hypertensive heart disease/1000
SN instructed patient about the drug lisinopril is a drug of the angiotensin-converting enzyme inhibitor class used primarily in treatment of hypertension ACE is important because it is an enzyme responsible for producing the chemical, angiotensin II. Angiotensin II causes muscles in most arteries, including the arteries of the heart
, to contract, thereby narrowing the arteries and elevating blood pressure. ACE inhibitors such as lisinopril lower blood pressure by reducing the production of angiotensin II, thereby relaxing arterial muscle and enlarging arteries. When the blood pressure is lower, the heart
- including the failing heart
- does not have to work as hard to pump blood. The arteries supplying the heart
with blood also enlarge during treatment with ACE inhibitors. This increases the flow of blood and oxygen to the heart
, further improving the ability of the heart
to pump bloodSide effects include: dizziness due to a drop in blood pressure, trouble breathing, blistering, peeling, red skin rash, confusion, weakness, uneven heart
beat, trouble breathing, numbness or tingling in your hands, feet, or lips, dark urine or pale stools. Pt verbalized understanding.
SN instructed patient that heart
failure, also called Congestive Heart
Failure (CHF), means your heart
does not pump blood as well as it should. This does not mean your heart
has stopped working, but that it is not as strong as it used to be and fluid builds up in the lungs and other parts of your body. This can cause shortness of breath, swelling in the legs, feet, and stomach. Heart
failure starts slowly and can get worse over time.
SN instructed patient and caregiver that Plavix is used to prevent heart
attacks and strokes in persons with heart
disease, recent stroke and/or blood circulation disease (peripheral vascular disease). Easy bleeding/bruising, stomach upset/pain, diarrhea, and constipation may occur.
Patient was instructed on complications of diabetes such as heart
disease. People with diabetes have extra reason to be mindful of heart
and blood vessel disease. Diabetes carries an increased risk of heart
attack, stroke, and complications related to poor circulation.
Isosorbide is used to prevent chest pain (angina) and reduce strain on the heart
in patients with heart
disease (coronary artery disease). Isosorbide mononitrate relaxes and widens blood vessels so blood can flow more easily. This medication will not relieve chest pain once it occurs. This medication may also be used in addition to other drugs to improve the symptoms of congestive heart
failure (e.g., trouble breathing).
Lovastatin 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). Lovastatin is used to lower the risk of stroke, heart
attack, and other heart
complications in people with diabetes, coronary heart
disease, or other risk factors. Lovastatin 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). Avoid grapefruit and grapefruit juice, it may interact with lovastatin and lead to unwanted side effects. Avoid the use of grapefruit products while taking lovastatin. Avoid eating foods that are high in fat or cholesterol. Lovastatin will not be as effective in lowering your cholesterol if you do not follow a cholesterol-lowering diet plan. Avoid drinking alcohol. It can raise triglyceride levels and may increase your risk of liver damage. Common side effects may include: constipation, stomach pain; muscle cramps; or headache. You can lower your Cholesterol by avoiding alcohol and avoid eating foods that are high in fat or cholesterol. Eat foods rich in omega-3 fatty acids, You can add soluble fiber to your diet by eating oats and fruits, beans, lentils, and vegetables. Exercise on most days of the week and increase your physical activity.
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.
SN instructed patient and caregiver that dysrhythmias of the heart
and myocardial infarction may constitute as potential complications of Angina Pectoris. Cardiac arrhythmia occurs when electrical impulses in the heart
do not work properly. A heart
attack usually occurs when a blood clot blocks blood flow to the heart
. Angina is a symptom of coronary artery disease. Patient verbalized understanding.
Instructed patient about lifestyle modifications: healthy life choices will improve your overall health and your heart
health and can help you slow the progression of your heart
disease. Some heart
healthy choices include: healthy diet choices eating a low fat, low salt, low cholesterol diet while avoiding excessive intake of alcohol and caffeine, reduce stress through exercise - Increasing your physical activity is a great way to reduce stress, improve sleep, and lose weight.
SN instructed patient on high blood pressure. The high blood pressure is a common condition and when not treated, can cause damage to the brain, heart
, blood vessels, kidneys, and other parts of the body. Damage to these organs may cause heart
disease, a heart
attack, heart
failure, stroke, kidney failure, loss of vision, and other problems. In addition to taking medication, making lifestyle changes will also help to control your blood pressure. These changes include eating a diet that is low in fat and salt, maintaining a healthy weight, exercising at least 30 minutes most days, not smoking, and using alcohol in moderation.