Thyroid function tests and calcium levels annually (risk of hypocalcaemia). 2.3 Describe the common adverse reaction to medication, how each
Usually earlier detection may be difficult because adults may think that that is a normal sign of aging. Diagnosing infection is very challenging in older adults as changes in the elderly people are very subtle and nonspecific. UTIs are caused by a bacterial infection and are the major cause of bacteremia in adults. Issues that predispose the aged to UTIs include use of condom catheters, neurological bladders, and use of urethral catheters. For women there are other causes like vaginal atrophy due to postmenopausal depletion of estrogen and not completely emptying the bladder providing the opportunity for bacteria growth and colonization.
It increases chances of peptic ulcers and gastric adenocarcinoma. (Suzanne C. Smeltzer & Brenda G. Bare, 2004) The textbook mentions that a simple blood test can detect H. pylori. If you test positive the treatment of choice is multiple antibiotics, a proton pump inhibitor and H2 blockers for fourteen days. Resistance to H. pylori to metronidazole and clarithomycin is on the rise. The article explains in depth the different tests for H. pylori such as another blood test to recheck needs to be done at least six months after treatment to allow antibodies titers to decrease.
These are rarely prescribed alone to lower cholesterol, but work well when prescribed together with statins. 3. Nicotinic acid such as Niaspan, Nicolar lower LDL cholesterol and triglycerides and raises HDL cholesterol. 4. Fibrates such as Lopid, Atromid, and Tricor are used to lower triglycerides, and can help raise HDL cholesterol.
This class of drugs, which includes Prozac, Zoloft and Paxil — the selective serotonin reuptake inhibitors — increases levels of the neurotransmitter serotonin in the brain. The authors report that some exposed infants experience frequent crying, irritability, sleep disturbances and seizures, but the problem usually resolves itself within two weeks. The authors also note that the evidence does not suggest long-term harm from maternal use of antidepressants during pregnancy. They write: Several recent reviews have not identified adverse neurodevelopmental outcomes among infants born to women treated with SSRI’s during pregnancy. SSRI treatment should be continued at the lowest effective dose because withdrawal of medication may have harmful effects on the mother infant [bond].
1 in 20 men and women will be diagnosed in their lifetime. b. Thesis statement: Research shows that incidents in colorectal cancer can be reduced by changes in diet, education of symptoms and early detection. c. Main points: i. diet to both help prevent and treat; increase fiber ii. become informed of symptoms iii. early detection II.
Too much iodine in ones diet can trigger autoimmune thyroid disease and hypothyroidism. This disease means that the excessive amount of iodine in the bodies system can worsen the infilration of the thyroid by lymphocytes. These white blood cells are over produced due to a chronic injury or irritation and eventually blocking the thyroids ability to create hormones. Through pregnancy, women are advise to take supplementary iodine (sometimes in the forms of tablets), as the body is in need of extra hormones to create another human being. Over two billion people in the world are affected by iodine deficency and is becoming a public health issue.
These sequelae include reactive arthritis; glomerulonephritis; endocarditis; erythema nodosum (which occurs predominantly in women); uveitis; thyroid disorders, such as Graves’ disease; hyperthyroidism; nontoxic goiter; and Hashimoto’s thyroiditis. Y. enterocolitica has been associated with reactive arthritis, which may occur even in the absence of obvious symptoms. The frequency of such postenteritis arthritic conditions is about 2% to 3%. In Japan, Y. pseudotuberculosis was implicated in the etiology of Kawasaki’s disease. Another complication is bacteremia, which raises the possibility of disease dissemination.
According to Schull’s drug handbook (2006), Phytonadione acts on the liver to promote the production of active prothrombin, proconvertin, plasma thromboplastin component, and Stuart factor. In other words, it promotes blood clotting. The safe dose for neonate is 0.5 to 1 mg injected intramuscularly within one hour of birth. Adverse reactions include: hyperbilirubinemia, pain, swelling, tenderness at injection site, and anaphylactoid reactions. Because neonates in the first few hours of life usually don’t have adequate vitamin K in their blood stream, physician often prescribes Phytonadione to prevent hemorrhaging of the newborn.
According to Meleis (2007) knowing includes knowledge based on observation, research findings (evidenced based), clinical manifestations and scientific approach. As a stroke nurse empirical knowing it’s very important in taking care of stroke patients. I determine patient’s neurological status by performing neuro checks frequently every 1-2 hrs as the patient’s condition might deteriorate the first 24hrs and perform swallow test to determine if the patient can swallow medications. Patient’s plan of care is based on assessment findings(vital signs, Glasgow coma score).If a patient is confused and very weak fall precaution is observed by activating the bed alarms, request for a PT/OT consult, if the patient does not pass the swallow test, a speech therapist is consulted. Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan.