hypertensive heart disease
Medications
Instructed in new medication Amitriptyline to manage depression. In additon, warned of possible S/E such as coma, seizures, hallucinations, delusions, disorientation, ataxia, tremor, peripheral neuropathy, anxiety, insomnia, restlessness, drowsiness, dizziness, weakness, fatigue, headache, extrapyramidal reactions, MI, stroke, arrhythmias, heart block, orthostatic hypotension, tachycardia, ECG changes, hypertension, edema, blurred vision, tinnitus, mydriasis, increased intraocular pressure, dry mouth, nausea, vomiting, anorexia, epigastric distress, diarrhea, constipation, paralytic ileum, urine retention, agranulocytosis, thrombocytopenia, leukopenia, eosinophilia, hypoglycemia, hyperglycemia, rash, urticaria, photosensitivity, diaphoresis and hypersensitivity reaction. Instructed to take full dose at bedtime but warned patient of possible morning orthostatic hypotension. Avoid alcohol during drug therapy. Consult MD before taking other medications. Avoid activities that require alertness and good psychomotor coordination until CNS effects of drug are known. Drowsiness and dizziness usually subside after a few weeks. Dry mouth may be relieved with sugarless hard candy or gum. Saliva substitutes may be needed. Instructed to use a sun block, wear protective clothing and avoid prolonged exposure to strong sunlight. To prevent photosensitivity reactions. Do not stop drug therapy abruptly.
Instructed in new medication Atenolol to manage hypertension. In addition, warned of possible S/E such as fatigue, lethargy, vertigo, drowsiness, dizziness, fever, bradycardia, hypotension, heart failure, intermittent claudication, nausea, diarrhea, thrombocytopenia, hyperkalemia, hypoglycemia, increased risk of developing type-two diabetes, dyspnea, bronchospasm, rash and leg pain. Instructed to take drug exactly as prescribed at the same time every day. Do not stop drug suddenly but do call prescriber if unpleasant adverse reactions occur. If pulse rate is below 60 beats/minute, stop taking drug and call prescriber. Women: notify prescriber if pregnancy occurs. Drug usage might be discontinued.
Instructed in possible adverse reactions to Verapamil, including, dizziness, headache, fatigue, intermittent decrease in B/P and heart rate, nausea, and constipation.
Instructed in use of Lanoxin to strengthen the heart by slowing and regulating its rhythm.
Instructed in possible adverse reactions to Lopressor, including fatigue, lethargy, dizziness, low heart rate, low blood pressure, nausea, vomiting, diarrhea, rash, and fever.
Instructed in possible adverse reactions to Isordil, including headache, dizziness, decrease in B/P with position changes, rapid heart rate, palpitations, flushing and ankle edema.
Instructed patient about how Atenolol blocks stimulation of receptors within vascular smooth muscle. It also decreases heart rate, decreases comsumption of oxygen by myocardium and it is used to treat hypertension, prophylaxis of angina pectoris, suspected or known myocardial infarction.
Taught that Labetalol slows the heartbeat, lowers blood pressure and reduces strain on the heart.
Taught that Labetalol works by blocking the effect of certain natural chemicals on the heart and blood vessels.
Taught that Hyzaar is used to treat congestive heart failure and to help protect the kidneys from damage due to diabetes.