diverticulosis-and-diverticulitis
Medications
SN instructed the use of Denosumab Injection ( Xgeva ) is used to treat osteoporosis a condition in which the bones become thin and weak and break easily in men and in women who have undergone menopause or who cannot take or did not respond to other medications for osteoporosis. Is also used to treat bone loss in men with prostate cancer and in women with breast cancer who are receiving certain treatments that increase their risk for fractures. In another cases is used to reduce fractures from certain types of cancer that began in another part of the body but has spread to the bones, is also used in adults and some adolescents to treat giant cell tumor of bone that cannot be treated with surgery or if surgery is not possible. Denosumab Injection ( Xgeva ) is in a class of medications called RANK ligand inhibitors. It works by decreasing bone breakdown and increasing bone strength and density .
Instructed in new medication Advair diskus to manage asthma. In addition, warned of possible S/E such as sleep disorders, tremor, hypnagogic effects, compressed nerve syndromes, headache, pain, palpitations, pharyngitis, sinusitis, hoarseness (or dysphonia), rhinorrhea, rhinitis, sneezing, nasal irritation, blood in nasal mucosa, keratitis, conjunctivitis, eye redness, viral eye infections, congestion, nausea, vomiting, abdominal pain and discomfort, diarrhea, gastroenteritis, oral discomfort and pain, constipation, oral ulcerations, oral erythema and rashes, oral candidiasis, appendicitis, dental discomfort and pain, unusual taste, muscular pain, arthralgia, articular rheumatism, muscle stiffness, tightness, rigidity, bone and cartilage disorders, upper respiratory tract infection, upper respiratory tract inflammation, lower respiratory tract viral infection, bronchitis, cough, pneumonia, urticaria, flakiness, disorders of sweat and sebum, sweating, hives, viral infections, chest symptoms, fluid retention, bacterial infections, allergic reactions.
SN instructed caregiver that Amiodarone is a class of antiarrhythmic agent used for various types of cardiac dysrhythmias, both ventricular and atrial. Despite relatively common side-effects, it is used in arrhythmias that are otherwise difficult to treat with medication. The most serious reaction that is due to amiodarone is interstitial lung disease. Hypothyroidism and hyperthyroidism. Corneal micro-deposits . Abnormal liver enzyme results. Much rarer are jaundice, hepatomegaly, and hepatitis. Low-dose amiodarone has been reported to cause pseudo-alcoholic cirrhosis. Long-term administration of amiodarone is associated with a light-sensitive blue-grey discoloration of the skin, and peripheral neuropathies. Gynecomastia and an association between amiodarone and an increased risk of cancer, especially in males
SN instructed that Meloxicam is a not steroidal anti-inflammatory drug with analgesic and fever reducer effects. Possible can result in gastrointestinal toxicity and bleeding, headaches, rash, and very dark or black stool. Like other NSAIDs, its use is associated with an increased risk of cardiovascular events such as heart attack and stroke. It has fewer gastrointestinal side effects than diclofenac,, piroxicam, and naproxen, and perhaps all other NSAIDs.
SN instructed patient about Flonase ( Fluticasone). It is used to treat asthma, allergic rhinitis, nasal polyps, various skin disorders and Crohn's disease and ulcerative colitis. If taken correctly, the nasal spray and oral inhaler formulation have less corticosteroid side effects than the tablet formulation because they limit systemic absorption. However, if the spray or inhaler is used at higher than recommended doses or with other corticosteroids, serious side effects can occur. These systemic corticosteroid side effect include weakened immune system, increased risk of systemic infections, osteoporosis, and elevated pressure in the eyes. Nasal spray common side effects may include nasal irritation, HA, nausea, vomiting, diarrhea, nosebleed, and cough. Rare side effects include painful white patches in nose or throat, sore throat, bruising , vision problems, swelling of face or neck, and difficulty breathing or swallowing.
SN instructed patient / caregiver about Diphenhydramine( Benadryl). It is a first-generation antihistamine used to treat a number of conditions including allergic symptoms and itchiness, the common cold, insomnia, motion sickness, and extrapyramidal symptoms. It is a potent anticholinergic agent. This activity is responsible for multiples side effects such as: dry mouth and throat, increased heart rate, pupil dilation, urinary retention, constipation, and, at high doses, hallucinations or delirium. Other side effects include motor impairment, flushed skin, blurred vision at near point owing to lack of accommodation, abnormal sensitivity to bright light (photophobia), sedation, difficulty concentrating, short-term memory loss, visual disturbances, irregular breathing, dizziness, irritability, itchy skin, confusion, increased body temperature, temporary erectile dysfunction, and excitability, and although it can be used to treat nausea, higher doses may cause vomiting. Report any Side effect / Adverse reaction to Physician / Nurse as needed.
SN instructed patient / caregiver that Percocet is used to treat moderate to moderately severe pain - containing two drugs: acetaminophen and oxycodone. Explained that Acetaminophen is used to reduce both pain and fever & Oxycodone is used for its calming effect and for pain. Explained that the common side effects include dizziness, light - headedness, nausea, sedation, vomiting. SN instructed that side effects may be alleviated by lying down and if they persist or worsen to notify Physician. SN instructed to call physician immediately if the patient experiences slow / irregular breathing, slow / irregular heartbeat, change in the amount of urine or any allergic reactions. SN instructed patient to drink at least 8 glasses of water and eat foods that are high in fiber such as apples, peaches, oranges and oats if constipation is experienced.
SN instructed patient / caregiver regarding medication Lantus insulin. SN instructed patient / caregiver that insulin is used by the body to remove and use glucose from the blood and produce energy and that it is used in type 2 diabetes to overcome the resistance of the cells to insulin. SN explained that Lantus insulin starts working after 1 - 2 hours and peaks after 6 hours after injection, and has a duration of 18 - 26 hours. SN informed that hypoglycemia is the most common side effect that may occur during insulin therapy. SN instructed patient / caregiver to rotate insulin injection sites to avoid bruising and injury.
SN instructed about the use of Januvia ( Sitagliptin ) is used along with diet and exercise and sometimes with other medications to lower blood sugar levels in patients with type 2 diabetes. It works by increasing the amounts of certain natural substances that lower blood sugar when it is high. Over time, people who have diabetes and high blood sugar can develop serious or life - threatening complications, including heart disease, stroke, kidney problems, nerve damage, and eye problems. Taking medication,making lifestyle changes, and regularly checking your blood sugar may help to manage your diabetes and improve your health. This therapy may also decrease your chances of having a heart attack, stroke, or other diabetes - related complications such as kidney failure, nerve damage, eye problems, including changes or loss of vision, or gum disease.
SN instructed patient / caregiver that bumetanide ( trade names Bumex or Burinex ) is a loop diuretic to treat heart failure. It is often used in people in whom high doses of furosemide are ineffective. Instructed that is used to reduce extra fluid in the body ( edema ) caused by conditions such as heart failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. Bumetanide is a “ water pill ” ( diuretic ) that causes you to make more urine. This helps your body get rid of extra water and salt. Dizziness may occur as your body adjusts to the medication. Tell your doctor or pharmacist promptly, If this effect persists or worsens. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Many people using this medication do not have serious side effects. It may cause a serious loss of body water ( dehydration ) and salt / minerals. Tell your doctor right away if you have any of these unlikely but serious side effects such as: muscle cramps, weakness, unusual tiredness, confusion, severe dizziness, fainting, drowsiness, unusual dry mouth / thirst, nausea, vomiting, fast / irregular heartbeat, unusual decrease in the amount of urine.