heart healthy
Procedures
Instructed patient about your incisions, check daily. Notify your doctor if you notice any of the following: Increased tenderness of the incision line, Increased redness or swelling around the edges of the incision line, Any drainage from the incision line, A persistent fever, contact the doctor.
instructed patient about importance of taking all her/his prescribed medications at the same time each day in order to get the most benefits is to prevent further hospitalizations. Instructed patient your pain medication makes you feel tired, drowsy, or dizzy, call your doctor. If your pain medication causes constipation, drink 8-10 glasses of water a day and eat a well-balanced diet that includes fruits and vegetables.
Skilled nurse monitored blood pressure on patient and assess medication Instructed patient diet: early after a cardiac event, while you are still in the hospital. This phase usually includes light supervised exercise such as walking the halls and stair climbing.
Instructed patient Lifting: You should not put too much strain on your sternum while it is healing. Avoid lifting, pushing, or pulling anything heavier than 10 pounds for six weeks after surgery. This includes carrying children, groceries,suitcases, mowing the grass, vacuuming, and moving furniture. Don’t hold your breath during any activity, especially when lifting anything or when using the rest
Instructed patient when to resume usual activities, light housekeeping (dusting, setting the table, washing dishes, folding clothes) light gardening (potting plants, trimming flowers) needlework, reading, cooking meals, climbing stairs, Small mechanical jobs, shopping, attending sports events, church, movies, and restaurants, passenger in car, Walking, treadmill, stationary bike, shampooing hair and playing cards/games.
Instructed caregiver when should I call healthcare provider? Contact your healthcare provider or physician immediately:. If you have an irregular heart rate, if you feel increased pain or discomfort, note: It is normal to feel some pain and discomfort for about a week after the tracheostomy procedure.
SN instructed patient High blood pressure often has no warning signs or symptoms, so many people don’t realize they have it. Some symptoms may include headache, blurred vision, nervousness, sweating, difficulty sleeping or facial flushing. Even with no symptoms, hypertension needs ongoing treatment to protect the heart, kidneys and other organs from further damage.
Instructed patient contact your healthcare provider or physician immediately: if you have an irregular heart rate, if you feel increased pain or discomfort and if you have difficulty breathing and it is not relieved by your usual method of clearing secretions. Patient verbalized understanding.
SN instructed on check the left ventricular assist device (LVAD) each time you assess the patient’s vital signs. You will hear the continuous humming sound of the pump when auscultating the heart. Make sure the battery-charging station is plugged into the wall and at least two spare batteries are in the charge station; a green light indicates a full charge. Additional safety checks include assessing the driveline to ensure it’s securely in place and confirming there’s a backup system controller in the room.
SN teach the patient to perform a daily self-test to ensure the LVAD is working properly. When the patient presses and holds the battery button on the system controller, the screen displays "Self Test" If the panel is working properly, the audio alarm will sound and control panel alarms will light up. These alarms include power and battery alarms, a red heart (hazard) alarm, and a wrench (advisory) alarm.