respiratory failure
Medications
SN instructed patient and caregiver that Diazepam can be habit-forming, so it's not typically used for long-term treatment or for people who've had problems with drug or alcohol abuse. This high risk benzodiazepine should never be taken more frequently or in higher doses than prescribed due to risk of overdose. S/s overdose include dizziness, drowsiness, confusion, lethargy and respiratory depression and even death in severe cases, especially when combined with EtOH or opiates. Patient and caregiver state they will only administer this medication as prescribed.
SN educated patient/caregiver on medication Trelegy inhaler. This inhaler combines 3 medicines in 1 inhaler, an inhaled corticosteroid (ICS) medicine (fluticasone furoate), an anticholinergic medicine (umeclidinium), and a long-acting beta2-adrenergic agonist (LABA) medicine (vilanterol). ICS medicines such as fluticasone furoate help to decrease inflammation in the lungs. Anticholinergic medicines such as umeclidinium and LABA medicines such as vilanterol help the muscles around the airways in your lungs stay relaxed to prevent symptoms such as wheezing, cough, chest tightness, and shortness of breath. Common side effects include: thrush in your mouth and throat, (rinse your mouth with water without swallowing after use to help prevent this.) bronchitis, PNA, upper respiratory infection, painful urination, throat/mouth pain, cough, hoarseness.
Instructed in new medication Advil and in S/E such as headache, dizziness, nervousness, aseptic meningitis, peripheral edema, fluid retention, tinnitus, epigastric distress, nausea, occult blood loss, peptic ulceration, diarrhea, constipation, dyspepsia, flatulence, heartburn, decreased appetite, acute renal failure, azotemia, cystitis, hematuria, prolonged bleeding time, anemia, neutropenia, pancytopenia, thrombocytopenia, aplastic anemia, leukopenia, agranulocytosis, hypoglycemia, hyperkalemia, hypouricemia, bronchospasm, pruritus, rash, urticaria and Stevens-Johnson syndrome.
Instructed in new medication Toprol and in S/E such as fatigue, dizziness, depression, bradycardia, hypotension, heart failure, AV block, nausea, diarrhea, dyspnea and rash.
Instructed in new medication Allopuriniol and in S/E such as drowsiness, fever, headache, paresthesia, peripheral neuropathy, neuritis, hypersensitivity vasculitis, necrotizing angiitis, epistaxis, nausea, vomiting, diarrhea, abdominal pain, gastritis, taste loss (or perversion, dyspepsia), renal failure, uremia, agranulocytosis, anemia, aplastic anemia, thrombocytopenia, leukopenia, leukocytosis, eosinophilia, hepatitis, hepatic necrosis, hepatomegaly, cholestatic jaundice, arthralgia, myopathy, rash, exfoliative, urticarial, and purpuric lesions, erythema multiforme, severe furunculosis of nose, ichthyosis, alopecia, toxic epidermal necrolysis, ecchymoses, chills.
Instructed in new medication Prednisone and in S/E such as euphoria, insomnia, psychotic behavior, vertigo, headache, paresthesia, seizures, pseudotumor cerebri, heart failure, hypertension, edema, arrhythmias, thrombophlebitis, thromboembolism, cataracts, glaucoma, peptic ulceration, GI irritation, increased appetite, pancreatitis, nausea, vomiting, menstrual irregularities, increased urine calcium levels, hypokalemia, hyperglycemia, carbohydrate intolerance, growth suppression in children, muscle weakness, osteoporosis, hirsutism, delayed wound healing, acne and various skin eruptions.
Instructed in new medication Atenolol to manage hypertension. In addition, warned of possible S/E such as fatigue, lethargy, vertigo, drowsiness, dizziness, fever, bradycardia, hypotension, heart failure, intermittent claudication, nausea, diarrhea, thrombocytopenia, hyperkalemia, hypoglycemia, increased risk of developing type-two diabetes, dyspnea, bronchospasm, rash and leg pain. Instructed to take drug exactly as prescribed at the same time every day. Do not stop drug suddenly but do call prescriber if unpleasant adverse reactions occur. If pulse rate is below 60 beats/minute, stop taking drug and call prescriber. Women: notify prescriber if pregnancy occurs. Drug usage might be discontinued.
Taught that Hyzaar is used to treat congestive heart failure and to help protect the kidneys from damage due to diabetes.
SN advised patient on some serious adverse effect of Lovenox such as: atrial fibrillation, heart failure, skin necrosis, hemorrhage, intracranial hemorrhage, paraplegia, and pneumonia.
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).