heart healthy diet
SN instructed patient / caregiver that bumetanide ( trade names Bumex or Burinex ) is a loop diuretic to treat heart
failure. It is often used in people in whom high doses of furosemide are ineffective. Instructed that is used to reduce extra fluid in the body ( edema ) caused by conditions such as heart
failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. Bumetanide is a “ water pill ” ( diuretic ) that causes you to make more urine. This helps your body get rid of extra water and salt. Dizziness may occur as your body adjusts to the medication. Tell your doctor or pharmacist promptly, If this effect persists or worsens. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Many people using this medication do not have serious side effects. It may cause a serious loss of body water ( dehydration ) and salt / minerals. Tell your doctor right away if you have any of these unlikely but serious side effects such as: muscle cramps, weakness, unusual tiredness, confusion, severe dizziness, fainting, drowsiness, unusual dry mouth / thirst, nausea, vomiting, fast / irregular heart
beat, unusual decrease in the amount of urine.
SN instructed patient that Furosemide is used to reduce extra fluid in the body ( edema ) caused by conditions such as heart
failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart
attacks, and kidney problems. Furosemide is a "water pill" ( diuretic ) that causes you to make more urine. This helps your body get rid of extra water and salt. SN also instructed patient that Dizziness, lightheadedness, headache or blurred vision may occur as your body adjusts to the medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
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 allows fluid to build up in your lower legs and ankles, which causes them to swell up.
SN instructed patient / caregiver on Zofran - ondansetron. This medication blocks the actions of chemicals in the body that can trigger nausea and vomiting. Zofran is used to prevent nausea and vomiting that may be caused by surgery, cancer chemotherapy, or radiation treatment. Serious side effects include blurred vision or temporary vision loss ( lasting from only a few minutes to several hours ), slow heart
rate, trouble breathing, anxiety, agitation, shivering, feeling like you might pass out, and urinating less than usual or not at all. Stop taking Zofran and call your doctor at once if you have any of these side effects. Ondansetron may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Zofran side effects get emergency medical help if you have signs of an allergic reaction to Zofran: rash, hives, fever, chills, difficult breathing, swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe constipation, stomach pain, or bloating, headache with chest pain and severe dizziness, fainting, fast or pounding heart
beats, fast or pounding heart
beats, jaundice ( yellowing of the skin or eyes ); blurred vision or temporary vision loss ( lasting from only a few minutes to several hours ); high levels of serotonin in the body - agitation, hallucinations, fever, fast heart
rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting. Patient / caregiver verbalized understanding. Instruct to call agency for questions or concerns.
SN instructed patient about High blood pressure. Normal blood pressure is when your blood pressure is lower than 120 / 80 mm / Hg most of the time. High blood pressure ( hypertension ) is when your blood pressure is 140 / 90 mm / Hg or above most of the time. SN explained that the "top number" systolic indicates the pressure in the vessels when the heart
beats. The "bottom number" diastolic indicates the pressure in the vessels when the heart
is at rest, to between beats. This number is the most concerning number because it tells your medical team the constant pressure on these vessels. Too high (over 80) can cause damage
Amlodipine is used with or without other medications to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart
attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor.
Instructed patient about cardiomyopathy can lead to other heart
conditions, including:Heart
failure, blood clots,see your doctor if you have one or more signs or symptoms associated with cardiomyopathy. Call 911 or your local emergency number if you have severe difficulty breathing, fainting or chest pain that lasts for more than a few minutes.
Sn instructed patient and caregiver about blood pressure and home monitoring. Explained the blood pressure measures the amount of force blood places on the blood vessels in the body. A blood pressure reading includes two numbers that indicate the pressure inside the arteries as the blood flows through the body. The upper number, called the systolic pressure, measures the pressure inside the arteries as the heart
contracts to pump blood. The lower number, called the diastolic pressure, is the pressure inside the artery as the heart
rests between each beat. Both parties verbalized understanding.
SN instructed patient and caregiver about Blood pressure. According to the American Heart
Association, normal blood pressure is anything below 120/80 mm Hg. If these numbers go higher than 120/80 mm Hg, it is often an indication that the heart
is working too hard to pump blood through the arteries. High blood pressure, hypertension is when your blood pressure is 140 / 90 mm / Hg or above most of the time Accurate blood pressure readings are important, as high blood pressure may not cause any symptoms until it is dangerously high. Both parties verbalized understanding.
SN provided teaching regarding hypokalemia. Low potassium (hypokalemia) refers to a lower than normal potassium level in your bloodstream. Potassium helps carry electrical signals to cells in your body. It is critical to the proper functioning of nerve and muscles cells, particularly heart
muscle cells. S/s include weakness, muscle cramps, heart
palpitations, and constipation. SN instructed that patient should report any of these to her nurse promptly. Verbal understanding noted.