high blood pressure/1000
Diseases Process
Patient was instructed on supplies that will use for blood glucose meter - reads blood sugar Test strip - collects blood sample. Lancet or small needle -fits into lancing device, pricks finger, and provides small drop of blood for glucose strip. Lancing device - pricks finger when button is pressed. Most devices have dials to select how deep the needle goes into the skin. Start with middle depth. If get more blood than needed, dial the number down so the lancet does not go as deep. If get less blood, dial the number up so lancet goes deeper. Alcohol wipes or soap and water - to clean fingers or other testing site.
Patient instructed uncontrollable risk factors for high cholesterol are age, family history, and gender. Instructed risk factors that he can control are weight, diet, and activity. Instructed patient to maintain ideal weight, avoid foods high in cholesterol and exercise for at least 30 minutes per day to lower risk of high cholesterol. Patient verbalized understanding.
Patient was instructed on pressure ulcer also called decubitus or bed sore. A pressure ulcer is the results of damage caused by pressure over time causing an ischemia of underlying structures. Bony prominences are the most common sites and causes.
SN instructed patient about Latanoprost ophthalmic. This is used to treat glaucoma ( a condition in which increased pressure in the eye can lead to gradual loss of vision ) and ocular hypertension ( a condition which causes increased pressure in the eye ). Latanoprost is in a class of medications called prostaglandin analogs. It lowers pressure in the eye by increasing the flow of natural eye fluids out of the eye. Nurse instructed more frequents side effects of latanoprost ( stinging, burning, itching, watering or swelling of the eye, redness of the eyelids irritation, dry eyes, among others ).
Patient was instructed on Hyperglycemia. To prevent highblood sugar emergencies, treat infections early. Untreated infections (such as urinary tract infections, pneumonia, and skin infections) can increase the risk for a highblood sugar emergency.
Instructed patient about how a stroke can result from the damage that ongoing highblood pressure causes in the body vessels. If the affected vessel stops supplying blood to the brain, as a result a stroke occurs.
The patient was instructed in coronary artery disease the importance of no smoking or using tobacco products, the effect nicotine has on the cardiac system causing the heart to work faster, constricting blood vessels, and decreasing the amount of oxygen delivered to the heart, and in the presence of coronary artery disease, increasing the probability of chest pain. The patient was advised that the role that stress plays in aggravating coronary artery disease. The patient was recommended the benefits of exercise, increase in high-density lipoproteins, which lowers blood pressure, weight loss, improved cardiovascular status.
SN instructed patient on diabetes and kidney problem, that diabetes mellitus ( DM ) is one of the leading cause of kidney failure in the United States. Approximately one-half of people who need dialysis have kidney disease from diabetes.With that, tight control of blood sugar must be done by avoiding concentrated sweets and high-carbohydrate content foods.Diabetic patients with hypertension have a special lower blood pressure target of less than 130 / 80 mmHg to reduce cardiovascular risk and delay progression of kidney disease.
The patient was instructed in glomerulonephritis in the significance of daily weights, same time, same clothing, after urination and before eating. The patient was advised on finding supplies for home blood pressure checking. The patient was taught to measurement blood pressure and how frequently to do it. The patient was instructed the need to keep good skin care of edematous body areas to stop excoriation and skin breakdown. The patient was instructed in fluid limitations, fluids may be contingent on how much urine is put out.
The patient was instructed in nephrotic syndrome in the significance of daily weights, same time, same clothing, after urination and before eating. The patient was advised on finding supplies for home blood pressure checking. The patient was taught to measurement blood pressure and how frequently to do it. The patient was instructed the need to keep good skin care of edematous body areas to stop excoriation and skin breakdown. The patient was instructed in fluid limitations, fluids may be contingent on how much urine is put out.