alzheimers-disease
SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit. SN informed M.D. of patients elevated blood pressure and no new orders received, SN was advised to continue with patients current regimen.
Patient was instructed about another reason to get your blood sugar levels under control and keep them that way doing so can help you avoid many diabetes skin problems, still, skin conditions related to this disease are common. As many as 1 out of 3 people with diabetes will have one. Fortunately, most can be or successfully treated before they turn into a serious problem.
Instructed patient about lifestyle modifications: healthy life choices will improve your overall health and your heart health and can help you slow the progression of your heart disease. Some heart healthy choices include: healthy diet choices eating a low fat, low salt, low cholesterol diet while avoiding excessive intake of alcohol and caffeine, reduce stress through exercise - Increasing your physical activity is a great way to reduce stress, improve sleep, and lose weight.
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 reducing sodium intake lowers blood pressure and prevent the collection of fluid in the lower legs or abdomen. People with chronic kidney disease must control sodium intake to prevent volume overload, which increases blood pressure and causes swelling. Food to eat any fresh or frozen beef, lamb, pork, poultry and fish. Eggs and egg substitutes. Low-sodium peanut butter. Dry peas and beans (not canned) drained, water or oil packed canned fish or poultry foods to avoid canned food canned vegetables processed meats salted snacks such as, salted peanuts, salted almonds etc.
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 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 that the combination preparation fluticasone/salmeterol (Advair diskus) is a formulation containing fluticasone propionate and salmeterol xinafoate, used in the management of asthma and chronic obstructive pulmonary disease. Commun side effect / adverse reaction may include: Body aches or pain, choking, congestion, dryness of the throat, high-pitched noise when breathing, hoarseness, runny nose, sneezing, trouble with swallowing, voice changes. Less common side effect / adverse reaction: Cough-producing mucus, flu-like symptoms, irritation or inflammation of the eye, muscle pain, pain or tenderness around the eyes and cheekbones, sleep disorders, stuffy nose, white patches in the mouth or throat or on the tongue.
SN instructed patient on new medication Namenda. SN instructed patient that namenda extended-release capsules are approved for the treatment of moderate to severe Alzheimer's disease, and that the most common side effects associated with namenda treatment are headache, diarrhea, and dizziness. Understanding was verbalized
SN instructed patient that Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat certain inflammatory diseases and for many different indications including: asthma, COPD, CIDP, rheumatic disorders, allergic disorders, ulcerative colitis and Crohn's disease, adrenocortical insufficiency, hypercalcemia due to cancer, thyroiditis, laryngitis, severe tuberculosis, urticaria ( hives ), lipid pneumonitis. Possible side effect may include, Increased blood sugar for diabetics, Difficulty controlling emotion, Difficulty in maintaining train of thought, Weight gain, Immunosuppression, Facial swelling, Severe, Depression, mania, psychosis, or other psychiatric symptoms, Unusual fatigue or weakness, Mental confusion / indecisiveness, Memory and attention dysfunction (Steroid dementia syndrome), Blurred vision. Take prednisone as ordered.