catheter-teaching-guide
Carvedilol is used to treat heart failure (condition in which the heart cannot pump enough blood to all parts of the body) and high blood pressure. It also is used to treat people whose hearts cannot pump blood well as a result of a heart attack. Tell your doctor if any of these symptoms are severe or do not go away:tiredness, weakness, lightheadedness, dizziness, headache.
Instructed patient about medication Metoprolol is used to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.
SN instructed patient about Glimepiride is an oral blood sugar-lowering drug in a class of medicines for controlling diabetes. Glimepiride lowers the sugar level in the blood by stimulating insulin to be secreted from the pancreas into the blood. Nausea and upset stomach may occur.
Patient is unable to perform wound care due to complexity of wound, location, size of wound, poor manual dexterity, forgetful (dementia), and knowledge deficit. No skilled/willing caregiver to perform wound care.
SN instructed that is important to keep in mind that consistency is the key when regulating your Coumadin diet. Unless your doctor instructs you to, you should not try to omit all Vitamin K from your diet. Vitamin K foods are important to the overall health of your body by strengthening bones and improving the health of your arteries. Vitamin K is Coumadin's antidote so managing your intake is an important factor in staying therapeutic. Some foods that have high Vitamin K include: Cabbage, Broccoli, Spinach, Escarole, Turnip Greens, Lettuce, Brussels, Sprouts, Endive, Kale, Cauliflower, among others.
SN instructed patient on the importance of daily monitoring of the blood pressure; along with reporting an elevated BP of 160/90 and above to MD/SN stat.
SN instructed patient and/or caregiver on importance to follow medication regimen exactly as ordered by Md without skipping any doses, nor sharing with others.
SN instructed patient that water helps flush your urinary tract, make sure you drink plenty of plain water daily. Don't hold it when you need to urinate. Holding it when you need to go can help any bacteria that may be present develop into a urinary tract infection. Wipe from front to back after a bowl movement. This is especially important to help prevent bacteria from the anus from entering the vagina or urethra.
SN instructed patient and caregiver about what angina pectoris is. Angina pectoris is chest pain that is caused by insufficient oxygen to meet demands of the heart. Lack of oxygen occurs when insufficient blood flows through the coronary arteries. Stable angina usually has a precipitating cause while unstable angina can occur at rest.
Instructed caregiver in vacuum assisted closure (VAC) that is a type of therapy to help wounds heal. The process heal open wound through the application of negative pressure. Another benefits of the negative pressure wound therapy are draining excess fluid from the wound, keeping your wound moist and warm, helping draw together wound edges and increasing blood flow to your wound. Caregiver verbalized understanding.