low blood pressure
SN Instructed patient about the Eliquis ( apixaban ) this is helps to prevent that platelets in your blood from sticking together and forming a blood clot. Eliquis is used to lower the risk of stroke caused by a blood clot in people with a heart rhythm disorder called atrial fibrillation. Because Eliquis keeps your blood from coagulating ( clotting ) to prevent unwanted blood clots, this medicine can also make it easier for you to bleed, even from a minor injury such as a fall or a bump on the head. Do not stop taking Eliquis unless your doctor tells you to. Stopping suddenly can increase your risk of blood clot or stroke
SN instructed patient that Eliquis is used to prevent serious blood clots from forming due to a certain irregular heartbeat ( atrial fibrillation ) or after hip/knee replacement surgery. With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots ( deep vein thrombosis - DVT, pulmonary embolus - PE ) and to prevent them from forming again. Eliquis is an anticoagulant that works by blocking certain clotting proteins in your blood. SN also instructed that Nausea, easy bruising, or minor bleeding ( such as nosebleed, bleeding from cuts ) may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. This medication can cause serious bleeding if it affects your blood clotting proteins too much. Tell your doctor right away if you have any signs of serious bleeding, including: unusual pain / swelling / discomfort, unusual bruising, prolonged bleeding from cuts or gums, persistent / frequent nosebleeds, unusually heavy / prolonged menstrual flow, pink/dark urine, coughing up blood, vomit that is bloody or looks like coffee grounds, severe headache, dizziness / fainting, unusual or persistent tiredness / weakness, bloody / black / tarry stools, difficulty swallowing.
SN explain about congestive heart failure ( CHF ). As blood flow out of the heart slows, blood returning to the heart through the veins backs up, causing fluid to build up in the tissues. The kidneys are less able to dispose of sodium and water, also causing fluid retention in the tissues. Fatigue, a tired feeling all the time and difficulty with everyday activities, such as shopping, climbing stairs, carrying groceries or walking. The heart can't pump enough blood to meet the needs of body tissues. The body diverts blood away from less vital organs, particularly muscles in the limbs, and sends it to the heart and brain. Lack of appetite, nausea, a feeling of being full or sick to your stomach. The digestive system receives less blood, causing problems with digestion. Confusion, impaired thinking, memory loss and feelings of disorientation. A caregiver or relative may notice this first. Changing levels of certain substances in the blood, such as sodium, can cause confusion. If you have 2 or more of these symptoms you may need to seek medical attention.
Taught that low back pain and rectal pressure may constitute as signs/symptoms of constipation.
SN instructed that infrequent passage of hard, dry stool, low back pain, abdominal fullness and/or abdominal discomfort, decreased appetite, nausea and/or vomiting, and rectal pressure may constitute as signs/symptoms of constipation. Patient verbalized understanding.
Patient was instructed on hypoglycemia. Insulin, glucagon and other hormone levels rise and fall to keep blood sugar in a normal range. Too little or too much of these hormones can cause blood sugar levels to fall too low (hypoglycemia) or rise too high (hyperglycemia).
People with long-standing diabetes develop a condition known as hypoglycemia unawareness or hypoglycemia without warning, in which they no longer develop the usual symptoms that herald the onset of hypoglycemia. This condition can be reversed by maintaining higher blood sugar levels for a short period of time (about two weeks) and scrupulously avoiding lowblood sugar.
Patient was instructed on hypoglycemia. The body uses hormones to keep the blood sugar in a normal range. But a long-term health problem that needs treatment can cause blood sugar to drop too low. It could be caused by: Medicines, Drinking too much alcohol, Diseases that affect the pancreas, liver, kidneys, adrenal glands, or other organs, Metabolism problems that run in families.
Instructed patient to eat healthy food, as people with diabetes do not need special foods. The foods on your diabetes eating plan are the same foods that are good for everyone in your family. Try to eat foods that are low in fat, salt, and sugar and high in fiber such as beans, fruits and vegetables, and grains. Eating right will help you reach and stay at a weight that is good for your body, keep your blood sugar in a good range and prevent heart and blood vessel disease.
SN instructed patient that Zocor( Simvastatin) reduces levels of "bad" cholesterol (low-density lipoprotein, or LDL) and triglycerides in the blood, while increasing levels of "good" cholesterol (high-density lipoprotein, or HDL). Zocor is used to lower cholesterol and triglycerides in the blood. It is also used to lower the risk of stroke, heart attack, and other heart complications in people with diabetes, coronary heart disease, or other risk factors.