hypertensive heart disease
Diseases Process
Instructed patient exercise regularly to reduce stress and improve the quality of your life. Take steps to help prevent HIV-related fatigue. SN instructed patient don't smoke. People with HIV are more likely to have a heart
attack or get lung cancer. Cigarette smoking can raise these risks even more.
SN instructed caregiver that symptoms of low blood pressure may include: blurry vision, confusion, dizziness, fainting (syncope), lightheadedness, nausea or vomiting, sleepiness, weakness. Treatment depends on the cause of your low blood pressure and your symptoms. If any symptoms from a drop in blood pressure, lie patient down right away, then raise patient's feet above heart
level.
SN instructed patient / caregiver on factors that increase risk of HTN, such as: age, race, family history, stress, high sodium intake, high cholesterol intake, obesity and sedentary lifestyle. SN instructed patient / caregiver on measures to control/manage HTN, such as: exercise as tolerated, achieve/maintain healthy/ideal weight, decrease sodium intake to decrease fluid retention and the workload of the heart
. SN Instructed importance of eating foods rich in calcium, protein and fiber.
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 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 explained that the Chronic venous insufficiency ( CVI ) can’t be cured, but you can control leg swelling to reduce the likelihood of ulcers ( sores ). Recognizing the symptoms Be aware of the following: If you stand or sit with your feet down for long periods, your legs may ache or feel heavy. Swollen ankles are possibly the most common symptom of Chronic venous insufficiency ( CVI ). As swelling increases, the skin over your ankles may show red spots or a brownish tinge. The skin may feel leathery or scaly, and may start to itch. If swelling is not controlled, an ulcer ( open wound ) may form. What you can do Reduce your risk of developing ulcers by doing the following: Increase blood flow back to your heart
by elevating your legs, exercising daily, and wearing elastic stockings. Boost blood flow in your legs by losing excess weight. If you must stand or sit in one place for a period of time, keep your blood moving by wiggling your toes, shifting your body position, and rising up on the balls of your feet. Pt verbalizes understanding.
SN instructed patient on hyperlipidemia also known as hyperlipoproteinemia. It is a condition in which there are high levels of fat particles (lipids) in the blood. These substances can deposit in blood vessel walls and restrict blood flow. This creates a risk of heart
attack and stroke. Hyperlipidemia doesn't cause any symptoms. The condition is diagnosed by routine blood tests, recommended every five years for adults. Treatments include medication, a healthy diet, and exercise.
SN instructed patient/ caregiver that Bradycardia can be a serious problem if the heart
doesn't pump enough oxygen-rich blood to the body. For some people, however, bradycardia doesn't cause symptoms or complications.SN explained that If you have bradycardia, your brain and other organs might not get enough oxygen, possibly causing these symptoms: Near-fainting or fainting (syncope) Dizziness or lightheadedness, Fatigue, Shortness of breath, Chest pains, Confusion or memory problems, Easily tiring during physical activity.If you faint, have difficulty breathing or have chest pain lasting more than a few minutes, get emergency care or call 911 or your local emergency number.
Instructed patient when should I call my healthcare provider. Contact your healthcare provider or physician immediately if you have an irregular heart
rate. If you feel increased pain or discomfort. It is normal to feel some pain and discomfort for about a week after the tracheostomy procedure. If you have difficulty breathing and it is not relieved by your usual method of clearing secretions. When secretions become thick, if crusting occurs or mucus plugs are present. Your physician may recommend increasing your fluids or using cool mist humidification.
Instructed patient about how help decrease edema and keep it from coming back. Movement. Moving and using the muscles in the part of your body affected by edema, especially your legs, may help pump the excess fluid back toward your heart
. Ask your doctor about exercises you can do that may reduce swelling.