chronic kidney disease/1000
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 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 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.
SN instructed patient that Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat some types of cancer, but has significant adverse effects. It is used for many different indications including: Pericarditis, multiple sclerosis, nephrotic syndrome, to relieve the effects of shingles, lupus, myasthenia gravis, poison oak exposure, meniere's disease and as part of a drug regimen to prevent rejection after organ transplant. Possible side effect may include: Abdominal pain, peptic ulcer, painful hips or shoulders, steroid-induced osteoporosis, stretch marks, osteonecrosis - same as avascular necrosis, insomnia, severe joint pain, cataracts or glaucoma, anxiety, black stool, stomach pain or bloating, severe swelling among others. Take prednisone as ordered.
SN instructed patient about Lymphedema disease. Lymphedema is the buildup of fluid in soft body tissues when the lymph system is damaged or blocked. When the lymph system is working as it should, lymph flows through the body and is returned to the bloodstream. Other conditions may cause the same symptoms. A doctor should be consulted if any of the following problems occur: Swelling of an arm or leg; which may include fingers and toes; a full or heavy feeling in an arm or leg; a tight feeling in the skin. Patient verbalized understanding the teaching.
SN instructed patient and caregiver about Lymphedema disease, also known as lymphatic obstruction. Is a condition of localized fluid retention and tissue swelling caused by a compromised lymphatic system, which normally returns interstitial fluid to the thoracic duct and then the bloodstream. The condition can be inherited or can be caused by a birth defect, though it is frequently caused by cancer treatments, and by parasitic infections. Though incurable and progressive, a number of treatments can ameliorate symptoms. Tissues with lymphedema are at high risk of infection. Symptoms may include a feeling of heaviness or fullness, edema and ( occasionally ) aching pain in the affected area. In advanced lymphedema, there may be the presence of skin changes such as discoloration, verrucous ( wart-like ) hyperplasia, hyperkeratosis, and papillomatosis; and eventually deformity ( elephantiasis ). Patient verbalized understanding the teaching.
SN instructed patient and caregiver about Lymphedema disease. Lymphedema may be inherited ( primary ) or caused by injury to the lymphatic vessels ( secondary ). It is most frequently seen after lymph node dissection, surgery and/or radiation therapy, in which damage to the lymphatic system is caused during the treatment of cancer, most notably breast cancer. In many patients with cancer, this condition does not develop until months or even years, after therapy has concluded. Lymphedema may also be associated with accidents or certain diseases or problems that may inhibit the lymphatic system from functioning properly. In tropical areas of the world, a common cause of secondary lymphedema is filariasis, a parasitic infection. It can also be caused by a compromising of the lymphatic system resulting from cellulitis. Patient verbalized understanding the teaching.
SN instructed patient/ ALF that the dementia is not a specific disease. It's an overall term that describes a wide range of symptoms associated with a decline in memory or other thinking skills severe enough to reduce a person's ability to perform everyday activities.