bedbound-patient
Medications
SN instructed patient / caregiver about Ipratropium Bromide/Albuterol(Duoneb); get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using albuterol and ipratropium and call your doctor at once if you have a serious side effect such as: wheezing, choking, or other breathing problems,chest pain, pounding heartbeats or fluttering in your chest, dangerously high blood pressure (severe headache, anxiety, uneven heart beat), swelling of your ankles or feet, eye pain, or seeing halos around lights, painful or difficult urination. Other common side effects may include: mild headache, or cold symptoms such as stuffy nose, sneezing, cough, or sore throat.
SN instructed patient that Beclometasone dipropionate is a potent glucocorticoid steroid. In the form of an inhaler ( Clenil, Qvar ), a wide number of brands of which are available, it is used for the prophylaxis of asthma. As a nasal spray, it is used for the treatment of rhinitis (hay fever and sinusitis). In some instances, it is used by oral pathologists in the treatment of unusually severe aphthous ulcers. Possible side effect / adverse reaction: occasionally, it may cause a cough upon inhalation. Deposition on the tongue and throat may promote oral candidiasis, which appears as a white coating, possibly with irritation. This may usually be prevented by rinsing the mouth with water after using the inhaler. Other side effect may rarely include: a smell similar to burning plastic, unpleasant taste, hoarseness or nasal congestion, pain or headache, and visual changes. Allergic reactions may occur, but rarely. Nasal corticosteroids may be associated with central serous retinopathy
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 that Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. It may also be used to reduce dizziness and loss of balance (vertigo) caused by inner ear problems. SN instructed that drowsiness, dry mouth, and tiredness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
SN instructed patient about Vicodin, it is indicated for relief of moderate to moderately severe pain of acute, chronic or postoperative types. Possible side effect / adverse reaction of narcotic analgesics are nausea, vomiting, constipation, and dry mouth.
SN instructed patient about Triple antibiotic ointment Neosporin, it is an antibiotic product marketed for the prevention of infections and speeding the healing of wounds. Neosporin is recommended for burns, scratches, and minor cuts. It is most effective when affected area is cleaned before application of ointment. It is for external use only and should not go near mucus membranes such as the eyes or mouth. It is not recommended for children under the age of two. There are no known side effects when using neosporin, however users should immediately seek medical attention when experiencing hives, rashes, or itching. Any skin irritations such as pain, burning, or cracked skin that were not present prior to use of ointment must receive immediate care.
SN instructed patient that lovaza is approved in the U.S. for treatment of patients with very high triglycerides (hypertriglyceridemia). Lovaza is indicated for: Hypertriglyceridemia, used as monotherapy , or in combination with a statin for patients with mixed dyslipidemia. Also as a secondary prevention after myocardial infarction. Infrequent side effects of lovaza: burping, indigestion, rash, taste problem. Rare side effects of Lovaza: blood clotting disorder. Life threatening allergic reaction, abnormal liver function tests, Itching.
SN Instructed patient about the Ergocalciferol is vitamin D2. Vitamin D is important for the absorption of calcium from the stomach and for the functioning of calcium in the body.Possible hypervitaminosis D effects: polyuria, nocturia, polydipsia, hypercalciuria, reversible azotemia, hypertension, nephrocalcinosis, generalized vascular calcification, irreversible renal insufficiency (may be fatal), mental retardation, widespread soft tissue calcification, osteoporosis, dwarfism, vague aches, stiffness, weakness, nausea, anorexia, constipation, mild acidosis, anemia, weight loss.
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 / caregiver about Methylprednisolone ( Medrol ), it is a corticosteroid used to treat severe allergies, arthritis, asthma, and skin conditions. It may also be used to treat other conditions as determined by your doctor. Possible side effects, that may go away during treatment, include difficulty sleeping, mood changes, nervousness, increased appetite, or indigestion. If they continue or are bothersome, check with your doctor. Check with your doctor as soon as possible if you experience swelling of feet or legs unusual weight gain black, tarry stools vomiting material that looks like coffee grounds severe nausea or vomiting changes in menstrual periods headache muscle weakness or prolonged sore throat, cold or fever. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. DO NOT stop taking this medicine without checking with your doctor. Stopping this medicine suddenly may cause serious side effects. Keep all doctor and laboratory appointments while you are using this medicine. Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using this medicine. This medicine makes you more susceptible to illnesses, especially if you take it for an extended period of time. Prevent infection by avoiding contact with people who have colds or other infections. Report any injuries or signs of infection (fever, sore throat, pain during urination, or muscle aches) that occur during treatment and within 12 months after stopping this medicine.