hypertensive heart...
SN advised patient on some serious adverse effect of Lovenox such as: atrial fibrillation, heart failure, skin necrosis, hemorrhage, intracranial hemorrhage, paraplegia, and pneumonia.
Patient was instructed on hypoglycemia. Mild hypoglycemia can make people feel hungry or nauseus . People Could also feel jittery or nervous. The heart may beat fast. The body may sweat. Or the skin might turn cold and clammy.
Taught that the diastolic reading (the bottom number) represents the pressure on the blood vessel wall while the heart is at rest.
The patient was encouraged importance of keeping the extremity elevated above heart level on firm pillows and the need for applying ice bags to the surgical arthroscopy to control swelling and relieve pain. The patient was advised not to apply the ice pack directly to the skin, but to wrap the ice in a small towel. The patient was instructed avoid bathing until able to stand for 10 to 15 minutes, then showering with the extremity covered by a plastic bag may be permitted. The patient was instructed the use of hot tubs, whirlpool baths, and heating pads should be avoided. The patient was encouraged of moving extremities to improve circulation and prevent blood clots. The patient was instructed physical therapy exercises needed for a gradual increase in strength and mobility.
Taught the patient using heart models or diagrams the location of the aortic insufficiency and show the affected valve. Encouraged the patient the importance of avoiding strenuous activities. Advised the patient for frequent rest periods and avoid fatigue.
Taught the patient using heart models or diagrams the location of the aortic valve stenosis and show the affected valve and instruct him/her its role in the arterial circulation. Encouraged the patient the importance of avoiding strenuous activities. Advised the patient for frequent rest periods and avoid fatigue.
The patient was instructed in carpal tunnel release on care of the hands and dressings, to keep the arm and hand elevated above heart level to reduce swelling and healing. The patient was reviewed to check the dressing daily for signs of bleeding or drainage, when bathing are permitted the patient should be shower with the dressing covered by a plastic bag. The patient was recommended to follow prescribed exercises to maintain circulation and improve range of motion such as sponge squeezing.
The patient was instructed in saphenous vein ligation and stripping in the need to wear support stockings. The patient was advised to wear constrictive clothing and knee-high stockings. The patient was advised to take discomfort medications. The patient was advised to take recurrent relaxation periods during the day and raise the legs above the heart while sitting for at least 6 weeks. The patient was recommended to avoid long periods of sitting and standing.
Instructed caregiver A.L.F's staff on relieving and preventing patient's leg edema. The first line of defense is: leg elevation. Elevate legs above the level of the heart which puts minimal pressure on the back of the knees and thighs and lower back. Other help to decrease swelling is limiting salt intake, drink plenty of water, avoid sitting with the feet dependent.
SN instructed pt that s/s of cardiac complications include diff breathing, activity intolerance, increasing edema, increased heart rate, crackles in lungs and retlessness. pt verbalizd 2/4 taught.