Professional Documents
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M E T H O D TEACHING PLAN
be receiving while you are here in the hospital and also when and how to take them
upon discharge. If you have any questions feel free to stop me and ask and I will
further explain for you. I want to start off first by saying to always take your
your life. Please also remember to take your meds with you to doctors’ visits and to
the hospital so that we can assure that we proved you with proper treatment. Know
what your medications are for. Always ask your PCP before taking OTC medications
or medication prescribed by a new physician. Let your doctor know if you are having
problems obtaining your medications so that we can see if you qualify for
government assistance. You are getting Digoxin 0.25 mg tab PO daily, I will
demonstrate how to take your pulse. When you take digoxin you need to check your
pulse and if it is < 60 beats/min you shouldn’t take it. This is very important. You
will need to take Lasix 20 mg PO twice a day for fluid balance. Lasix is a diuretic and
it help you get rid of extra fluid you may be accumulating in your legs, feet, hands,
or abdomen. Here at the hospital you will be receiving Lovenox 40 mg/0.4mL SubQ
DVT’s are blood clots found usually in the legs. Aspirin 325 mg EC tab PO daily,
when at home do not crush tab. Coumadin 3 mg tab PO daily for you’re a-fib.
Q6h or as needed for your SBP > 160. Apresoline 10 mg IV Q4h or as needed for a
SBP > 150. Potassium Chl. 40 mEq tab PO Q4h PRN x2 doses if your potassium
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levels are low. Magnesium sulf. 1g/100mL IVPB 100mL/hr x 1 dose as needed if
your magnesium levels low. Last Demerol 25 mg IV Q2h or as needed for pain.
way or unsafe and cause you to fall. You can sometimes get tired and
your safety. Here are some things to look at upon discharge. Use carpet
with short dense pile and/or apply double-sided carpet tape to prevent
Make sure you can turn on lights without having to walk through dark
areas. Use sturdy step stools, preferably ones with handrails. Clean spills
immediately so there aren’t any slips. Use rubber bath mats or strips in
bathtubs and showers. Consider installing grab bars in the bath to reduce
further the risk of injury from falls. Clean spills or slippery surfaces
floors in the garage or in the drive way. Install handrails along any flight of
outdoor steps or on the patio. It’s good to have something there in case
you need to rest for a second. Also if you have pets don’t let them run
around your feet when you are walking. Animals can easily trip you right
have had a past heart attack, enlargement of the heart or are currently
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having a heart attack. It is painless and involves sticky tabs being placed on
lab. It involves a small tube being placed in the artery in your groin that can
leave dye in your arteries so when you get a x-ray you can see the blockage
in the arteries of your heart. There isn’t really a treatment for CHF. Once you
have it you just need to stick to a heart healthy diet, stop smoking, weigh
overcome difficult times. Many people with heart failure can lead active
information for you about smoking cessation, controlling high BP, and living
with heart failure. Look it over at home or when you have a chance and if
you have any questions write them down and ask your physician at your
visits with him, or let me know and I will answer all the questions that I can.
heart is weak and the pumping power is reduced. A normal healthy heart can
pump blood to the body to meet even strenuous demands. The circulating
blood carries oxygen and nutrients to the tissues and removes waste
fluid backs up in the lungs and other parts of the body such as the feet,
ankles, legs, hands, and abdomen. The more damages your heart muscle,
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the more damaged your heart muscle is, the more sever your heart failure
will be, as will the amount, frequency, and severity of your symptoms. You
strenuous exercise if your heart failure is mild. Likewise, with severe heart
failure you may be extremely short of breath and weak with minor activities.
It is important that you understand a little about the heart and how it works
in order for you to understand heart failure, tests and treatments you will
undergo and also so you can participate in your plan of care. The heart is
the rest of the body. A misunderstanding many people have is that the blood
passes through only one half of the heart, the right side, then to the lungs to
have oxygen attached to all the blood cells. The oxygen rich blood then goes
back to the other half, the left side, which has the biggest job of squeezing
the blood out to the body parts and back to the right side of the heart. The
top chambers are weak pumps called the atria. The bottom chambers are
the strong pumps and are called ventricles. Between each chamber there are
valves. If a valve leaks, the pumping function can be reduced. We gauge the
heart’s function by the amount of blood it pumps. Normally the heart pumps
60-70% of the blood in it. When the muscle becomes weak or damaged the
pumped falls below 20%. When the heart tries to make up for the lost blood
physician, Dr. Allencherril, has ordered consults for your care. You have three
problems you are having including your CHF. Your consult for pulmonary is
Dr. Shahar. He will check out the pneumonia in your lungs, and your
Infectious Disease consult if for Dr. Fauhmbulah for the MRSA pneumonia in
your lungs. I am going to give you a packet as well with some information
about MRSA so you can have an idea of what it is, and the steps to prevent
getting it in the future. These physicians will come and see you while you are
here in the hospital and will let you know what and where we will go from
No table salt is allowed at meals or during cooking while you are on this diet.
contains. A high amount of sodium in your diet can make your blood
pressure go up and can cause other health problems. The goal of a 2 gram
low sodium diet is to prevent or lower high blood pressure. This diet can also
keep your body from holding extra fluid. Fluid excess can be a major problem
with CHF. Problems with your liver and kidneys are another reason to follow
this diet. Changing what you eat and drink may be hard at first think of these
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changes as lifestyle changes not just diet changes. You may need to make
these changes part of your daily routine. 2 grams of sodium is the same as
2,000 mg. I have attached a sample menu for you to look at and some tips
on reading food labels and help in choosing the right foods at home.