renal diet
SN instructed patient on spontaneous coronary artery dissection ( SCAD ) and stent placement. A stent is a small rod made out of metal or fabric. It is inserted into a coronary artery when there is a blockage or when the artery is narrow. A coronary artery is a blood vessel that carries oxygen to the heart muscle. You received a stent due to coronary artery disease ( also called SCAD). That is caused by a thickening of the inside walls of the coronary arteries. This thickening is called atherosclerosis. A fatty substance called plaque builds up inside the thickened walls of the arteries, blocking or slowing the flow of blood. If your heart muscle doesn't get enough blood to work properly, you may have angina ( chest pain ) or a heart attack. The stent will help hold the artery open so blood can flow and help keep the artery from narrowing again. You will need to take medicine that keeps the stent open and blood flowing. It is very important to take the medicine exactly how your doctor tells you to take it. In addition to taking medicine, the best way to keep your heart healthy is to maintain a healthy lifestyle. Quit smoking. Make sure you keep your blood pressure and cholesterol at healthy levels. Exercise as recommended by your doctor. Eat a heart - healthy diet. Patient verbalized understanding well.
SN instructed patient that the Glipizide is an oral diabetes medicine that helps control blood sugar levels by helping your pancreas produce insulin. That is used together with diet and exercise to treat Type 2 diabetes. Instructed patient to follow doctors orders and that it is to be taken 30 minutes before a meal twice a day. Reviewed symptoms / signs of hypoglycemia: headache, hunger, sweating, confusion, irritability, dizziness, or feeling shaky. Instructed on common side effects: mild nausea, diarrhea, constipation, dizziness, drowsiness or skin rash, redness or itching. Instructed patient to call 911 in the event of hives; difficulty breathing, swelling of your face, lips, tongue or throat.
SN explained that the Tresiba is a long - acting insulin used to control high blood sugar in adults with diabetes. SN instructed about more frequents side effects of tresiba ( reactions at the injection site, itching, rash, allergic reactions , skin thickening or pits at the injection site ( lipodystrophy ), weight gain, and swelling of your hands and feet, among others). SN oriented to notify the doctor if any of these side effects are severe. SN instructed that the insulin dose may need to change because of change in level of physical activity or exercise, increased stress, change in diet, weight gain or loss, or illness.
SN instructed patient / caregiver on the home treatment to treating edema, or swelling due to excess fluid in the legs and ankles. Treatment may include elevating the feet above heart level, wearing compression stockings and exercising the legs. Reducing sodium in the diet, losing weight and avoiding tight clothing can also reduce swelling.
SN instructed patient on Paget disease. Paget disease is a chronic bone disorder. Most people who have Paget disease of bone have no symptoms. When symptoms occur, the most common complaint is bone pain. Paget disease can cause pain in the bones or joints, headaches and hearing loss, pressure on nerves, increased head size, bowing of limb, or curvature of spine. Because this disease causes your body to generate new bone faster than normal, the rapid remodeling produces bone that's softer and weaker than normal bone, which can lead to bone pain, deformities and fractures. To reduce your risk of complications associated with Paget disease of bone, try these tips, prevent falls by using assistive devices like a walker or cane, fall - proof your home. Remove slippery floor coverings, use nonskid mats in your bathtub or shower, eat well. Be sure your diet includes adequate levels of calcium and vitamin D, which helps bones absorb calcium and exercise regularly. Regular exercise is essential for maintaining joint mobility and bone strength.
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.
Ostomy care Instructed patient limit foods such as broccoli, cabbage, onions, fish, and garlic in your diet to help reduce odor.
SN instructed patient What can you do to control blood pressure? To minimize the risk of hypertension, control sodium, potassium, and other essential electrolytes the body uses to maintain fluid balance. The recommendation for patients with kidney disease: limit sodium intake to no more than 1,500 mg per day. Most sodium in today’s diet comes from processed foods and restaurants foods. Unhealthy lifestyles choices, such as smoking tobacco, obesity, and excessive alcohol consumption, may also contribute to hypertension.
SN taught patient on diabetes. To control your blood glucose level, you must have healthy eating habits. A healthy diet has other benefits too. Healthy eating can lead to weight loss. Losing small amounts of weight can often make a big difference in your health. Healthy eating can improve your blood glucose, blood pressure, and cholesterol levels.
SN instructed patient on hyperlipidemia also known as hyperlipoproteinemia. It is a condition in which there are high levels of fat particles (lipids) in the blood. These substances can deposit in blood vessel walls and restrict blood flow. This creates a risk of heart attack and stroke. Hyperlipidemia doesn't cause any symptoms. The condition is diagnosed by routine blood tests, recommended every five years for adults. Treatments include medication, a healthy diet, and exercise.
