high blood pressure
RN instructed patient and caregiver on no-added-salt or salt-controlled diet that can help control high
blood
pressure. RN explained that even if taking medication, it's important to follow a salt-controlled diet to help the medication work more effectively and use a limited amount of salt in cooking. RN instructed caregiver not to add salt to food at the table, either at home or when dining out. RN also instructed patient to use fresh or dried herbs, spices, and lemon juice to season foods and avoid ham, bacon, salt pork and cheese because these are made with salt. Patient and caregiver verbalized understanding of all instructions given.
SN instructed patient 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. This drug is also used to treat high
blood
pressure. Lowering high
blood
pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a "water pill" ( diuretic ) that causes you to make more urine. This helps your body get rid of extra water and salt. SN also instructed patient that Dizziness, lightheadedness, headache or blurred vision may occur as your body adjusts to the medication. If any of these effects 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.
SN instructed patient / caregiver that the stroke occurs when a clot or a torn blood
vessel in the brain stops blood
from reaching a part of the brain. Damage to that part of the brain from lack of blood
and oxygen can cause various signs and symptoms of stroke, such as facial drooping, numbness and paralysis. Although anyone can have a stroke, your risk increases if you're male, over age 65, or have one of these conditions: high
blood
pressure, high
cholesterol, heart disease, or diabetes. Being overweight, smoking, abusing drugs or alcohol, and taking birth control pills increase risk, too. African - Americans, people who are Hispanic or Asian, and those with a close relative who's had a stroke are also at high
er risk.
SN explained that the problems with the veins in the legs may lead to chronic venous insufficiency ( CVI ). CVI means that there is a long-term problem with the veins not being able to pump blood
back to your heart. When this happens, blood
stays in the legs and causes swelling and aching. Two problems that may lead to chronic venous insufficiency are: Damaged valves. Valves keep blood
flowing from the legs through the blood
vessels and back to the heart. When the valves are damaged, blood
does not flow as well. Deep vein thrombosis ( DVT ). Blood
clots may form in the deep veins of the legs. This may cause pain, redness, and swelling in the legs. It may also block the flow of blood
back to the heart. Seek immediate medical care if you have these symptoms. A blood
clot in the leg can also break off and travel to the lungs. This is called pulmonary embolism ( PE ). In the lungs, the clot can cut off the flow of blood
. This may cause chest pain, trouble breathing, sweating, a fast heartbeat, coughing (may cough up blood
), and fainting. It is a medical emergency and may cause death. Call 911 if you have these symptoms. Healthcare providers call the two conditions,Deep vein thrombosis ( DVT ) and pulmonary embolism ( PE ), venous thromboembolism ( VTE ).
Patient was instructed on another leading type of chronic wounds is pressure ulcers. That occurs when pressure on the tissue is grater than the pressure in capillaries, and thus restricts blood
flow into the area. Muscle tissues, which needs more oxygen and nutrients than skin does, show the worst effects from prolonged pressure. As in other chronic ulcers, reperfusion injury damage tissue.
Seroquel is associated with an increased risk of developing high
blood
sugar, which on rare occasions can lead to coma or death. See your doctor right away if you develop signs of high
blood
sugar, including dry mouth, unusual thirst, increased urination, and tiredness. If you have diabetes or have a high
risk of developing it, see your doctor regularly for blood
sugar testing
Patient was instructed on hypertension. Blood
pressure commonly rises as getting older, but this increase occurs more quickly in people who already have high
blood
pressure. Untreated hypertension can damage the delicate lining of the blood
vessels.
SN educated patient/caregiver about CKD. Chronic kidney disease (CKD) means your kidneys are damaged and can’t filter blood
the way they should. The main risk factors for developing kidney disease are diabetes, high
blood
pressure, heart disease, and a family history of kidney failure. You can take steps to protect your kidneys. The most important step you can take to treat kidney disease is to control your blood
pressure. Healthy habits can also help you manage your kidney disease.
The patient was taught in hypertension in what way and at what time to take blood
pressure measurements using home monitoring equipment. The patient was instructed to take blood
pressure at the same time each day, have a record of blood
pressure readings. The patient was encouraged the importance of evading all tobacco products. The patient was advised the need to stop obesity.
Sn Instructed on importance in logging blood
pressure daily to ensure medication treatment is working and to manage medical condition. Instruction to log at about the same time daily. Instructions on parameters and when to call physician / nurse. Instruction given to take log to physician's apt to show physician ( MD ) his blood
pressure readings. Patient / caregiver verbalized understanding