taxonomy term 1409
Medications
Instructed in new medication Pred Forte to manage inflammation of palpebral and bulbar conjunctiva, cornea and anterior segment of globe. In addition, warned of possible S/E, such as, increased intraocular pressure, thinning of cornea, interference with corneal wound healing, increased susceptibility to viral or fungal corneal infections, corneal ulceration, discharge, discomfort, foreign body sensation, glaucoma exacerbation, cataracts, visual acuity and visual field defects, optic nerve damage with excessive or long-term use, systemic effects, and adrenal suppression with excessive or long-term use. Instructed to wash hands before and after installation and warned not to touch tip of dropper to eye or surrounding area. Apply light finger pressure on lacrimal sac for 1 minute after installation. On long-term therapy, have frequent tests of intraocular pressure. Instructed not to share drug, washcloths, or towels with family members, and notify MD if anyone develops same signs or symptoms. Stress importance of compliance with recommended therapy. Notify MD if improvement does not occur within several days or if pain, itching, or swelling of eye occurs. Instructed not to use leftover drug for new eye inflammation because serious problems may occur.
Instructed in new medication Tylenol to manage mild pain or fever. In addition, warned of possible S/E such as hemolytuc anemia, neutropenia, leukopenia, pancytopenia, liver damage, jaundice, hypoglycemia, rash and urticaria. Consult prescriber before giving drug to children younger than age 2. Tylenol is only for short-term use. Consult prescriber if it is given to children for longer than 5 days or adults for longer than 10 days. Instructed not to use for marked fever (higher than 103.1 F), fever persisting longer than 3 days, or recurrent fever unless it is directed by prescriber. Warned that high doses or unsupervised long-term use can cause hepatic damage. Excessive ingestion of alcohol may increase the risk of hepatotoxicity. Breast-feeding women: acetaminophen appears in breast milk in low levels (less than 1% of dose). Drug may be used safely if therapy is short-term and does not exceed recommended doses.
SN instructed patient about prednisone is a corticosteroid and prevents the release of substances in the body that cause inflammation. It also suppresses the immune system and can make you prone to infections. Long term use may lead to bone loss and you should increase calcium and Vitamin D in your diet. S/E include anxiety, mood changes, irritability, headache, fast heart rate, weight gain, appetite increase, decreased urine.
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 about Pantoprazole or Protonix , it is used for short-term treatment of erosion and ulceration of the esophagus caused by gastroesophageal reflux disease. Pantoprazole may also be used in combination with antibiotics to treat ulcers caused by helicobacter pylori. Possible side effect / adverse reaction may include, Infection: Stomach acid plays a role in killing ingested bacteria. Use of pantoprazole may increase the chance of developing infections such as pneumonia, particularly in hospitalized patients. Gastrointestinal: abdominal pain , diarrhea , flatulence. Neurologic: headache. Serious side effect : Gastrointestinal: atrophic gastritis, clostridium difficile diarrhea; Hematologic: thrombocytopenia; Immunologic: Stevens-Johnson syndrome, toxic epidermal necrolysis; Musculoskeletal: Muscle disorders, bone fracture and infection, clostridium difficile infection, osteoporosis-related hip fracture, rhabdomyolysis; Renal: interstitial nephritis (rare), Nutrition: may reduce the absorption of important nutrients, vitamins and minerals, as well as medications.
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 and caregiver on new pain medication Nucynta ( Tapentadol ) is used to help relieve moderate to severe short - term pain ( such as pain from an injury or after surgery ). It belongs to a class of drugs known as narcotic ( opioid ) analgesics. It works in the brain to change how your body feels and responds to pain. Some Common side effects are nausea, vomiting, constipation, dizziness, or drowsiness. Get medical help right away if you have any serious side effects, including: slow / shallow breathing, fainting, seizures, unusual drowsiness / difficulty waking up may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching / swelling ( especially of the face / tongue / throat ), severe dizziness, trouble breathing.
SN instructed about more frequents side effects of Tylenol ( Nausea, vomiting , stomach upset, red, peeling skin, Rash, Hives, Itching, swelling of the face , among others ). This drug may be used safely if therapy is short - term and does not exceed recommended doses. SN instructed patient / caregiver to notify the doctor if any of these side effects are severe. Patient / caregiver was instructed to place a rubber mat or adhesive texture strips on the bottom of the bathtub or shower to prevent falls.
Patient instructed on Symbicort as following: is used long-term to improve symptoms of COPD, including chronic bronchitis and emphysema, for better breathing and fewer flare-ups. Do not use Symbicort for sudden severe symptoms of COPD or asthma. Use only as directed. SE include chest pain, fast and irregular heartbeat, tremor, increased blood pressure, headache or nervousness, Fungal infection in your mouth or throat (thrush). Rinse your mouth with water without swallowing after using Symbicort to help reduce your chance of getting thrush. Call your healthcare provider if you notice any of the following symptoms: increase in mucus production or change in color, fever, increased cough, chills, or increased breathing problems.
SN instructed patient about type 2 diabetes and to use oral hypoglycemics long term. Oral hypoglycemics are anti-diabetic drugs designed to help people with type 2 diabetes manage their condition. You should not stop eating a healthy diet and doing regular exercise, and your healthcare professional should be able to teach you how to get the balance right. Testing blood sugar regularly, eating well and exercising daily are all important aspects of diabetes management.