Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
29 Cards in this Set
- Front
- Back
|
Antacids: aluminum hydroxide gel, calcium carbonate, aluminum hydroxide, magnesium hydroxide (malox) Side effects |
Aluminum and calcium compounds cause constipation, while magnesium causes diarrhea |
|
|
Interventions for amphojel, titralac, aluminum hydroxide and maalox |
Compounds contain sodium, so use with caution if patient has cardiac or renal disease. Absorption of some antibiotics, iron and INH reduced when taken with antacids. Oral contraceptives may have decreased effects when given with antacids |
|
|
Teach patients when taking aluminum hydroxide, calcium carbonate, aluminum hydroxide and magnesium hydroxide |
Allow one hour between antacids and other meds |
|
|
Antidiarrheal meds: pepto bismol and kaopectate can cause |
Darkening of tongue and stools, and constipation Check for salicylate toxicity(see if already taking ASA) don't take more than 48 hours or if fever present Don't gjve to children less than 3 or any child under 21 with a viral infection (Reyes syndrome) |
|
|
Lopromide (imodium) can cause |
Constipation and drowsiness (check CNS) |
|
|
Diphenoxylate Hydrochloride and Atropine Sulfate (lomotil) can cause |
Dizziness, drowsiness, dry mouth, tachycardia, paralytic ileus. May potentiate action of depressants and barbituates |
|
|
Paregoric (camphorated tincture of opium) can cause |
Nausea, constipation, and narcotic dependence |
|
|
Antimetics: promethazine (Phenergan) can cause |
Drowsiness, Dizziness, dry mouth, urinary retention, constipation |
|
|
Antimetic: trimethobenzamide HCL (tigan) can cause |
Headache and drowsiness |
|
|
Antimetic : prochlorperazine Dimaleate (Compazine) can cause |
Drowsiness, diploplia, photo sensitivity (wear clothing when in the sun), extrapyramidal reactions |
|
|
Antimetic: ondansetron (Zofran) can cause |
Drowsiness, headache, diarrhea, or constipation and transient elevation of liver enzymes |
|
|
Antimetic : Metoclopramide (Reglan) can cause |
Drowsiness, dystonic reactions, extrapyramidal reactions and restlessness |
|
|
Antimetic : dimenhydrinate (dramamine) can cause |
Drowsiness, blurred vision, hypotension and palpitations |
|
|
Antimetic ; meclizine (antivert, bonine) can cause |
Drowsiness, dry mouth, blurred vision, and excitation Contraindicated with glaucoma |
|
|
Meds for ulcers: gastric protectant: sucralfate (carafate): used to treat |
Duodenal ulcer, it adheres to and protects the ulcers surface by forming a barrier. Action lasts Up to 6 hours, give 2 hours before or after other meds. Can cause constipation, flatulence, and vertigo |
|
|
Meds for ulcers: misoprostol (cytotec), used to prevent |
Gastric ulcers, give with meals, causes abdominal pain and diarrhea (notify doctor if severe or last more than 1 week) contraindicated during pregnancy it causes miscarriages |
|
|
Histamine 2; (H2): receptor antagonists: tagamet and Zantac Action: |
Suppress secretion of gastric acid, alleviates heartburn and promotes healing, Can be given P O, I M or I V |
|
|
Side effects of tagamet and zantac |
Diarrhea, headaches and dysrhythmias. Tagamet can cause confusion and Dizziness, few side effects seen with Zantac |
|
|
Teach patients taking tagamet and zantac |
Avoid antacids and other meds within one hour of dose, avoid alcohol, smoking, and caffeine, they all increase gastric acid |
|
|
Protein pump Inhibitors ; esomeprazole (nexium), lansoprazole (Prevacid), omeprazole (prilosec), rabeprazole (aciphex), Action: |
Suppress gastric acid secretion |
|
|
Nexium, Prevacid, prilosec, aciphex Side effects |
Dizziness, diarrhea, abdominal pain, renal failure Potential for increased dementia |
|
|
Teach patients taking nexium, Prevacid, prilosec, and aciphex |
Avoid antiacid and other meds within one hour of dose Avoid alcohol, smoking and caffeine they all increase gastric acid |
|
|
Laxatives and stool softeners : bulk farming : polycarbophil (fibercon), psyllium (metamucil) Side effects |
G I symptoms or obstruction Take with a full glass of water |
|
|
Stimulants : bisacodyl (dulcolax) serra (cascara) Side effects |
Nausea, diarrhea, cramps, and rash Take with a full glass of water, not with milk or antacids Works in 6 to 12 hours |
|
|
Surfactant : docusate (colace) Side effects |
Very few, maybe cramps Works in 1 to 3 days |
|
|
Osmotics: milk of magnesia Can increase |
Sodium and magnesium |
|
|
GoLYTELY: is a large volume product that can cause |
Nausea and bloating |
|
|
Lubricant : mineral oil Can cause |
Nausea and pruritus Long term use can cause fat soluble vitamin deficiency |
|
|
All Laxatives are contraindicated |
With acute abdomen (fever, nausea and vomiting, abdominal pain) Chronic laxative use can cause Hypokalemia |
