Posts Tagged ‘prescriptions’

Labels? Who needs Labels?

     Not long after we moved in, I woke at 5 a.m. to the sounds of gagging and rushed to my mother’s bedside.clock        When I spoke with my local sisters, I was told that she has been doing this for years. About every three or four months, she becomes intensely nauseated and must be monitored for dehydration.

Jane, my oldest sister, said, “The doctor can’t find any reason for this. He said, if she insists, he will put a scope down her throat and see if he can find anything. I got scoped and they found I have a hiatal hernia, but there is nothing they can do about that.”

We agreed it would be worse for our 85-year-old mother if we forced a scope down her throat and they found something but there was nothing they could do for it.

Elderly woman

         It’s bad enough to be a parent and have to sit by while your child is suffering, but when the one who wiped your nose is ill, the feelings shift to a different level.

     Not long ago I called her for relationship advice. I’ve always sought her advice on things related to parenting, cooking, sewing and so many other topics.  If I  called her when I felt ill, she always had homespun advice.

     Scrape an apple for diarrhea, eat a spoon full of sugar for hiccups.

An apple a day

Drink a cold glass of water with baking soda for digestive disorders.

cold water

Give the other person space.

I need my space

She was always right, too. So, when she called my name in distress and looked to me for help, I traded in my HANC hat for a nurse’s and became the caregiver.

What is the proper first-aid to administer to your mother when she is throwing up?

First Aid Station

When my children were sick, I kissed their foreheads and wrists to check for a fever. I rubbed their backs to ease congestion and relax them.  Today, I held the pink, plastic hospital pan under Momma’s chin and waited. I had a cool, wet washcloth ready and stroked her cheek when she thought she’d finished, but I wanted to do so much more.

While she napped fretfully, I emailed my brothers and sisters a quick update.

cup of trea or coffee

My brother, Joe, who lives next door, came over for coffee at 8, but before he could finish his first cup, I had to return to Momma’s room for another round.

over the counter medications

I couldn’t go back to sleep and I dared not make much noise, so I wondered what I might find in her large medicine cabinet of ingredients with names I cannot pronounce that might bring her relief, should she vomit a third time and I wondered why she was sick.

My sister, Bernie, suggested Benadryl might ease Momma’s upset stomach. “It can’t hurt her.”

doctor prescribed medications

      I wasn’t certain, so I checked her shelves that are stocked with over-the-counter and prescription medications as well as with herbal and folk remedies. I found one Jane had marked with a sharpie: Nausea. I was relieved to see it could be taken sublingually.

memory patvch

Along with her Exelon patch for “mild to moderate Alzheimer’s disease” and her daily and nightly prescriptions for various other age-related issues are two other prescription bottles. One is an antibiotic she must take prior to certain dental procedures and the other is the prescription for nausea. When I moved in, with Jane’s approval, I discarded the prescriptions she no longer takes, since they had all expired.

Nearly an hour after her second episode, and moments before I found the prescription, she vomited a third time. After she calmed from that, she placed the small pill under her tongue where it dissolved and was absorbed into her bloodstream and again, she napped. Another hour later, she woke up, still queasy, but stronger and thirsty.

label

My friend, Turner, suggested her problem could be a side effect of her blood thinner. She’s such a smart woman!

 I discovered some interesting things about the rat poison doctors have prescribed for my mother.

warning label

Warfarin side effects that require immediate medical attention are:

  • Severe bleeding (This is why we have to guard against injuries and bruising, which could disguise internal bleeding.)
  • Black stool or bleeding from the rectum
  • Skin conditions such as hives, a rash or itching (This is a problem she’s had once since I moved in with her. Now, when I see unexplained whelps and rashes, I will know it’s not a spider bite or allergic reaction, but a side effect to her medicine.)
  •  Swelling of the face, throat, mouth, legs, feet or hands (only once, her left knee was swollen)
  •  Bruising that comes about without an injury you remember (We tend to recall every time she bumps herself and we always watch for easy bruising to follow.)
  • Chest pain or pressure (This occurred today, with the vomiting.)
  • Nausea or vomiting (This seems to be under control, but she is still very weak.)
  • Fever or flu-like symptoms (Once, before today, I thought she had a fever, but the thermometer did not indicate an elevated body temperature.)
  • Joint or muscle aches (She constantly complains of pain in her knee and other areas, so she takes an OTC pain pill.)
  • Diarrhea
  • Difficulty moving (Some days are much worse than others)
  • Numbness or tingling in any part of your body (she has recently complained that her hands are falling asleep.)
  • Painful erection lasting four hours or longer (at least I don’t have to worry about this one!)

Although rare, warfarin can also cause skin tissue death (necrosis) and gangrene requiring amputation. This complication most often happens three to eight days after you start taking warfarin. If you notice any sores, changes in skin color or temperature, or severe pain on your skin, notify your doctor immediately.

Less serious warfarin side effects to tell your doctor about:

  • Fatigue (Some days, she complains that she is just feeling lazy. I wonder. . .)
  • Gas (I thought this was just my cooking.)
  • Feeling cold (She complains of feeling cold, even on the hottest days and did not want us to buy a new air conditioner because she liked the heat.)
  • Pale skin (This is something we can blame on our family tree.)
  • Changes in the way foods taste (Ah, so, now things are beginning to make sense. She was prescribed to take Warfarin; a side effect of Warfarin is that food tastes differently and sometimes it doesn’t appeal at all, therefore, her “appetite” is considered down and voila! another prescription is written for an appetite stimulant…oh, the western medicine plot thickens.)
  • Hair loss (Only her hairdresser knows for sure.)

check these symptoms

     I have since checked all her medications to see what other side effects might present problems. Maybe I can keep my HANC hat on longer and avoid the nurse/caregiver hat in the future.

     Twelve hours after the first sound of discomfort, Momma was weak, but no longer vomiting. She didn’t have much to eat or drink, but I kept offering ginger ale and water.

     We may not like reading the warning labels, but they can certainly help understand why those in our care suddenly start displaying strange symptoms.

 

     Labels! We DO need those stinking warning labels!

Boy hugs space man

 

 

 

     I’ve noticed a tendency toward stomach upsets when she worries – especially about finances. Her life has been turned around since we moved in. Although she appreciates our help, she can’t deny we’ve changed things in her world and in her routines. The changes, while good, can still be stressful and stress causes all sorts of dis-ease.

 

     Maybe she needs to hug a space man or maybe she needs a little space, of her own. It can’t be easy to suddenly have the noise and activity of a family after so many years of solitude.

 

 

 

 

 

 

 

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