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SN completed all education for this SNV, and reminded patient on the importance of going to all medical appointments, bringing blood pressure log and all of his/her medications. Patient/Caregiver verbalized understanding.
SN explained that long standing hypertension leads to heart damage that is called heart failure. This means your heart "fails" to pump your blood to your body effectively. You may notice swelling in your extremities, that you are easily fatigued with normal activity, and weight gain. Any of these symptoms or worsening of them should be reported to SN or MD.
SN instructed care giver that changing a patient's position in bed every 2 hours helps keep blood flowing. This helps the skin stay healthy and prevents bedsores.
Instructed patient how do you bring down blood sugar quickly exercise regularly, control your carb intake, increase your fiber intake, drink water and stay hydrated.
SN instructed patient about type 2 diabetes and to use oral hypoglycemics long term. Oral hypoglycemics are anti-diabetic drugs designed to help people with type 2 diabetes manage their condition. You should not stop eating a healthy diet and doing regular exercise, and your healthcare professional should be able to teach you how to get the balance right. Testing blood sugar regularly, eating well and exercising daily are all important aspects of diabetes management.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood present in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.
Instructed patient about cardiomyopathy can lead to other heart conditions, including:Heart failure, blood clots,see your doctor if you have one or more signs or symptoms associated with cardiomyopathy. Call 911 or your local emergency number if you have severe difficulty breathing, fainting or chest pain that lasts for more than a few minutes.
SN instructed patient and caregiver on some measures aimed to controlling/managing constipation, such as: establish regular times for evacuations usually after a meal and drink a warm liquid one-half hour before breakfast to stimulate bowel movement, avoid laxative and enema abuse. Instructed on some potential complications of constipation, such as: stool impaction bowel blockage, liquid bowel movement may ooze around hard stool in the colon, pain, valsalva maneuver may be caused by straining, causing a slowed pulse, decreased blood return and increased venous pressure, rectal bleeding and rectal pain.
SN instructed patient about stents help keep coronary arteries open and reduce the chance of a heart attack. Stents help keep coronary arteries open and reduce the chance of a heart attack. A stent is inserted into the clogged artery with a balloon catheter. The balloon is inflated and the stent expands and locks in place. Then the balloon is removed and stent stays in place. This holds the artery open and allows blood to flow more freely.
SN instructed patient and caregiver that a bowl of oatmeal eaten in the morning provides a good source of energy throughout the morning hours, without an increase or drop in blood sugar. Patient and caregiver verbalized understanding.