The fourth week of my gerontology internship is the reflection of the first three weeks of the internship. After the mid evaluation, I decided to enhance my nursing skill and focus more on the patient\u2019s medication. I conducted RAI tests on my given patients to see how it is done in a real-life situation. At the fourth week, applying my rehabilitative nursing skills and competence when working as a patient\u2019s responsible nurse and working in accordance with ethical guidelines. I decided to review three different resident medication lists, medication benefits and side effects, interactions. Below is the medication list gathered from residents and the attributes.<\/p>\n\n\n\n
RESIDENT ABDE<\/strong><\/p>\n\n\n\n 1. Atorvastatin<\/p>\n\n\n\n Use: Lowers cholesterol and reduces the risk of heart disease.<\/p>\n\n\n\n Side Effects: Muscle pain, liver enzyme elevation, digestive issues, headache.<\/p>\n\n\n\n Interactions: May interact with grapefruit juice, some antibiotics, and antifungal medications.<\/p>\n\n\n\n 2. Bisoprolol<\/p>\n\n\n\n Use: A beta-blocker used to treat high blood pressure and heart failure.<\/p>\n\n\n\n Side Effects: Fatigue, dizziness, slow heart rate, cold extremities, depression.<\/p>\n\n\n\n Interactions: Can interact with other blood pressure medications, insulin, and NSAIDs.<\/p>\n\n\n\n 3. Divisun (likely Vitamin D supplement)<\/em><\/p>\n\n\n\n Use: Treats or prevents vitamin D deficiency.<\/p>\n\n\n\n Side Effects: High calcium levels (hypercalcemia), nausea, kidney issues in excessive doses.<\/p>\n\n\n\n Interactions: Can interact with certain diuretics and calcium supplements.<\/p>\n\n\n\n 4. Donepezil<\/p>\n\n\n\n Use: Used for Alzheimer’s disease to improve memory and cognition.<\/p>\n\n\n\n Side Effects: Nausea, diarrhea, insomnia, muscle cramps, dizziness.<\/p>\n\n\n\n Interactions: May interact with anticholinergic drugs, beta-blockers, and NSAIDs.<\/p>\n\n\n\n 5. Melatonin<\/p>\n\n\n\n Use: A natural sleep aid for insomnia and circadian rhythm disorders.<\/p>\n\n\n\n Side Effects: Drowsiness, dizziness, headaches, nausea.<\/p>\n\n\n\n Interactions: May interact with sedatives, blood thinners, and blood pressure medications.<\/p>\n\n\n\n 6. Mirtazapine<\/p>\n\n\n\n Use: An antidepressant used for depression and sometimes sleep disorders.<\/p>\n\n\n\n Side Effects: Drowsiness, weight gain, dry mouth, dizziness.<\/p>\n\n\n\n Interactions: Can interact with MAO inhibitors, alcohol, and sedatives.<\/p>\n\n\n\n 7. Pegorion (likely a laxative containing macrogol\/polyethylene glycol)<\/em><\/p>\n\n\n\n Use: Treats constipation by increasing water content in the stool.<\/p>\n\n\n\n Side Effects: Bloating, diarrhea, nausea.<\/p>\n\n\n\n Interactions: Minimal, but excessive use may affect electrolyte balance.<\/p>\n\n\n\n 8. Pradaxa (Dabigatran)<\/p>\n\n\n\n Use: A blood thinner used to prevent stroke and blood clots.<\/p>\n\n\n\n Side Effects: Bleeding risk, stomach pain, heartburn.<\/p>\n\n\n\n Interactions: Can interact with NSAIDs, other blood thinners, and some antibiotics.<\/p>\n\n\n\n 9. Finasteride (Finasterid Orion)<\/p>\n\n\n\n Use: Used for enlarged prostate (BPH) and male pattern baldness.<\/p>\n\n\n\n Side Effects: Decreased libido, erectile dysfunction, breast tenderness.<\/p>\n\n\n\n Interactions: Can interact with certain antifungal medications and other hormone-affecting drugs.<\/p>\n\n\n\n Interactions Between These Medications<\/p>\n\n\n\n Blood Thinners (Pradaxa) + NSAIDs or Donepezil: Increased bleeding risk.<\/p>\n\n\n\n Bisoprolol + Donepezil: May cause a dangerously slow heart rate.<\/p>\n\n\n\n Atorvastatin + Mirtazapine: Possible increased risk of muscle issues.<\/p>\n\n\n\n Melatonin + Mirtazapine: Increased drowsiness and sedation.<\/p>\n\n\n\n Are Side Effects Visible in the Client?<\/p>\n\n\n\n It depends on the individual, but common visible side effects could be:<\/p>\n\n\n\n Drowsiness or fatigue (Mirtazapine, Melatonin, Bisoprolol)<\/p>\n\n\n\n Weight gain or swelling (Mirtazapine, Bisoprolol, Finasteride)<\/p>\n\n\n\n Slow heart rate or dizziness (Bisoprolol, Donepezil)<\/p>\n\n\n\n Bleeding or bruising (Pradaxa)<\/p>\n\n\n\n RESIDENTS XYZ<\/strong><\/p>\n\n\n\n Uses of the Medications:<\/p>\n\n\n\n Foliver \u2013 Likely a folic acid supplement used for preventing folate deficiency, anemia, and supporting pregnancy or neurological health.<\/p>\n\n\n\n Memantin (Memantine) \u2013 Used to treat moderate to severe Alzheimer\u2019s disease by regulating glutamate activity in the brain.<\/p>\n\n\n\n Linatil (Lisinopril) \u2013 An ACE inhibitor used for high blood pressure (hypertension) and heart failure.<\/p>\n\n\n\n Recikalc-D \u2013 Likely a calcium and vitamin D supplement used for bone health and osteoporosis prevention.<\/p>\n\n\n\n Thyroxin (Levothyroxine) \u2013 A thyroid hormone replacement used for hypothyroidism.<\/p>\n\n\n\n Ceralan \u2013 Could refer to a topical medication (e.g., ceramide-based creams) or a lesser-known brand; clarification needed.<\/p>\n\n\n\n Melatonin \u2013 A sleep aid used for insomnia and circadian rhythm disorders.<\/p>\n\n\n\n Mirtazapin (Mirtazapine) \u2013 An antidepressant used for major depressive disorder, also aids with sleep and appetite.<\/p>\n\n\n\n Pegorion (Macrogol\/PEG 3350) \u2013 A laxative used for constipation relief.<\/p>\n\n\n\n Minisun \u2013 Likely a vitamin D supplement for bone and immune health.<\/p>\n\n\n\n Azopt (Brinzolamide) \u2013 An eye drop used to lower intraocular pressure in glaucoma or ocular hypertension.<\/p>\n\n\n\n Possible Side Effects:<\/p>\n\n\n\n Foliver (Folic Acid): Nausea, bloating, allergic reactions (rare).<\/p>\n\n\n\n Memantine: Dizziness, headache, confusion, constipation.<\/p>\n\n\n\n Linatil (Lisinopril): Cough, dizziness, low blood pressure, kidney dysfunction, high potassium.<\/p>\n\n\n\n Recikalc-D: Hypercalcemia (weakness, kidney stones, nausea).<\/p>\n\n\n\n Thyroxin: Palpitations, weight loss, insomnia, sweating.<\/p>\n\n\n\n Ceralan: If topical, potential skin irritation.<\/p>\n\n\n\n Melatonin: Drowsiness, dizziness, daytime fatigue, headaches.<\/p>\n\n\n\n Mirtazapine: Drowsiness, weight gain, dry mouth, increased appetite.<\/p>\n\n\n\n Pegorion: Bloating, diarrhea, abdominal discomfort.<\/p>\n\n\n\n Minisun (Vitamin D): High doses may cause nausea, kidney issues, hypercalcemia.<\/p>\n\n\n\n Azopt (Brinzolamide): Eye irritation, dry mouth, taste disturbances.<\/p>\n\n\n\n Potential Interactions:<\/p>\n\n\n\n Memantine + Mirtazapine \u2013 May increase dizziness, confusion.<\/p>\n\n\n\n Linatil + Thyroxin \u2013 Lisinopril may reduce levothyroxine absorption.<\/p>\n\n\n\n Linatil + Recikalc-D + Minisun \u2013 Risk of high calcium levels, kidney strain.<\/p>\n\n\n\n Mirtazapine + Melatonin \u2013 Both cause sedation, increasing drowsiness.<\/p>\n\n\n\n Thyroxin + Calcium\/Vitamin D (Recikalc-D, Minisun) \u2013 Calcium may reduce thyroxin absorption; should be taken separately.<\/p>\n\n\n\n Azopt + Other Medications \u2013 No significant systemic interactions, but caution in kidney conditions.<\/p>\n\n\n\n Are These Side Effects Visible in the Client?<\/p>\n\n\n\n That depends on observed symptoms. Possible signs to check:<\/p>\n\n\n\n Drowsiness, dizziness, confusion \u2192 Memantine, Mirtazapine, Melatonin.<\/p>\n\n\n\n Skin irritation \u2192 Ceralan.<\/p>\n\n\n\n Weight changes (loss or gain) \u2192 Thyroxin, Mirtazapine.<\/p>\n\n\n\n Swelling, muscle weakness, kidney pain \u2192 Vitamin D\/Calcium excess.<\/p>\n\n\n\n Cough or low blood pressure symptoms \u2192 Lisinopril.<\/p>\n\n\n\n Eye irritation \u2192 Azopt.<\/p>\n\n\n\n RESIDENT DTY<\/strong><\/p>\n\n\n\n 1. Allonol (likely Allopurinol)<\/p>\n\n\n\n Use: Treats gout and kidney stones by reducing uric acid levels. Skin rash (can be severe)<\/p>\n\n\n\n Nausea, diarrhea<\/p>\n\n\n\n Liver enzyme abnormalities<\/p>\n\n\n\n Hypersensitivity reactions 2. Bisoprolol<\/p>\n\n\n\n Use: Beta-blocker used for high blood pressure, heart failure, and angina. Fatigue, dizziness<\/p>\n\n\n\n Slow heart rate<\/p>\n\n\n\n Low blood pressure<\/p>\n\n\n\n Cold extremities<\/p>\n\n\n\n Depression 3. Foolihappo (likely Folic Acid)<\/p>\n\n\n\n Use: Prevents and treats folate deficiency, used in pregnancy and anemia. Rare, but may cause nausea or bloating 4. Ketipinor (Quetiapine)<\/p>\n\n\n\n Use: Treats schizophrenia, bipolar disorder, and depression. Drowsiness, dizziness<\/p>\n\n\n\n Weight gain<\/p>\n\n\n\n Dry mouth<\/p>\n\n\n\n Low blood pressure<\/p>\n\n\n\n Rare: severe movement disorders (extrapyramidal symptoms) 5. Lixiana (Edoxaban)<\/p>\n\n\n\n Use: Anticoagulant (blood thinner) used to prevent strokes and blood clots. Bleeding (nosebleeds, bruising)<\/p>\n\n\n\n Anemia<\/p>\n\n\n\n Liver enzyme changes 6. Divisun (Vitamin D)<\/p>\n\n\n\n Use: Treats vitamin D deficiency, supports bone health. Rare, but high doses can cause nausea, kidney problems, or high calcium levels. 7. Isangina (Possibly Isosorbide Mononitrate?)<\/p>\n\n\n\n Use: Treats and prevents angina (chest pain). Headache<\/p>\n\n\n\n Low blood pressure<\/p>\n\n\n\n Dizziness 8. Mirtazapin (Mirtazapine)<\/p>\n\n\n\n Use: Antidepressant used for depression and anxiety. Drowsiness<\/p>\n\n\n\n Increased appetite, weight gain<\/p>\n\n\n\n Dry mouth<\/p>\n\n\n\n Dizziness 9. Memantin Orion (Memantine)<\/p>\n\n\n\n Use: Treats Alzheimer\u2019s disease. Dizziness, confusion<\/p>\n\n\n\n Headache<\/p>\n\n\n\n High blood pressure 10. Atorvastatin<\/p>\n\n\n\n Use: Lowers cholesterol and reduces heart disease risk. Muscle pain or weakness<\/p>\n\n\n\n Liver enzyme changes<\/p>\n\n\n\n Digestive issues 11. Proteinilsa (Unclear, possibly Protein supplements or Albumin infusions?)<\/p>\n\n\n\n Use: Supports nutrition, used in conditions with low protein levels. Allergic reactions<\/p>\n\n\n\n Kidney strain Interactions Between These Medications<\/p>\n\n\n\n Blood thinners (Lixiana, Allopurinol, Atorvastatin): Increased bleeding risk.<\/p>\n\n\n\n Bisoprolol & Ketipinor\/Mirtazapine: Risk of low blood pressure or heart rate issues.<\/p>\n\n\n\n Ketipinor & Mirtazapin: Increased drowsiness and sedation.<\/p>\n\n\n\n Atorvastatin & Lixiana: Risk of liver enzyme changes<\/p>\n","protected":false},"excerpt":{"rendered":" The fourth week of my gerontology internship is the reflection of the first three weeks of the internship. After the mid evaluation, I decided to enhance my nursing skill and focus more on the patient\u2019s medication. I conducted RAI tests on my given patients to see how it is done in a real-life situation. At […]<\/p>\n","protected":false},"author":7252,"featured_media":0,"parent":214,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-222","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/blogi.savonia.fi\/jamiualabi\/wp-json\/wp\/v2\/pages\/222","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogi.savonia.fi\/jamiualabi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/blogi.savonia.fi\/jamiualabi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/blogi.savonia.fi\/jamiualabi\/wp-json\/wp\/v2\/users\/7252"}],"replies":[{"embeddable":true,"href":"https:\/\/blogi.savonia.fi\/jamiualabi\/wp-json\/wp\/v2\/comments?post=222"}],"version-history":[{"count":3,"href":"https:\/\/blogi.savonia.fi\/jamiualabi\/wp-json\/wp\/v2\/pages\/222\/revisions"}],"predecessor-version":[{"id":242,"href":"https:\/\/blogi.savonia.fi\/jamiualabi\/wp-json\/wp\/v2\/pages\/222\/revisions\/242"}],"up":[{"embeddable":true,"href":"https:\/\/blogi.savonia.fi\/jamiualabi\/wp-json\/wp\/v2\/pages\/214"}],"wp:attachment":[{"href":"https:\/\/blogi.savonia.fi\/jamiualabi\/wp-json\/wp\/v2\/media?parent=222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n\n\n\n
\n\n\n\n
\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: Increases the effects of some blood thinners (e.g., warfarin) and interacts with certain chemotherapy drugs.<\/p>\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: May interact with other blood pressure medications, diabetes drugs, and digoxin.<\/p>\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: Can reduce the effectiveness of certain epilepsy medications (e.g., phenytoin).<\/p>\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: Can interact with sedatives, certain antidepressants, and blood pressure medications.<\/p>\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: Interacts with NSAIDs, other anticoagulants, and some antibiotics.<\/p>\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: Can interact with diuretics and calcium supplements.<\/p>\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: Should not be combined with Viagra-like medications (sildenafil) due to severe blood pressure drops.<\/p>\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: Can interact with sedatives, alcohol, and MAO inhibitors.<\/p>\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: Can interact with certain diuretics and other Alzheimer\u2019s medications.<\/p>\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: Interacts with grapefruit juice, some antibiotics, and other cholesterol medications.<\/p>\n\n\n\n
Possible side effects:<\/p>\n\n\n\n
Interactions: May interact with diuretics and certain medications affecting fluid balance.<\/p>\n\n\n\n