance of wearing Cpap as follow
s: The CPAP breathing machine is used by people with chronic obstructive sleep apnea, a disorder which causes airways to close up during sleep. People with obstructive sleep apnea stop breathing while sleeping. When breathing stops the individual is suddenly jolted awake, gasping for air. Patient to deny any sleep issues lately. People with sleep apnea often do not remember these episodes, but instead experience chronic fatigue that they have no explanation for. Over time, sleep apnea can increase the risk of hypertension, heart failure, heart attack, and stroke. Patient verbalized understanding of teaching today. SN to continue to monitor.
Instructed patient about how a stroke can result from the damage that ongoing high blood
pressure causes in the body vessels. If the affected vessel stops supplying blood
to the brain, as a result a stroke occurs.
Patient was instructed on hypertension. Blood
pressure is a measure of how hard the blood
pushes against the walls of the arteries as it moves through the body. It
Instructed on the importance of undergoing medical check-ups on a regular basis as well as having both her blood
pressure and blood
sugar monitored daily.
Instructed on the importance of having both her blood
sugar level and blood
pressure monitored on a daily basis, as directed by MD.
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 low
ers blood
pressure, weight loss, improved cardiovascular status.
Instructed patient have many factors can affect blood
pressure, including: How much water and salt you have in your body the condition of your kidneys, nervous system, or blood
vessels, your hormone levels, heart damage.
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 (high blood
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 slow
ly 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's CG about Quetiapine (Seroquel), it is an atypical antipsychotic approved for the treatment of schizophrenia, bipolar disorder, and along with an antidepressant to treat major depressive disorder. Possible SE/AR may include, dry mouth, dizziness, headache, somnolence. Some common adverse effects, high blood
pressure, orthostatic hypotension, high pulse rate, high blood
cholesterol, elevated serum triglycerides, abdominal pain, constipation, increased appetite, vomiting, among others.
Instructed caregiver the key to successful wound healing is regular podiatric medical care to ensure the follow
ing “gold standard” of care: Low
ering blood
sugar, appropriate debridement of wounds, treating any infection, reducing friction and pressure, restoring adequate blood
flow
.