low 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 low
er blood
pressure by reducing the production of angiotensin II, thereby relaxing arterial muscle and enlarging arteries. When the blood
pressure is low
er, 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 / 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 low
ers 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 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 / caregiver regarding medication Glimepiride. SN instructed patient / caregiver that Glimepiride is a antidiabetic medication that low
ers blood
sugar level. SN instructed patient / caregiver to check blood
sugar before taking the medication to avoid hypoglycemia. SN explained to patient / caregiver that low
blood
sugar ( hypoglycemia ) can occur during glimepiride therapy. SN explained that the symptoms of low
blood
sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion, or loss of consciousness. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of these side effects.
SN instructed patient / caregiver regarding medication Glipizide. SN informed patient / caregiver that Glipizide is used to help control blood
sugar levels, causing the pancreas to release insulin, which helps to low
er blood
sugar. SN explained to patient / caregiver that the side effects include low
blood
sugar ( hypoglycemia ) can occur when on this medication. SN explained that symptoms of low
blood
sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion or loss of consciousness and should be reported to physician ( MD ) if persistently experienced.
Instructed in possible adverse reactions to Lopressor, including fatigue, lethargy, dizziness, low
heart rate, low
blood
pressure, nausea, vomiting, diarrhea, rash, and fever.
Instructed patient in medication Metoprolol is used to treat high blood
pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low
-salt or low
-sodium diet, follow
these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.
Instructed patient about medication Metoprolol is used to treat high blood
pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low
-salt or low
-sodium diet, follow
these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.
SN instructed patient / caregiver regarding medication Benicar. Explained that this medication is a blood
pressure low
ering medication. Explained that the side effects includes hypotension ( low
blood
pressure ), dizziness, fatigue, headache and /or diarrhea. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence or worsening of side effects.
SN instructed patient about the Eliquis, also known as Apixaban is an anticoagulant. “ANTI” means against and “COAGULANT” refers to the clotting of blood
. Apixaban is a medicine ordered by your doctor to prevent harmful blood
clots from forming. It does not dissolve existing clots. Sometimes apixaban is referred to as a “blood
thinner”, but it does not actually thin your blood
. Apixaban is commonly prescribed to people with a heart rhythm problem called atrial fibrillation. Atrial fibrillation increases the risk of a clot forming in the heart. A clot in the heart can dislodge and cause a stroke. The role of apixaban in patients with atrial fibrillation is to prevent formation of a clot in the heart and low
er the risk of stroke. Tell your doctor right away if you have these side effects: Unusual bleeding: Vomiting blood
or brown material that looks like coffee grounds, Bleeding from cuts that do not stop with pressure, Frequent bleeding from Coughing up blood
gums, Nose bleeds, Black or red tarry stools, Bruises that appear without injury, blood
in your urine, excessive vaginal bleeding / menstrual flow
, Weakness, lightheadedness, dizziness, or fainting Itching or hives, Swelling in your face, hands, mouth, or throat Difficulty breathing or chest tightness.