patient-unable
SN instructed patient / caregiver regarding medication Metoprolol. Metoprolol is used for treating high blood pressure, heart pain, abnormal rhythms of the heart, and some neurologic conditions; it reduces the force of contraction of heart muscle and thereby lowers blood pressure. Side effects to report to physician ( MD ) when taking Metoprolol including diarrhea, constipation, fatigue, insomnia, nausea, depression, memory loss, fever, lightheadedness, slow heart rate, low blood pressure, cold extremities, sore throat, and shortness of breath or wheezing. If experiencing any of these side effects or when systolic BP is >160 or < 90 and / or diastolic BP is > 90 or < 60 notify physician ( MD )
SN teaching the patient / caregiver on S / S ( signs / symptoms) of wound infection to report to physician, such as increased temp >100.5, chills, increase in drainage, foul odor, redness, or unrelieved pain.
SN teaching patient / caregiver on measures to prevent pressure ulcers, such as: Clean skin at times of soiling, avoid irritating cleaning agents, use moisturizers on dry skin, do not message bony prominences, keep skin clean and dry, and comply with proper lifting and positioning techniques.
SN instruct the patient the following symptoms could be signs of a heart attack: chest discomfort, discomfort in one or both arms, back, neck, jaw, stomach, shortness of breath, cold sweat, nausea, or dizziness. Call 911 for emergent care if you experience any of these s / s ( symptoms / signs ).
SN instructed patient / caregiver that Atrial fibrillation is an irregular and often rapid heart rate that can increase your risk of stroke, heart failure and other heart-related complications. It may lead to complications. Atrial fibrillation can lead to blood clots forming in the heart that may circulate to other organs and lead to blocked blood flow ( ischemia ). Treatments for this may include medications and other interventions to try to alter the heart's electrical system. Signs and symptoms ( S / S ) such as: Palpitations, which are sensations of a racing, uncomfortable, irregular heartbeat or a flip - flopping in your chest, weakness, fatigue, lightheadedness, dizziness, chest pain.
SN instructed patient about medication safety. Keep medicines in one place. Don't waste time searching the house for pills. Keep them together in a single location provided by SN. Explained to never remove the label from the bottle. Always keep medicine container tightly closed. Informed to do not mix different medicine into the same bottle to prevent taking the wrong medicine by accident.
SN instructed that gastroesophageal reflux disease ( GERD ) is a normal phenomenon, typically occurs transiently after eating. Gastroesophageal reflux disease ( GERD ) is a condition where the degree of exposure of esophageal mucosa to gastric contents is greater than normal. Most common symptom is heartburn, but patients may have other symptoms. Treatment of gastroesophageal reflux disease (GERD ) not only causes improvement in symptoms like heartburn, but early recognition & treatment of clinically significant gastroesophageal reflux disease ( GERD ) may prevent the development of further complications. Bleeding obstructions, even malignancy may complicate matters in the long run. Most peptic strictures can be effectively dilated by gastroenterologists without resorting to surgery. Perforation is a known complication of surgical procedures. Patient / caregiver verbalized understanding to the instruction regarding gastroesophageal reflux disease ( GERD ), stated the etiology, 2 s / sx of exacerbation and 2 preventive measures.
SN instructed patient / caregiver to help with hypotension to drinking plenty of fluids, such as water or sports drinks that contain nutrients like sodium and potassium. Drinking little or no alcohol. Standing up slowly. Not crossing your legs while sitting. Slowly increasing the amount of time you sit up if you've been immobile for a long time because of a medical condition. The term "immobile" refers to not being able to move around very much. Eating small, low - carbohydrate meals if you have postprandial hypotension a form of orthostatic hypotension.
SN instructed patient that fluid restrictions are usually necessary when dialysis is initiated, especially if dialysis only occurs three days a week and if urine production is decreased. Build up of fluid can lead to shortness of breath, swelling, and high blood pressure. There is a limit to the amount of fluid that can be safely removed during dialysis. If fluid limits are exceeded and extra water must be removed, negative effects such as muscle cramping, low blood pressure leading to nausea, weakness, dizziness, and possibly extra dialysis sessions to remove the fluid.
Sn instructed patient on pursed lip breathing. Pursed lip breathing is one of the simplest ways to control shortness of breath. It provides a quick and easy way to slow your pace of breathing, making each breath more effective. What does pursed lip breathing do? Pursed lip breathing: Improves ventilation, releases trapped air in the lungs, keeps the airways open longer and decreases the work of breathing, prolongs exhalation to slow the breathing rate, improves breathing patterns by moving old air out of the lungs and allowing for new air to enter the lungs, relieves shortness of breath, causes general relaxation. When should I use this technique? Use this technique during the difficult part of any activity, such as bending, lifting or stair climbing. Practice this technique 4 - 5 times a day at first so you can get the correct breathing pattern. Pursed lip breathing technique: Relax your neck and shoulder muscles, breathe in ( inhale ) slowly through your nose for two counts, keeping your mouth closed. Don't take a deep breath; a normal breath will do. It may help to count to yourself: inhale, one, two. Pucker or "purse" your lips as if you were going to whistle or gently flicker the flame of a candle. Breathe out ( exhale ) slowly and gently through your pursed lips while counting to four. It may help to count to yourself: exhale, one, two, three, four.