Patient/caregiver was instructed regarding life-style measures for improved control of hypertension as follows:
- Obesity and sedentary lifestyles are among the major risk factors for development of hypertension and associated complications. Hypertensive individuals with obesity and sedentary lifestyles must incorporate physical exercise, as recommended, into their daily routine, for better control of their BP numbers.
- Poorly controlled hypertension can result in progressive damage to renal blood vessels and compromise blood supply to the renal tissue. This can affect the renal functions and lead to diminished urine output and increased fluid and waste retention. Hypertensive individuals with history of renal disease must keep a close watch on urine volume output. Try peeing into an urinal periodically, for a 24-hour interval. Calculate and keep a record of total volume of urine emptied in a 24-hour interval. Report to your physician regarding any progressively decreasing volume of urine output. Observe compliance with recommendations made for renal diet and fluid volume intake limitations, if any.
- Damage to the renal blood vessels can also result in episodes of internal bleeding and blood loss. Keep a close watch on the color of urine, to report passing of any blood in the urine. Keep a close watch and report regarding any new or worsening signs and symptoms of anemia, secondary to blood loss, such as, easy fatigue, increased SOB, rapid heart rate, dizziness, and pale skin.
