chronic kidney disease/1000
SN to instruct patient Call your doctor or nurse call line now or seek immediate medical care if: you have new or worse symptoms of a kidney infection. These may include: pain or burning when you urinate, a frequent need to urinate without being able to pass much urine, pain in the flank, which is just below the rib cage and above the waist on either side of the back, blood in the urine.
Patient/caregiver instructed Allopurinol reduces the production of uric acid in your body. Uric acid buildup can lead to gout or kidney stones. Take once daily as ordered with a full glass of water. Medication may weaknen your immune system, avoid sick persons. Common side effects are vomiting, diarrhea; drowsiness, headache; changes in your sense of taste; or muscle pain. Notify SN/MD if experiencing bothersome or unusual side effects.
Instructed patient on medication Irbesartan, it is used to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It works by relaxing blood vessels so that blood can flow more easily. Dizziness, lightheadedness, or upset stomach may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Amlodipine is used with or without other medications to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor.
Metolazone is used to treat fluid retention (edema) in people with congestive heart failure, or a kidney disorder such as nephrotic syndrome. Metolazone is also used to treat high blood pressure (hypertension). Possible side effects to be aware of include low potassium, headache, constipation, diarrhea, dizziness, drowsiness and blurred vision.
SN did head to toe assessment and vital signs monitoring done. SN instructed patient on medication Losartan, it is used to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It works by relaxing blood vessels so that blood can flow more easily. Dizziness, lightheadedness, or upset stomach may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Instructed SO on how symptoms differ among individuals, depending on the severity of the case: sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, lack of facial expression, enlarged tongue.
Instructed patient about chronic forms of hypothyroidism. These are lifelong disorders that are usually treated with synthetic forms of thyroid hormone. Dosage must be adjusted carefully to prevent hyperthyroidism.
Instructed patient that depression is more frequent in people with chronic or severe medical illness and also with substance abuse.
Patient was instructed on the risk and factors that contribute to the development of pressure ulcers, such as malnutrition, dehydration, impaired mobility, chronic conditions, impaired sensation, infection, advance age and pressure ulcer present.