congestive heart
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 did head to toe assessment and vital signs monitoring done. Received patient sitting on the chair with elevated blood pressure. SN instructed patient on the disease process, and management of CHF. Heart failure occurs when the heart muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath. Certain heart conditions gradually leave the heart too weak or stiff to fill and pump blood properly. SN instructed patient to have a healthy lifestyle. Try to lose weight, exercise, use less salt and manage stress. SN will continue to assess and instruct the patient.
Taught that Hyzaar is used to treat congestive heart failure and to help protect the kidneys from damage due to diabetes.
Instructed on some potential factors of decreased tolerance in response to increased physical activity, such as: diseases (e.g., congestive heart failure, myocardial infarction, chronic obstructive pulmonary disease, infections and endocrine disorders).
SN instructed patient / caregiver that Aldactone is a potassium - sparing diuretic ( water pill ) that prevents the body from absorbing too much salt and keeps potassium levels from getting too low, treating congestive heart failure. SN instructed patient / caregiver to take Aldactone as prescribed by the doctor and do not use salt substitutes or low - sodium milk products that contain potassium, because it may increase potassium levels too much. SN explained that side effects may include mild nausea, dizziness, headache, gastric pain. SN instructed to report to physician ( MD ) if patient experiences an allergic reaction, numbness, muscle pain or weakness, irregular heartbeats, urinating less, shallow breathing or tremors.
Metolazone is used to treat fluid retention (edema) in people with congestive heart failure, or a kidney disorder such as nephrotic syndrome. Metolazone is also used to treat high blood pressure (hypertension). Possible side effects to be aware of include low potassium, headache, constipation, diarrhea, dizziness, drowsiness and blurred vision.
SN instructed patient and caregiver about edema can be a cause of serious underlying medical conditions such as: congestive heart failure, cirrhosis, kidney disease, kidney damage, weakness or damage to veins in your legs, inadequate lymphatic system, severe, long-term protein deficiency.
SN instructed patient and caregiver that dysrhythmias of the heart and myocardial infarction may constitute as potential complications of Angina Pectoris. Cardiac arrhythmia occurs when electrical impulses in the heart do not work properly. A heart attack usually occurs when a blood clot blocks blood flow to the heart. Angina is a symptom of coronary artery disease. Patient verbalized understanding.
Instructed patient Eat a heart-healthy diet Eating a healthy diet can reduce your risk of heart disease. A diet rich in fruits,
vegetables and whole grains can help protect your heart. Beans, other low-fat sources of protein and certain types of fish
also can reduce your risk of heart disease. 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 a particular diet, it's important that you follow it. If a special diet has not been recommended, balanced, heart-healthy nutrition can speed healing and lessen fatigue. Patient weight control is also important for your heart health; excess weight increases the work of the heart and slows recovery.