low blood pressure
SN educated caregiver on Hypertensive urgency which is a situation where the blood
pressure is severely elevated or higher for your diastolic pressure an that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest pain, back pain, numbness/weakness, change in vision, difficulty speaking do not wait to see if your pressure comes down on its own. SN advised caregiver to seek immediately medical assistance and/or call 9-1-1 if listed above occurs or worsen with patient. Caregiver verbalized understanding of all teachings during visit.
Patient was instructed on hypertension. When blood
pressure is high, it starts to damage the blood
vessels, heart, and kidneys. This can lead to heart attack, stroke, and other problems. High blood
pressure is called
Patient was instructed on hypertension. Blood
pressure commonly rises as getting older, but this increase occurs more quickly in people who already have high blood
pressure. Untreated hypertension can damage the delicate lining of the blood
vessels.
SN instructed patient / caregiver on medication Azor. Explained that azor is a medication used to low
er blood
pressure. Explained that it is a combination medication of Amlodipine and Olmesartan and it works by dilating the blood
vessels causing a decrease in blood
pressure. Explained that the side effects include edema, orthostatic hypotension, rash, itching, palpitation and nocturia. SN instructed patient / caregiver to notify physician ( MD ) if experiencing headache, dizziness or flushing.
SN instructed patient / caregiver regarding medication Diovan. Explained that diovan is used to treat high blood
pressure ( hypertension ) and heart failure. Explained that the high blood
pressure reduction helps prevent strokes, heart attacks, and kidney problems and that this drug works by blocking the hormone angiotensin thereby relaxing blood
vessels, causing them to widen. SN explained to patient / caregiver that side effects of this medication includes dizziness, lightheadedness, tiredness, or blurred vision as your body adjusts to the medication. SN instructed that if any of these effects persist or worsen, to notify doctor immediately.
SN instructed patient that High blood
pressure makes your heart work harder than it needed to before. Over the space of many years, this extra effort can lead to the heart muscle becoming thicker and less effective at pushing the blood
round. This allow
s fluid to build up in your low
er legs and ankles, which causes them to swell up.
SN educated patient/caregiver about CKD. Chronic kidney disease (CKD) means your kidneys are damaged and can’t filter blood
the way they should. The main risk factors for developing kidney disease are diabetes, high blood
pressure, heart disease, and a family history of kidney failure. You can take steps to protect your kidneys. The most important step you can take to treat kidney disease is to control your blood
pressure. Healthy habits can also help you manage your kidney disease.
Instructed in foods low
in cholesterol such as fish, low
fat diary products, fruits and vegetables, grains, herbs and spices, lean meats, lean poultry, egg substitutes, polyunsaturated oils and others.
Instructed patient about foods low
in cholesterol, such as, fish, low
fat dairy products, fruits and vegetables, grains, herbs and spices, lean meats, lean poultry, egg substitutes, polyunsaturated oils and others.
Avoiding foods that are rich in fat/cholesterol. Choose only lean meat and avoid the fat. Eat more fish and poultry. Have baked/broiled red meats, fish or poultry instead of fried. Use low
-fat or fat-free milk. Try fat-free or low
fat cottage cheese or yogurt in place of cream and sour cream. Have steamed vegetables. Dress salads with lemon juice, fat free mayonnaise or fat free dressing.