low
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.
Instructed patient diet: Your doctor will probably recommend that you follow a low fat, no added-salt diet after discharge. This may reduce your risk of a heart attack in the future and your risk for requiring angioplasty or surgery again. You should try to have less than 30 percent of your calories from fat. Try to control your weight and eat less saturated fat and cholesterol.
Instructed patient go easy on fat. Avoid high-fat foods, fried and greasy foods, and fatty sauces and gravies. Instead, choose nonfat or low-fat foods. Read labels and look for foods with 3 grams of fat or less a serving.
Instructed patient t other S/S of cardiac complications requiring medical intervention such as: increased SOB, palpitations,
irregular heart beat, faintness, and weakness. Replace butter and margarine with
heart-healthy oils such as olive oil and canola oil. Other heart-healthy foods include walnuts, fatty fish like salmon and tuna,
whole-grain breads, low-fat dairy products, beans, and lean meats. Ask your caregiver how much salt you can eat each day. Avoid salt substitutes.
Instructed patient Eat a heart-healthy diet Eating a healthy diet can reduce your risk of heart disease. A diet rich in fruits,
vegetables and whole grains can help protect your heart. Beans, other low-fat sources of protein and certain types of fish
also can reduce your risk of heart disease. Stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity
or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.
SN instructed caregiver that Amiodarone is a class of antiarrhythmic agent used for various types of cardiac dysrhythmias, both ventricular and atrial. Despite relatively common side-effects, it is used in arrhythmias that are otherwise difficult to treat with medication. The most serious reaction that is due to amiodarone is interstitial lung disease. Hypothyroidism and hyperthyroidism. Corneal micro-deposits . Abnormal liver enzyme results. Much rarer are jaundice, hepatomegaly, and hepatitis. Low-dose amiodarone has been reported to cause pseudo-alcoholic cirrhosis. Long-term administration of amiodarone is associated with a light-sensitive blue-grey discoloration of the skin, and peripheral neuropathies. Gynecomastia and an association between amiodarone and an increased risk of cancer, especially in males
Sn instructed that reducing sodium intake lowers blood pressure and prevent the collection of fluid in the lower legs or abdomen. People with chronic kidney disease must control sodium intake to prevent volume overload, which increases blood pressure and causes swelling. Food to eat any fresh or frozen beef, lamb, pork, poultry and fish. Eggs and egg substitutes. Low-sodium peanut butter. Dry peas and beans (not canned) drained, water or oil packed canned fish or poultry foods to avoid canned food canned vegetables processed meats salted snacks such as, salted peanuts, salted almonds etc.
SN instructed that a healthy diet is a major factor in reducing your risk of heart disease. A healthy diet and lifestyle can reduce your risk of heart disease, heart attacks, and stroke. Most fruits and vegetables are part of a heart-healthy diet. They are good sources of fiber, vitamins, and minerals. Most are low in fat, calories, sodium, and cholesterol. Eat five or more servings of fruits and vegetables per day. Choose whole grain foods (such as bread, cereal, crackers, and pasta) for at least half of your daily grain intake. Grain products provide fiber, vitamins, minerals, and complex carbohydrates. Eating too many grains, especially refined grain foods (such as white bread, pasta, and baked goods) can cause weight gain. Avoid high-fat baked goods such as butter rolls, cheese crackers, and croissants and cream sauces for pasta. Lean proteins, poultry, seafood, dried peas, lentils, nuts, and eggs are good sources of protein, B vitamins, iron, and other vitamins and minerals. Avoid foods with a lot of saturated fats including animal products such as butter, cheese, whole milk, ice cream, sour cream, lard, and fatty meats such as bacon.
SN instructed patient about some measures aimed to managing & controlling hypertension, such as: eating low sodium diet , increase more fruits to increase your potassium, walk daily for 30 minutes, and have regular check-ups, as directed by Physician.
SN instructed that the ibuprofen at low doses it does not appear to increase the risk of myocardial infarction; however, at higher doses it may. It may result in worsened asthma. Like other NSAIDs it works by inhibiting the synthesis of prostaglandins, which are fat-like molecules that are derived from the omega-6 fatty acid, arachidonic acid, which are involved in mediating inflammation, pain and fever. Patient verbalized understanding of given information.