blood sugar
Instructed patient on Prednisone which is used for allergy reactions, rheumatoid arthritis among other diseases. Side effects include: swelling in hands, face and feet, increased hunger, muscle weakness and abdominal distention. One interaction of Prednisone is it may cause hypernatremia, hypokalemia, fluid retention, and elevation in blood
pressure.
Instructed patient that Hypertensive heart disease refers to heart conditions caused by high blood
pressure. The heart working under increased pressure causes some different heart disorders. Hypertensive heart disease can lead to complications such as : thickening of the heart muscle, coronary artery disease, chronic kidney disease and other conditions such as heart failure if not controlled. Follow your MD's orders for Heart Healthy diet, exercise as tolerated and take medications as prescribed.
SN completed all education for this SNV, and reminded patient on the importance of going to all medical appointments, bringing blood
pressure log and all of his/her medications. Patient/Caregiver verbalized understanding.
SN explained that long standing hypertension leads to heart damage that is called heart failure. This means your heart "fails" to pump your blood
to your body effectively. You may notice swelling in your extremities, that you are easily fatigued with normal activity, and weight gain. Any of these symptoms or worsening of them should be reported to SN or MD.
SN instructed care giver that changing a patient's position in bed every 2 hours helps keep blood
flowing. This helps the skin stay healthy and prevents bedsores.
SN instructed patient on new medication Cholestyramine: This medication is known as a bile acid-binding resin. It works by removing bile acid from the body. In people with high cholesterol, this causes the liver to make more bile acid by using cholesterol in the blood
. This helps to lower the cholesterol levels, patient verbalized understanding.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood
present in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.
Instructed patient you can help reduce your chance of cardiomyopathy and other types of heart disease by living a heart-healthy lifestyle and making lifestyle choices such as controlling high blood
pressure, high cholesterol and diabetes, Eating a healthy diet, Getting regular exercise, Getting enough sleep, Reducing your stress. Patient verbalized.
Instructed patient about cardiomyopathy can lead to other heart conditions, including:Heart failure, blood
clots,see your doctor if you have one or more signs or symptoms associated with cardiomyopathy. Call 911 or your local emergency number if you have severe difficulty breathing, fainting or chest pain that lasts for more than a few minutes.
Instructed caregiver alzheimer's disease and other disorders that cause dementia. Heart-healthy lifestyle choices that may reduce the risk of alzheimer's include the following: exercise regularly, eat a diet of fresh produce, healthy oils and foods low in saturated fat, follow treatment guidelines to manage high blood
pressure, diabetes and high cholesterol, if you smoke, ask your doctor for help to quit smoking. Caregiver verbalized.