congestive heart
Instructed patient stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.)
Instructed patient It will take 4-6 weeks to heal completely after surgery. During this time, it is normal to: Have mild trouble with short-term memory or feel confused or “fuzzy-headed”Feel tired or have little energy,Have mild trouble with short-term memory or feel confused or “fuzzy-headed”, Feel tired or have little energy, Have trouble sleeping. You should be sleeping normally within a few months. Have some shortness of breath, Have weakness in your arms for the first month, Have trouble sleeping. You should be sleeping normally within a few months. Have some shortness of breath. Have weakness in your arms for the first month
Instructed patient call your doctor or nurse if: You have chest pain or shortness of breath that does not go away when you rest. You have pain in and around your incision that does not continue to get better at home.Your pulse feels irregular it is very slow (fewer than 60 beats a minute) or very fast (over 100 to 120 beats a minute).
Instructed patient what lifestyle choices can help me feel my best: Stay active. If you are not active, your symptoms are
likely to worsen quickly. Walking, and other types of physical activity help maintain your strength and improve your
mood. Physical activity also helps you manage your weight. Eat heart-healthy foods and limit sodium (salt An easy way to
do this is to eat more fresh fruits and vegetables and fewer canned and processed foods.
SN instructed that Tradjenta is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used by people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke.
SN instructed that Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. SN instructed that common side effects include dizziness, lightheadedness, headache, or blurred vision may occur as your body adjusts to the medication.
SN instructed caregiver that symptoms of low blood pressure may include: blurry vision, confusion, dizziness, fainting (syncope), lightheadedness, nausea or vomiting, sleepiness, weakness. Treatment depends on the cause of your low blood pressure and your symptoms. If any symptoms from a drop in blood pressure, lie patient down right away, then raise patient's feet above heart level.
SN instructed patient / caregiver on factors that increase risk of HTN, such as: age, race, family history, stress, high sodium intake, high cholesterol intake, obesity and sedentary lifestyle. SN instructed patient / caregiver on measures to control/manage HTN, such as: exercise as tolerated, achieve/maintain healthy/ideal weight, decrease sodium intake to decrease fluid retention and the workload of the heart. SN Instructed importance of eating foods rich in calcium, protein and fiber.
SN instructed that Meloxicam is a not steroidal anti-inflammatory drug with analgesic and fever reducer effects. Possible can result in gastrointestinal toxicity and bleeding, headaches, rash, and very dark or black stool. Like other NSAIDs, its use is associated with an increased risk of cardiovascular events such as heart attack and stroke. It has fewer gastrointestinal side effects than diclofenac,, piroxicam, and naproxen, and perhaps all other NSAIDs.
SN instructed that the metoprolol lowers blood pressure by decreasing workload of heart. Watch for dizziness, lightheadedness when getting up, headache, stomach upset, loss of taste, fatigue and insomnia.