high blood pressure/1000
SN instructed patient on new medication Cholestyramine: This medication is known as a bile acid-binding resin. It works by removing bile acid from the body. In people with high
cholesterol, this causes the liver to make more bile acid by using cholesterol in the blood
. This helps to lower the cholesterol levels, patient verbalized understanding.
Patient instructed Signs that your pacemaker isn't working as it should or you have developed an infection or blood
clot include breathlessness, dizziness, fainting, prolonged weakness. A swollen arm on the side of the pacemaker.chest pains.prolonged hiccups.a high
temperature of 38C or above. Patient instructed Tell your doctor if you gain weight, if your legs or ankles get puffy, or if you faint or get dizzy.
SN instructed patient and caregiver on SIMVASTATIN. Simvastatin is a cholesterol-lowering medicine. It inhibits the production of cholesterol by the liver. High
blood
cholesterol is first treated with exercise, weight loss, and a diet low in cholesterol and saturated fats. When these measures fail, cholesterol-lowering medications such as Simvastatin can be added. Simvastatin is generally well-tolerated and side effects are rare. Minor side effects of Simvastatin include constipation, diarrhea, fatigue, gas, heartburn, and headache. Major side effects of Simvastatin include abdominal pain or cramps, blurred vision, dizziness, easy bruising or bleeding, itching, muscle pain or cramps, rash, and yellowing of the skin or eyes.
Patient and caregiver educated on precautions to be exercised while taking Topiramat (Topamax). Topamax can induce extreme dry mouth and diarrhea. Sucking on a sugar free hard candy can help with symptomatic relief of dry mouth. Proper hydration measures and compliance with daily fluid intake recommendations can help with fluid supplementation. Topamax intake can induce some dizziness. Also, Topamax use can result in a side-effect of increased ammonia in the blood
, which also contributes to increased nausea, confusion, and dizziness. Patient instructed to avoid activities where loss of consciousness (passing out) could result in serious danger to self or those around you (including swimming, driving a car, climbing in high
places, etc.). Patient instructed to talk to his doctor before engaging in such activities.
Instructed in measures to manage chronic renal failure, such as, following prescribed information closely, following activity as instructed, avoiding stress, monitoring blood
pressure closely and reporting any signs of bleeding tendencies.
Instructed in use of Verapamil, to help regulate heartbeat, prevent chest pain, and reduce blood
pressure.
Instructed in possible adverse reactions to Lopressor, including fatigue, lethargy, dizziness, low heart rate, low blood
pressure, nausea, vomiting, diarrhea, rash, and fever.
Instructed SO to change patient's position slowly when transferring from sitting or lying positions to standing positions. This will avoid dizziness and falls due to a sudden decrease of blood
pressure.
Instructed patient to take blood
pressure at the same time everyday and also report elevated S/P levels.
Instructed patient about blood
pressure. How it should be checked every time when she/he goes to the doctor.