Amphotericin B Case Summary

Communicating with nurses seems to be an effective ways to preventing food-drug interaction interactions. To improve the performance of medication administration, training courses related to food-drug interactions by pharmacists to physicians, nutritionists and nurses is suggested. Conclusions Potential food –drug interactions are very common among patients hospitalized in internal medicine ward. To lower the frequency of potential interactions it could be necessary to decrease the number of medicines prescribed or make a careful selection of therapeutic alternatives. To avoid impairment in the treatment, prior patient knowledge of food – drug interaction has to be

C.) The nurse would monitor for therapeutic effect of cyclophosphamide(Cytoxan) by continuing monitoring the blood pressure, respiratory rate, and temperature, ensuring they are within the range that the doctor set. You would also need to monitor complete blood count (CBC) and should be maintained at 2500– 4000/mm^3. Urinary output is important aspect when making sure the drug is in therapeutic range. You would want to monitor the urinary output to make sure it is in the range of 3000 ml/day so they are not developing the risk of hemorrhagic cystitis. Make sure to assess the cardiac and respiratory status for dyspnea, crackles, cough, weight gain, and edema.

Observe for deterioration post-reduction of drug therapies, auscultate lung bases for crackles. If crackles heard or there is a return of miosis, bradycardia or sweating, re-establish atropinization. Note: Morphine, succinylcholine, theophylline, phenothiazines, reserpine are contraindicated. References 1. First Aid during Emergency.

Refer to a primary care physician to assess the presence and severity of underlying asthma and make recommendations for further treatment. Educate patient to avoid asthma triggers to include allergen and cold air. Monitor frequency of chest tightness, SOB and wheezing Decreased occurrence of chest tightness, SOB and wheezing Discuss progress at follow up in 2-4 weeks Absence of heartburn Avoid big meals, spicy foods, fatty foods, and caffeine. Advise patient to eat at least 2 hours before going to bed Recommend calcium carbonate 1-4 tablets as needed for heart burn. If symptoms continue or are unresolved by antacid, recommend the patient keep a journal of occurrence to find possible

Or if they do work while the patient is taking them, the symptoms return once the antibiotic is not taken anymore. If the patient is taking antibiotics and the symptoms go away, they are watched for a few days to be sure. If diarrhea does return a few days after completion of the antibiotics, sometimes a fecal transplant is used as a treatment. In cases where C. difficile keeps returning after antibiotic use, fecal microbiota transplantation is usually recommended. It involves taking feces from a healthy donor, purifying it, and placing it back into the unhealthy patients gut via colonoscopy.

1. The nurse is assessing a patient suspected of having developed acute glomerulonephritis. The nurse should expect to address what clinical manifestation that is characteristic of this health problem? A) Hematuria B) Precipitous decrease in serum creatinine levels C) Hypotension unresolved by fluid administration D) Glucosuria Ans: A Feedback: The primary presenting feature of acute glomerulonephritis is hematuria (blood in the urine), which may be microscopic (identifiable through microscopic examination) or macroscopic or gross (visible to the eye). Proteinuria, primarily albumin, which is present, is due to increased permeability of the glomerular membrane.

Complication of gallstones can be inflammation of the bladder, blockage of the common bile duct, blockage of the pancreatic duct, and gallbladder cancer. You may prevent the chance of getting gallstone by not skipping meals; lose weight slowly and by maintaining a healthy weight. How to determine gallstones is by your doctor may recommend an abdominal ultrasound to see if there is anything that seems like gallstones. Another way is by to test to check if your bile ducts for gallstone that may be causing a blockage. A third way they may test you is blood test that may reveal complications you may have.

For example, if you have heparin-induced thrombocytopenia, your doctor will direct you to stop using heparin and prescribe a different blood-thinning drug. Your thrombocytopenia may persist for a week or more despite stopping all heparin therapy. If your platelet level become too low, your doctor can replace blood loss with transfusions of packed red blood cells or platelets. If other treatment does not help your doctor my recommend a splenectomy. An enlarged spleen may harbor too many platelets, causing a decrease in the number of platelets in circulation.

During surgery, biopsy was taken from the edge of the ulcer to test for the presence of helicobacter pylori. H. pylori infection was diagnosed by histology. If it was positive, a triple therapy regimen consisting of amoxicillin,pantoprazole and metronidazole for one week was administered on resumption of oral intake. Patient taking non-steroidal anti-inflamatery drugs were adiveed to stop these drugs. Patient were called for follow up at 1 week, 1 month, 6 months, 12months and yearly thereafter.

There is a DMD known as IFN used for treatment in the initial demyelinating event and it might prevent development. There could be serious effects that include anemia, seizures, thrombocytopenia, cardiomyopathy, hepatotoxicity, depression, and increased risk for suicide (Caple, Uribe, & Pravikoff, 2015). Corticosteroids are used as the main treatment for relapses and are used to shorten the duration of attacks. Anti-inflammatory helps restore the blood-brain barrier. There are side effects from long-term use such as hypertension, diabetes, osteoporosis, cataracts, and ulcers.