chronic kidney disease
SN instructed that Breo Ellipta is used regularly as a long term (maintenance) treatment to prevent or decrease wheezing and trouble breathing caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, including chronic bronchitis and emphysema). Instructed that common side effects include, Headache, dry/irritated throat, hoarseness, runny nose, and coughing may occur as your body adjusts to the medication.
SN instructed patient and caregiver that smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis. Smoking also increases risk for tuberculosis, certain eye diseases, and problems of the immune system, including rheumatoid arthritis. It is very important for you to quit smoking to prevent chances of getting any or all of the diseases.
SN instructed about arteriosclerotic heart disease (ASHD), also called coronary artery disease (CAD) or coronary heart disease (CHD), refers to arteriosclerosis of heart or coronary arteries. Arteriosclerotic heart disease can also be caused by calcium deposits (calcification) on the walls of arteries that harden them, or thickening of the artery walls due to chronic high blood pressure.
SN instructed that gastroesophageal reflux disease ( GERD ) is a normal phenomenon, typically occurs transiently after eating. Gastroesophageal reflux disease ( GERD ) is a condition where the degree of exposure of esophageal mucosa to gastric contents is greater than normal. Most common symptom is heartburn, but patients may have other symptoms. Treatment of gastroesophageal reflux disease (GERD ) not only causes improvement in symptoms like heartburn, but early recognition & treatment of clinically significant gastroesophageal reflux disease ( GERD ) may prevent the development of further complications. Bleeding obstructions, even malignancy may complicate matters in the long run. Most peptic strictures can be effectively dilated by gastroenterologists without resorting to surgery. Perforation is a known complication of surgical procedures. Patient / caregiver verbalized understanding to the instruction regarding gastroesophageal reflux disease ( GERD ), stated the etiology, 2 s / sx of exacerbation and 2 preventive measures.
SN instructed patient and caregiver about edema can be a cause of serious underlying medical conditions such as: congestive heart failure, cirrhosis, kidneydisease, kidney damage, weakness or damage to veins in your legs, inadequate lymphatic system, severe, long-term protein deficiency.
Sn instructed that reducing sodium intake lowers blood pressure and prevent the collection of fluid in the lower legs or abdomen. People with chronic kidney disease must control sodium intake to prevent volume overload, which increases blood pressure and causes swelling. Food to eat any fresh or frozen beef, lamb, pork, poultry and fish. Eggs and egg substitutes. Low-sodium peanut butter. Dry peas and beans (not canned) drained, water or oil packed canned fish or poultry foods to avoid canned food canned vegetables processed meats salted snacks such as, salted peanuts, salted almonds etc.
Sn teaching patient that Atrovent ( Ipratropium ) is used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. It is also used to treat air flow blockage and prevent the worsening of chronic obstructive pulmonary disease ( COPD ).
SN instructed patient Brovana (arformoterol) is a bronchodilator. It works by relaxing muscles in the airways to improve breathing. Brovana inhalation solution is used to prevent bronchoconstriction in people with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. Use Brovana inhalation solution exactly as prescribed by your doctor. Follow all directions on your prescription label. Open the foil pouch and remove one vial, leave the rest in the package.Sit upright in a comfortable position. Breathe in slowly and evenly until you have inhaled all of the medicine (usually 5 to 10 minutes). The treatment is complete when no more mist is formed by the nebulizer and the drug chamber is empty.Clean the nebulizer after each use. Follow the cleaning directions that came with your nebulizer.
SN instructed patient on atherosclerotic heart disease also known as Coronary Artery Disease (CAD); is the damage or disease in the heart's major blood vessels. The usual cause is the buildup of plaque. This causes coronary arteries to narrow, limiting blood flow to the heart. Coronary artery disease can range from no symptoms, to chest pain, to a heart attack. Treatments include lifestyle changes, medications, angioplasty, and surgery.
The patient was instructed urolithiasis (kidney stones, renal calculi) in the need to put on warm blankets or pads to the affected area. The patient was advised that a warm bath or shower may help to relax muscles. The patient was instructed to quantity and straining urine and recognizing sand elements. The patient was reviewed to monitor the urine for quantity, color, and smell. The patient was recommended to keep the drainage bag below the level of the kidney when up or lying down.