high blood pressure
Procedures
Patient instructed Signs that your pacemaker isn't working as it should or you have developed an infection or blood clot include breathlessness, dizziness, fainting, prolonged weakness. A swollen arm on the side of the pacemaker.chest pains.prolonged hiccups.a high temperature of 38C or above. Patient instructed Tell your doctor if you gain weight, if your legs or ankles get puffy, or if you faint or get dizzy.
The patient was instructed in renal transplant in the importance of all-time immunosuppressant management. The patient was taught in the wound care and dressing change. The patient was advised in the need of evade contact to multitudes and persons with known supposed infections. The patient was recommended in the need of recording daily weight at the same time, with the same clothing. The patient was reviewed in taking and recording temperature, pulse, and blood pressure.
Instructed patient / caregiver blood pressure readings in the arm cannulated with the PICC should be avoided.
SN instructed patient on the importance of daily monitoring of the blood pressure; along with reporting an elevated BP of 160/90 and above to MD/SN stat.
SN completed assessment done on all body systems and noted patient with elevated blood pressure during visit. SN completed treatment during visit and noted no drainage on old tx, wound callused and new area found to left medial top of foot remains intact with no drainage noted. SN noted patient complaint of pain to bilateral lower extremities with +2 edema noted. SN educated primary caregiver on the importance of elevation of bilateral lower extremities as well as pain management for patient.
SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit. SN informed M.D. of patients elevated blood pressure and no new orders received, SN was advised to continue with patients current regimen.
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 about Midline activities to avoid do not lift heavy items or do very hard
exercise, such as shoveling. Do not use sharp objects near the catheter to avoid cutting or damaging it. Remind caregivers
not to check your blood pressure or give needles in the arm where the catheter is placed.
Instructed patient training for patients and their caregivers who
will be using the device at home should include how to: Recognize signs and symptoms of complications, such as redness,
warmth, and pain associated with possible infection Contact appropriate healthcare providers, especially in emergency
situations, respond to emergency situations; for instance, if bright red blood is seen in the tubing or canister, to immediately stop NPWT, apply direct manual pressure to the dressing, and activate emergency medical services.
SN instructed patient What can you do to control blood pressure? To minimize the risk of hypertension, control sodium, potassium, and other essential electrolytes the body uses to maintain fluid balance. The recommendation for patients with kidney disease: limit sodium intake to no more than 1,500 mg per day. Most sodium in today’s diet comes from processed foods and restaurants foods. Unhealthy lifestyles choices, such as smoking tobacco, obesity, and excessive alcohol consumption, may also contribute to hypertension.