chronic kidney disease
Medications
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.
SN instructed patient and caregiver about Bactrim. Bactrim is an antibiotic used to treat certain bacterial infections, including urinary tract infections, ear infections, enteritis, pneumonia, traveler's diarrhea, and episodes of difficulty breathing in people with chronic bronchitis. Serious allergic reactions, such as skin rash, sore throat, fever, joint pain, cough, shortness of breath, paleness, or yellowing of your skin or the whites of your eyes. Low platelet levels that may be life-threatening, but usually go back to normal within a week of stopping treatment with Bactrim. Watery and bloody stools.
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 / caregiver that Advair Diskus is a combination of inhaled drugs that is used to treat asthma and chronic bronchitis. SN instructed patient / caregiver on common side effects including upper respiratory tract infection & headaches. SN instructed to call physician / nurse for adverse effects including nausea, vomiting, diarrhea, mouth or throat candidiasis, or musculoskeletal pain.
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.
Trulance (plecanatide) is used to treat chronic idiopathic constipation or irritable bowel syndrome with constipation. Trulance works by activating certain substances within your intestines that help increase fluid secretion and muscle movement. Trulance also causes changes in the consistency of your stools.
Educated patient on new medication; Amitiza which is used to treat chronic constipation, or constipation caused by opioid (narcotic) pain medicine. It may also be used to treat irritable bowel syndrome in women with constipation as the main symptom.
Isosorbide is used to prevent chest pain (angina) and reduce strain on the heart in patients with heart disease (coronary artery disease). Isosorbide mononitrate relaxes and widens blood vessels so blood can flow more easily. This medication will not relieve chest pain once it occurs. This medication may also be used in addition to other drugs to improve the symptoms of congestive heart failure (e.g., trouble breathing).
Instructed patient on new medication Sulindac. Sulindac may also be used for purposes not listed. Sulindac can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine. You should not use sulindac if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID. Patient verbalized understanding.
Instructed in new medication Albuterol to prevent or treat bronchospasm in patients with reversible obstructive airway disease. In addition, warned of possible S/E such as tremor, nervousness, dizziness, insomnia, headache, hyperactivity, weakness, CNS stimulation, malaise, tachycardia, palpitations, hypertension, dry and irritated nose and throat (with inhaled form), nasal congestion, epistaxis, hoarseness, heartburn, nausea, vomiting, anorexia, bad taste in mouth, increased appetite, hypokalemia, muscle cramps, bronchospasm, cough, wheezing, dyspnea, bronchitis, increased sputum or hypersensitivity reactions. Warned patient about possibility of paradoxical bronchospasm. If this occurs, discontinue drug immediately. If more than one inhalation is ordered, instructed to wait at least 2 minutes before repeating procedure. Use of an aero chamber may improve drug delivery to the lungs. If steroid inhaler used, advised to use the bronchodilator first and then advised to wait about 5 minutes before using the steroid. This allows the bronchodilator to open the air passages for maximum effectiveness. Advised to remove canister and wash inhaler with warm, soapy water at least once a week.