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SN instructed patient and caregiver regarding new medication Entresto. This medication is used to treat certain types of heart failure. It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. Cough, dizziness, or lightheadedness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
Entresto is used to treat certain types of heart failure. It will help you live longer and stay out of the hospital for heart failure. Entresto contains 2 medications: sacubitril and valsartan. They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. Common SE: Coughing, dizziness, or lightheadedness, if this persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Take medication as prescribed to get the better manage the disease process of Heart Failure.
SN instructed on intermittent claudication which is a condition caused by narrowing of the arteries that supply the legs with blood. Intermittent claudication causes pain in your calves when walking, Patients with intermittent claudication develop pain when they walk because not enough oxygen-containing blood reaches the active leg muscles. There are two main ways to treat claudication: medication and a surgical treatment, called revascularization. Medication therapies are often used initially as they are non-invasive. Compression therapy can also be used as a noninvasive way to treat symptoms of claudication. Intermittent calf compression has been shown in studies to improve symptoms-free walking distance.
Instructed patient to get a flu shot each year and decrease the exposure to the flu. Avoiding the flu is especially important for people who have or are at risk for heart disease. This highly contagious infection causes symptoms similar to the common cold, only more severe, other symptoms include debilitating muscle or body aches, vomiting and diarrhea, and fever. Having a serious infection puts extra stress on your heart, which increases your heart's need for oxygen. Coughing and congestion can make breathing more difficult. As a result, your heart may not get sufficient oxygen. Patient verbalized understanding.
Instructed patient in lifestyle and home remedies that may help decrease edema and keep it from coming back. Before trying any self-care techniques, talk to your doctor about which ones are right for you. Moving and using the muscles in the part of your body affected by edema, especially your legs, may help pump the excess fluid back toward your heart. Ask your doctor about exercises you can do that may reduce swelling. Patient verbalized understanding.
SN to educate patient on CPAP machine as follows: CPAP stands for continuous positive airway pressure. The machines help people with sleep apnea breathe more easily and regularly every night while they are sleeping. A CPAP machine increases the air pressure in your throat to prevent your airway from collapsing when you inhale. Patient admits that most nights he goes to bed with Cpap, but finds mask on floor after waking in AM. SN to advise patient of importance of wearing Cpap as follows: The CPAP breathing machine is used by people with chronic obstructive sleep apnea, a disorder which causes airways to close up during sleep. People with obstructive sleep apnea stop breathing while sleeping. When breathing stops the individual is suddenly jolted awake, gasping for air. Patient to deny any sleep issues lately. People with sleep apnea often do not remember these episodes, but instead experience chronic fatigue that they have no explanation for. Over time, sleep apnea can increase the risk of hypertension, heart failure, heart attack, and stroke. Patient verbalized understanding of teaching today. SN to continue to monitor.
SN instructed patient that Thrombocytopenia is a condition in which you have a low blood platelet count. Platelets (thrombocytes) are colorless blood cells that help blood clot. Platelets stop bleeding by clumping and forming plugs in blood vessel injuries. Thrombocytopenia often occurs as a result of a separate disorder, such as leukemia or an immune system problem. Or it can be a side effect of taking certain medications.
SN instructed patient several factors put patients with LVADs at high risk for infection—for example, malnutrition. Potential sources of infection include ventilators, central venous catheters, peripheral I.V. lines, and indwelling urinary catheters. Keep in mind that all hospital patients are at risk for methicillin-resistant Staphylococcus aureus infection and Clostridium difficile infection, as well as pressure injuries, whichcan become infected.
Patient was instructed on diabetes with illness. Managing diabetes on a daily basis can be a challenge, but experiencing illness or an injury can add additional stress to the maintenance. When people with diabetes are sick with a cold, flu, or other infection, it can cause blood glucose levels to climb.
Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes that include: Alcohol. In some individuals, drinking alcohol can cause a drop in blood sugar levels. Hypoglycemia has been associated with chronic alcoholism and binge drinking. Hypoglycemia associated with binge drinking can be particularly severe if a person has not eaten within about 6 hours because fasting can impair the liver's ability to make new glucose.