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High blood pressure Teaching 2011

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.

General information Teaching 2351

SN instructed that the main job of the kidneys is to filter wastes and extra water out of your blood to make urine. Your kidneys also help control blood pressure and make hormones that your body needs to stay healthy.High blood glucose, also called blood sugar, can damage the blood vessels in your kidneys. When the blood vessels are damaged, they don’t work as well. Many people with diabetes also develop high blood pressure, which can also damage your kidneys

Chronic venous insufficiency Teaching 2181

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 ).

Seroquel Teaching 1338

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

Hypertension Teaching 1632

Instructed patient about High blood pressure. Normal blood pressure is when your blood pressure is lower han 120/80 mmHg most of the time. High blood pressure (hypertension) is when your blood pressure is 140/90 mmHg or above most of the time.

Lovenox Teaching 2677

SN instructed patient how Lovenox is used to reduce the chance of blood clots when another blood thinner is held for a short time. When you take an oral blood thinner and need a procedure/surgery, your doctor asks you to temporarily stop taking your usual blood thinner and instead take enoxaparin to help prevent blood clots before the procedure/surgery. After the procedure/surgery, your doctor will tell you when it is safe to start taking your regularly prescribed oral blood thinner again. This is called bridge therapy it allows for continued blood thinning without the blood being too thin for too long as oral blood thinners stay in the body for a much longer time.

Low Purine Diet Teaching 1613

SN instructed patient to follow a low purine diet to help minimize acute gout attacks by limiting meat, poultry and fish. Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily. SN instructed pt/cg to cut back on fat since saturated fat lowers the body's ability to eliminate uric acid. Also instructed patient Limit or avoid foods sweetened with high-fructose corn syrup. Fructose is the only carbohydrate known to increase uric acid. It is best to avoid beverages sweetened with high-fructose corn syrup, such as soft drinks or juice drinks. Juices that are 100 percent fruit juice do not seem to stimulate uric acid production as much. SN also discussed to choose complex carbohydrates and explained to patient/cg that pt will need to eat more whole grains and fruits and vegetables and fewer refined carbohydrates, such as white bread, cakes and candy. SN advised CG to ensure that pt. drinks plenty of fluids, particularly water. Fluids can help remove uric acid from your body.

Gallbladder surgery Teaching 1778

Instructed patient while your body adjusts, it's a good idea to avoid high-fat foods for a few weeks after having gallbladder surgery.High-fat foods include: foods that are fried, like French fries and potato chips, high-fat meats, such as bacon, bologna, sausage, ground beef, and ribs high-fat dairy products, such as cheese, ice cream, cream, whole milk, and sour cream.

Hypoglycemia Teaching 778

Patient was instructed on how to avoid hypoglycemia. Choose high fiber, low sugar bedtime snacks such as two graham crackers with 1/2 cup skim milk. Avoid eating excessive amounts of high sugar foods, which will make the blood sugar spike then plummets. When the blood sugar falls after a sugar high it tends to drop dramatically low.

Seroquel Teaching 1741

SN instructed patient's CG about Quetiapine (Seroquel), it is an atypical antipsychotic approved for the treatment of schizophrenia, bipolar disorder, and along with an antidepressant to treat major depressive disorder. Possible SE/AR may include, dry mouth, dizziness, headache, somnolence. Some common adverse effects, high blood pressure, orthostatic hypotension, high pulse rate, high blood cholesterol, elevated serum triglycerides, abdominal pain, constipation, increased appetite, vomiting, among others.