congestive heart
Instructed patient about lifestyle modifications: healthy life choices will improve your overall health and your heart
health and can help you slow the progression of your heart
disease. Some heart
healthy choices include: healthy diet choices eating a low fat, low salt, low cholesterol diet while avoiding excessive intake of alcohol and caffeine, reduce stress through exercise - Increasing your physical activity is a great way to reduce stress, improve sleep, and lose weight.
Instructed patient common post-operative guidelines following minimally invasive heart
valve surgery include the following: you must notify your doctor before undergoing any invasive medical or dental procedures. All heart
valve surgery patients will require antibiotic medications prior to certain dental or medical procedures to prevent a serious infection of the heart
and valves called bacterial endocarditis.
SN instructed that a healthy diet is a major factor in reducing your risk of heart
disease. A healthy diet and lifestyle can reduce your risk of heart
disease, heart
attacks, and stroke. Most fruits and vegetables are part of a heart
-healthy diet. They are good sources of fiber, vitamins, and minerals. Most are low in fat, calories, sodium, and cholesterol. Eat five or more servings of fruits and vegetables per day. Choose whole grain foods (such as bread, cereal, crackers, and pasta) for at least half of your daily grain intake. Grain products provide fiber, vitamins, minerals, and complex carbohydrates. Eating too many grains, especially refined grain foods (such as white bread, pasta, and baked goods) can cause weight gain. Avoid high-fat baked goods such as butter rolls, cheese crackers, and croissants and cream sauces for pasta. Lean proteins, poultry, seafood, dried peas, lentils, nuts, and eggs are good sources of protein, B vitamins, iron, and other vitamins and minerals. Avoid foods with a lot of saturated fats including animal products such as butter, cheese, whole milk, ice cream, sour cream, lard, and fatty meats such as bacon.
SN instructed patient about the Eliquis, also known as Apixaban is an anticoagulant. “ANTI” means against and “COAGULANT” refers to the clotting of blood. Apixaban is a medicine ordered by your doctor to prevent harmful blood clots from forming. It does not dissolve existing clots. Sometimes apixaban is referred to as a “blood thinner”, but it does not actually thin your blood. Apixaban is commonly prescribed to people with a heart
rhythm problem called atrial fibrillation. Atrial fibrillation increases the risk of a clot forming in the heart
. A clot in the heart
can dislodge and cause a stroke. The role of apixaban in patients with atrial fibrillation is to prevent formation of a clot in the heart
and lower the risk of stroke. Tell your doctor right away if you have these side effects: Unusual bleeding: Vomiting blood or brown material that looks like coffee grounds, Bleeding from cuts that do not stop with pressure, Frequent bleeding from Coughing up blood gums, Nose bleeds, Black or red tarry stools, Bruises that appear without injury, blood in your urine, excessive vaginal bleeding / menstrual flow, Weakness, lightheadedness, dizziness, or fainting Itching or hives, Swelling in your face, hands, mouth, or throat Difficulty breathing or chest tightness.
SN instructed patient on high blood pressure. The high blood pressure is a common condition and when not treated, can cause damage to the brain, heart
, blood vessels, kidneys, and other parts of the body. Damage to these organs may cause heart
disease, a heart
attack, heart
failure, stroke, kidney failure, loss of vision, and other problems. In addition to taking medication, making lifestyle changes will also help to control your blood pressure. These changes include eating a diet that is low in fat and salt, maintaining a healthy weight, exercising at least 30 minutes most days, not smoking, and using alcohol in moderation.
SN instructed patient / caregiver regarding medication Metoprolol. Metoprolol is used for treating high blood pressure, heart
pain, abnormal rhythms of the heart
, and some neurologic conditions; it reduces the force of contraction of heart
muscle and thereby lowers blood pressure. Side effects to report to physician ( MD ) when taking Metoprolol including diarrhea, constipation, fatigue, insomnia, nausea, depression, memory loss, fever, lightheadedness, slow heart
rate, low blood pressure, cold extremities, sore throat, and shortness of breath or wheezing. If experiencing any of these side effects or when systolic BP is >160 or < 90 and / or diastolic BP is > 90 or < 60 notify physician ( MD )
SN instructed patient / caregiver regarding Metoprolol Tartrate, which is in a group of drugs called beta - blockers. That is affect the heart
and circulation ( blood flow through arteries and veins ). Metoprolol is used to treat angina ( chest pain ) and hypertension ( high blood pressure ). It is also used to treat or prevent heart
attack. Call your doctor at once if you have any of these serious side effects: chest pain, pounding heart
beats or fluttering in your chest, feeling light - headed, fainting; feeling short of breath, even with mild exertion, swelling of your hands or feet, nausea, upper stomach pain, itching, loss of appetite, dark urine, clay - colored stools, jaundice ( yellowing of the skin or eyes ), easy bruising, unusual bleeding ( nose, mouth, vagina, or rectum ), purple or red pinpoint spots under your skin, wheezing, trouble breathing. Less serious side effects may include: dry mouth, constipation, heart
burn, vomiting, diarrhea, headache, drowsiness, tired feeling, sleep problems ( insomnia ), or anxiety, nervousness. Do not suddenly stop taking metoprolol tartrate. Sharp chest pain, irregular heart
beat, and sometimes heart
attack may occur if you suddenly stop metoprolol tartrate. The risk may be greater if you have certain types of heart
disease. Tell your doctor or dentist that you take metoprolol tartrate before you receive any medical or dental care, emergency care or surgery.
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.
Entresto is used to treat certain types of heart
failure. It will help you live longer and stay out of the hospital for heart
failure. Entresto contains 2 medications: sacubitril and valsartan. They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart
to pump blood to your body. Common SE: Coughing, dizziness, or lightheadedness, if this persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Take medication as prescribed to get the better manage the disease process of Heart
Failure.
Instructed patient to get a flu shot each year and decrease the exposure to the flu. Avoiding the flu is especially important for people who have or are at risk for heart
disease. This highly contagious infection causes symptoms similar to the common cold, only more severe, other symptoms include debilitating muscle or body aches, vomiting and diarrhea, and fever. Having a serious infection puts extra stress on your heart
, which increases your heart
's need for oxygen. Coughing and congestion can make breathing more difficult. As a result, your heart
may not get sufficient oxygen. Patient verbalized understanding.