high blood pressure
Medications
SN instructed patient about the drug lisinopril is a drug of the angiotensin-converting enzyme inhibitor class used primarily in treatment of hypertension ACE is important because it is an enzyme responsible for producing the chemical, angiotensin II. Angiotensin II causes muscles in most arteries, including the arteries of the heart, to contract, thereby narrowing the arteries and elevating blood
pressure. ACE inhibitors such as lisinopril lower blood
pressure by reducing the production of angiotensin II, thereby relaxing arterial muscle and enlarging arteries. When the blood
pressure is lower, the heart - including the failing heart - does not have to work as hard to pump blood
. The arteries supplying the heart with blood
also enlarge during treatment with ACE inhibitors. This increases the flow of blood
and oxygen to the heart, further improving the ability of the heart to pump blood
Side effects include: dizziness due to a drop in blood
pressure, trouble breathing, blistering, peeling, red skin rash, confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips, dark urine or pale stools. Pt verbalized understanding.
SN instructed patient on medication Torsemide. This medication is used to treat high
blood
pressure and edema ( fluid retention, excess fluid held in body tissues ) caused by various medical problems, including heart, kidney, or liver disease. In addition to taking this medication, making lifestyle changes will also help to control your blood
pressure. These changes include eating a diet that is low in fat and salt, maintaining a healthy weight, exercising at least 30 minutes most days, not smoking and using alcohol in moderation. To help you remember to take torsemide, take it around the same time every day. Torsemide controls high
blood
pressure and edema but does not cure these conditions. SN instructed to patient to continue to take torsemide even if you feel well. Do not stop taking torsemide without talking to your doctor. Common side effects of Torsemide includes: Dizziness or lightheadedness when standing or sitting up, excessive urination, constipation, headache and nausea.
SN instructed patient and caregiver about Clonidine, it is used alone or with other medications to treat high
blood
pressure (hypertension). Lowering high
blood
pressure helps prevent strokes, heart attacks, and kidney problems. It works by relaxing blood
vessels so blood
can flow more easily. Possible SE/AR may include: dizziness, lightheadedness, drowsiness, dry mouth, or constipation may occur. 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. To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute. Tell your doctor right away if you have any serious side effects, including: fainting, slow/irregular heartbeat, mental/mood changes like, irritability, depression.
Instructed patient on medication Irbesartan, it is used to treat high
blood
pressure (hypertension). Lowering high
blood
pressure helps prevent strokes, heart attacks, and kidney problems. It works by relaxing blood
vessels so that blood
can flow more easily. Dizziness, lightheadedness, or upset stomach may occur. 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.
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.
SN did head to toe assessment and vital signs monitoring done. SN instructed patient on medication Losartan, it is used to treat high
blood
pressure (hypertension). Lowering high
blood
pressure helps prevent strokes, heart attacks, and kidney problems. It works by relaxing blood
vessels so that blood
can flow more easily. Dizziness, lightheadedness, or upset stomach may occur. 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 / 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 / caregiver regarding medication Metoprolol. Metoprolol is used for treating high
blood
pressure, heart pain, abnormal rhythms of the heart, and some neurologic conditions; it reduces the force of contraction of heart muscle and thereby lowers blood
pressure. Side effects to report to physician ( MD ) when taking Metoprolol including diarrhea, constipation, fatigue, insomnia, nausea, depression, memory loss, fever, lightheadedness, slow heart rate, low blood
pressure, cold extremities, sore throat, and shortness of breath or wheezing. If experiencing any of these side effects or when systolic BP is >160 or < 90 and / or diastolic BP is > 90 or < 60 notify physician ( MD )
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.
SN instructed in possible adverse reactions to Lasix, including dehydration, orthostatic hypotension, loss of potassium and other electrolytes, weakness, and fatigue. Lasix 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. Lasix is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt.