leg edema
SN to assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. Patient was instructed how can you care for yourself at home when you have a legs pain. Take pain medicines exactly as directed, rest your leg while you have pain, and avoid standing for long periods of time, make sure you are eating a balanced diet that is rich in calcium, potassium, and magnesium, your leg may be in a splint, a brace, or an elastic bandage.
SN instructed patient about Gabapentin ( Neurontin ). It is a medication used to treat epilepsy, neuropathic pain and hot flashes. It is also used for restless leg syndrome. It is a first line agent for the treatment of neuropathic pain arising from diabetic neuropathy, post-herpetic neuralgia, and central neuropathic pain. Most common side effects of gabapentin in adult patients include dizziness, fatigue, drowsiness, weight gain, and peripheral edema. It may also produce sexual dysfunction in some patients, symptoms of which may include loss of libido, inability to reach sexual climax, and erectile dysfunction. It should be used carefully in patients with renal impairment due to possible accumulation and toxicity. Warning of an increased risk of depression and suicidal thoughts and behaviors in patients taking gabapentin. Report to Physician or nurse if any of those side effect / adverse reaction occurs.
Sn instructed patient about Bystolic. This is a prescription medicine that belongs to a group of medicines called “beta blockers.” The most common side effects people taking Bystolic report are headache, fatigue ( tiredness ), dizziness ( if you feel dizzy, sit or lie down and tell your doctor right away ), diarrhea, nausea, insomnia ( difficulty falling or staying asleep ), chest pain, bradycardia ( slow heartbeat ), dyspnea ( shortness of breath ), rash, and peripheral edema ( leg swelling due to fluid retention ). Other possible side effects include masking ( hiding ) the symptoms of low blood sugar and hyperthyroidism ( overactive thyroid ), especially a fast heartbeat. Tell your doctor if you gain weight or have trouble breathing while taking Bystolic. Patient verbalized fair understanding .
Patient was instructed on fluid retention. The 2 broad categories of fluid retention include generalized edema, when swelling occurs throughout the body and localized edema when particular parts of the body are affected. The wide range of causes includes the body
SN instructed patient on medication Torsemide. This medication is used to treat high blood pressure and edema ( fluid retention, excess fluid held in body tissues ) caused by various medical problems, including heart, kidney, or liver disease. In addition to taking this 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. To help you remember to take torsemide, take it around the same time every day. Torsemide controls high blood pressure and edema but does not cure these conditions. SN instructed to patient to continue to take torsemide even if you feel well. Do not stop taking torsemide without talking to your doctor. Common side effects of Torsemide includes: Dizziness or lightheadedness when standing or sitting up, excessive urination, constipation, headache and nausea.
SN instructed patient and caregiver about edema can be a cause of serious underlying medical conditions such as: congestive heart failure, cirrhosis, kidney disease, kidney damage, weakness or damage to veins in your legs, inadequate lymphatic system, severe, long-term protein deficiency.
Instructed patient about how help decrease edema and keep it from coming back. Hold the swollen part of your body above the level of your heart several times a day. In some cases, elevating the affected body part while you sleep may be helpful.
Instructed patient about how help decrease edema and keep it from coming back Massage. Stroking the affected area toward your heart using firm, but not painful, pressure may help move the excess fluid out of that area.
Instructed patient about how help decrease edema and keep it from coming back -Protection. Keep the affected area clean, moisturized and free from injury. Dry, cracked skin is more prone to scrapes, cuts and infection. Always wear protection on your feet if that's where the swelling typically occurs.
Instructed in new medication Xopenex to manage bronchospasm. In addition, warned of possible S/E such as dizziness, migraine, pain, tremor, anxiety, tachycardia, dyspepsia, leg cramps, increased cough, flu syndrome, accidental injury and viral infection.