cardiac-catheterization
The patient was instructed in electrophysiology study cardiac mapping on care of the puncture site. The patient was advised that bruising of and around the insertion site is normal. The patient was instructed in the importance of not smoking or using tobacco products. The patient was taught how to take the pulse for a full minute. The patient was advised the importance of leading a normal, productive life. The patient was instructed to understand what precautions to take at work and at home. The patient was advised the need to identify a health care facility near home and work.
SN instructed pt that s/s of cardiac complications include diff breathing, activity intolerance, increasing edema, increased heart rate, crackles in lungs and retlessness. pt verbalizd 2/4 taught.
Instructed patient t other S/S of cardiac complications requiring medical intervention such as: increased SOB, palpitations, irregular heart beat, faintness, and weakness. Replace butter and margarine with heart-healthy oils such as olive oil and canola oil. Other heart-healthy foods include walnuts, fatty fish like salmon and tuna, whole-grain breads, low-fat dairy products, beans, and lean meats. Ask your caregiver how much salt you can eat each day. Avoid salt substitutes.
Instructed in new medication Sinemet and in S/E such as choreiform, dystonic, dyskinetic movements, involuntary grimacing, head movements, myoclonic body jerks, ataxia, tremor, muscle twitching, bradykinetic episodes, psychiatric disturbances, anxiety, disturbing dreams, euphoria, malaise, fatigue, severe depression, suicidal tendencies, dementia, delirium, hallucinations (may necessitate reduction or withdrawal of drug), confusion, insomnia, agitation, orthostatic hypotension, cardiac irregularities, phlebitis, blepharospasm, blurred vision, diplopia, mydriasis or miosis, oculogyric crises, excessive salivation, dry mouth, bitter taste, nausea, vomiting, anorexia, constipation, flatulence, diarrhea, abdominal pain, urinary frequency, urine retention, urinary incontinence, darkened urine, priapism, hemolytic anemia, thrombocytopenia, leukopenia, agranulocytosis, hepatotoxicity, weight loss (may occur at start of therapy), hiccups, hyperventilation, and dark perspiration.
Instructed in new medication Synthroid and in S/E such as nervousness, insomnia, tremor, headache, fever, tachycardia, palpitations, arrhythmias, angina pectoris, cardiac arrest, diarrhea, vomiting, menstrual irregularities, weight loss, allergic skin reactions, diaphoresis or heat intolerance.
Instructed in factors that increase the risk of stroke such as age, family history, race, prior stroke, history of diabetes, cardiac and renal disease, among others.
Instructed in complication requiring medical intervention associated with hypertension such as SOB, blurred vision, headache and extreme weakness.
Instructed in S/S of hypertension such as blurred vision, nouse bloods, dizziness, headache, palpitations, etc.
Instructed in how to recognize signs and symptoms of angina such as SOB, chest pain, anxiety, indigestion, sweating, shortness of breath.
Instructed in use of Isordil to help prevent chest pain, by decreasing cardiac oxygen demand.