hypertensive heart...
Diseases Process
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 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.
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 also instructed pt on the disease process of hypothyroidism. The thyroid gland controls a lot of our body functions, when it is unable to produce the amount of thyroid hormone your body needs, you will need to take this hormone orally. Take this medication everyday as ordered by your MD. Report to SN or MD if you have sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, as these can be signs your medication is not the correct dose.
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.
SN instructed pt on ways to lower blood pressure urge at home. Exercising 30 to 60 minutes a day is an important part of healthy living.Along with helping lower blood pressure, regular physical activity benefits your mood, strength, and balance. It decreases your risk of other types of heart disease. Diet changes such as eating fruits, vegetables, and whole grains eating low-fat dairy products, lean meats, fish, and nuts, eliminating foods that are high in saturated fats, such as processed foods, full-fat dairy products, and fatty meats. It also helps to cut back on desserts and sweetened beverages, such as soda and juice. Keeping your sodium intake to a minimum can be vital for lowering blood pressure. don't smoke.
Instructed caregiver alzheimer's disease and other disorders that cause dementia. Heart-healthy lifestyle choices that may reduce the risk of alzheimer's include the following: exercise regularly, eat a diet of fresh produce, healthy oils and foods low in saturated fat, follow treatment guidelines to manage high blood pressure, diabetes and high cholesterol, if you smoke, ask your doctor for help to quit smoking. Caregiver verbalized.
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.
SN instructed patient and caregiver about edema can be a cause of serious underlying medical conditions such as: congestive heart failure, cirrhosis, kidney disease, kidney damage, weakness or damage to veins in your legs, inadequate lymphatic system, severe, long-term protein deficiency.
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.