hypertensive heart...
Patient and CG instructed on Pravastatin. Pravastatin is used to lower cholesterol and triglycerides (types of fat) in the blood. Pravastatin is also used to lower the risk of stroke, heart attack, and other heart complications in people with or without coronary heart disease or other risk factors. Pravastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. This condition may be more likely to occur in older adults and in people who have kidney disease or poorly controlled hypothyroidism (underactive thyroid). Get emergency medical help if you have signs of an allergic reaction to pravastatin: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. In rare cases, pravastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Stop using and call your doctor at once if you have:unexplained muscle pain, tenderness, or weakness; fever, unusual tiredness; dark colored urine; chest pain; upper stomach pain, loss of appetite; or jaundice (yellowing of the skin or eyes). Common pravastatin side effects may include: muscle or joint pain; nausea, vomiting, diarrhea; headache; or cold symptoms such as stuffy nose, sneezing, sore throat.
Patient was instructed on HTN and how it affects the heart and it's function. Over time HTN if uncontrolled can damage the vessels of the heart, leaving it unable to pump blood efficiently. This causes what is known as heart failure. Symptoms you may experience and should report to your MD are swelling in your feet or hands, crackles in your chest when breathing, increased shortness of breath.
SN instructed patient and caregiver regarding new medication Entresto. This medication is used to treat certain types of heart failure. It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product 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. Cough, dizziness, or lightheadedness may occur. 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. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
SN instructed patient and caregiver that potassium is available in foods such as asparagus, tomatoes and green leafy vegetables such as spinach. Some salt substitutes contain potassium. Avoid fruits like bananas and oranges if you are on a diabetic diet. If levels drop too low or spike too high, your heart function suffers, becoming slow or erratic, a condition known as arrhythmias. Because abnormal potassium levels greatly impact your heart function and can ultimately lead to a heart attack, it’s essential to follow your doctor’s advice carefully. Most common reasons for potassium loss is from vomiting, diarrhea, laxative use and diuretic use.
SN instructed on arteriosclerosis is hardening and thickening of the walls of the arteries. This condition can occur because of fatty deposits on the inner lining of arteries (atherosclerosis), calcification of the wall of the arteries, or thickening of the muscular wall of the arteries from chronically elevated blood pressure. When arteriosclerosis affects the coronary arteries that supply blood to the heart muscle, a shortage of oxygen delivered to the heart itself may lead to a heart attack.
Instructed patient that good nutrition and a heart-healthy, low-sodium diet are very important for everyone especially people with heart conditions. By choosing the right kinds of foods and maintaining a healthy weight, you can help minimize strain on your heart and vascular system, and feel your best. Understanding was verbalized.
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 patient Atorvastatin is used to treat high cholesterol, and to lower the risk of stroke, heart attack, or other heart complications in people with type 2 diabetes, coronary heart disease, or other risk factors. Take once daily with or with out food in the evening at the same time. Avoid eating foods that are high in fat or cholesterol. Atorvastatin will not be as effective in lowering your cholesterol if you do not follow a cholesterol-lowering diet plan. Minimize drinking alcohol. It can raise triglyceride levels and may increase your risk of liver damage. Grapefruit and grapefruit juice may interact with atorvastatin and lead to potentially dangerous effects. Avoid drinking more than 1 liter per day of grapefruit juice while taking this medicine.
Instructed in diagnosis of Cardiac Arrhythmias. This occurs when the heart beats irregulary, causing various symptoms and a decrease in the heart's ability to pump blood.
Instructed in diagnosis of Congestive Heart Failure. This occurs when the heart is unable to expel the blood from the ventricle, causing congestion.