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103 Cards in this Set
- Front
- Back
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your client is dx with end stage liver failure and receiving lactulose/granulote. what lab test tells you it is effective?
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your client is dx with end stage liver failure and receiving lactulose/granulote. what lab test tells you it is effective?
- serum ammonia levels |
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your elderly pt is being administered lomotil, what kind of drug?
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your elderly pt is being administered lomotil, what kind of drug?
- antidiarrheal, its a narcotic |
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of the 4 pts. which would you give meds to first?
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of the 4 pts. which would you give meds to first?
- on-call for surgery?? |
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giving 8:00 meds. you have following 4 patients. which one would you question?
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giving 8:00 meds. you have following 4 patients. which one would you question?
- cytotec to nsaid produced ulcer |
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Patient has GERD and they are prescribed Prilosec. What kind of a drug is it?
How do you know that the drug is effective? How should the patient be taking this drug? |
Patient has GERD and they are prescribed Prilosec. What kind of a drug is it?
- proton pump inhibitor How do you know that the drug is effective? - relieves of a burning pain (decreases gastric juices) How should the patient be taking this drug? - chew it thoroughly and drink water |
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how do you know prilosec is working?
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how do you know prilosec is working?
- decrease gastric juices and reduces pain |
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what do you tell pt to do with tablets (antacid)?
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what do you tell pt to do with tablets (antacid)?
- chew and swallow with water |
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mylicon. what is it for?
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mylicon. what is it for?
- flatulence |
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laxatives containing sodium are contraindicated in what patients?
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laxatives containing sodium are contraindicated in waht patients?
- fluid overload/fluid retention or have hypertension |
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what are some laxatives containing sodium?
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what are some laxatives containing sodium?
- colace |
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pt with peptic ulcer has been prescribed an antacid riopan. how should they take it?
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pt with peptic ulcer has been prescribed an antacid riopan. how should they take it?
- with water |
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cephulaz (generic name: lactulose) given to reduce ammonia levels. what else can it be used for?
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cephulaz (generic name: lactulose) given to reduce ammonia levels. what else can it be used for?
- constipation |
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pancrelipase (generic: cotazym). wht kind of a drug?
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pancrelipase (generic: cotazym). wht kind of a drug?
- enzyme from the pancreas - given for digestion of proteins, fats and carbs |
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zantac to treat a peptic ulcer. what category of a drug?
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zantac to treat a peptic ulcer. what category of a drug?
- antacid H2 antagonist |
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what other drug in that category should patient not take?
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what other drug in that category should patient not take?
- all other H2 antagonist or any other antacid |
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after taking an antacid, pt asks you where does it work. what part of gi tract does it work on?
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after taking an antacid, pt asks you where does it work. what part of gi tract does it work on?
- stomach |
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doctor orders aluminum carbonated gel. what happens if you take too much?
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doctor orders aluminum carbonated gel. what happens if you take too much?
- constipation |
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how do you evalutea the effectiveness of lactulose?
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how do you evalutea the effectiveness of lactulose?
- assess pt's level of consciousness and/or ammonia levels |
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imodium is used for what?
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imodium is used for what?
- antidiarrheal |
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How does immodium AD it work?
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how does immodium AD it work?
-slows down persistalsis |
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why would you question a doctor who orders sodium bicarbonate (baking soda) to a pt with heart failure and peptic ulcer?
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why would you question a doctor who orders sodium bicarbonate (baking soda) to a pt with heart failure and peptic ulcer?
- because of the sodium |
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which of these may cause diarrhea?
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which of these may cause diarrhea?
- magnesium hydroxide (milk of magnesium) |
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what kind/type of antacid would you give a pt with gerd?
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what kind/type of antacid would you give a pt with gerd?
- proton pump inhibitor (ex. Prevacid) |
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given medication for hiatal hernia and gastric reflux. what would they state about their sleep?
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given medication for hiatal hernia and gastric reflux. what would they state about their sleep?
- no more burning and no more waking up in the middle of night due to pain |
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your client has IBS described sulfazaaazine. its an aminosalicylate. what do you know about it?
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your client has IBS described sulfazaaazine. its an aminosalicylate. what do you know about it?
- it has aspirin. should be taking at least 2-3 liters of water per day |
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patient is being prescribed suppositories. where should they be stored?
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patient is being prescribed suppositories. where should they be stored?
- fridge |
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patient has been taking flagel for h. pylori. its the causative agent for what problem?
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patient has been taking flagel for h. pylori. its the causative agent for what problem?
- peptic uclers and duodenal ulcers |
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what tells you flagyl is being effective?
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what tells you flagyl is being effective?
- relief of pain and no more bleeding |
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what are s/s if there was bleeding?
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what are s/s if there was bleeding?
- black tarry stool and pulse and respirations are up; bp is down |
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your client has been prescribed scenotock. pt is calls because urine is brown and yellow-green feces. what do you tell her?
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your client has been prescribed scenotock. pt is calls because urine is brown and yellow-green feces. what do you tell her?
- thats normal. |
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marinol has been prescribed to prevent nausea and vomiting due to chemotherapy. what is a common side effect?
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marinol has been prescribed to prevent nausea and vomiting due to chemotherapy. what is a common side effect?
- euphoria |
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pt has gastritis and given immodium. what are side effects of too much?
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pt has gastritis and given immodium. what are side effects of too much?
- constipation |
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if your pt is undergoing long term laxative therapy. what is a major problem?
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if your pt is undergoing long term laxative therapy. what is a major problem?
- addiction to the laxative - electrolyte imbalances |
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pt has a sulfa allergy. of the medications for ulcerative colitis, which one should they avoid?
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pt has a sulfa allergy. of the medications for ulcerative colitis, which one should they avoid?
- asacol |
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what is the right way to administer mineral oil?
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what is the right way to administer mineral oil?
- on an empty stomach before bed |
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what would be the advantage of giving a pt a histamine 2 blocker (H2 blocker) rather than a conventional antacid?
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what would be the advantage of giving a pt a histamine 2 blocker (H2 blocker) rather than a conventional antacid?
- frequency of dosing |
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for which pt is cytotec contraindicated?
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for which pt is cytotec contraindicated?
- pregnant women |
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your pt is being discharged on antacid therapy. which instructions should you include?
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your pt is being discharged on antacid therapy. which instructions should you include?
- continue to take antacids even when pain subsides |
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your client is taking citrucel. what kind of a drug is it?
How should they take it? |
your client is taking citrucel. what kind of a drug is it?
- bulk laxative how should they take it? - with 8oz of water followed by another 8oz of water |
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Sucralfate is what kind of a drug?
What is it for? |
Sucralfate is what kind of a drug?
- pepsin inhibitor What is it for? - ulcers |
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your giving pt reglan for gastric stasis. what is reglan supposed to do?
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your giving pt reglan for gastric stasis. what is reglan supposed to do?
- start or increase peristalsis |
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select all that apply. who would you give laxatives to?
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select all that apply. who would you give laxatives to?
- patient with vaginal tear - laxative for pt with IBS - pt being prepared for colonoscopy |
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pt is being given (histamin 2 blocker antangonist) cimetidine. why should it not be prescribed to a male patient?
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pt is being given (histamin 2 blocker antangonist) cimetidine. why should it not be prescribed to a male patient?
- causes impotence |
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your pt has ulcerative colitis and being prescribed asacol. how should they take meds?
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your pt has ulcerative colitis and being prescribed asacol. how should they take meds?
- not ot crush, break, or chew |
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pt is being given sulfa drugs for inflammotry bowel problem. it is important to monitor creatinine levels because?
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pt is being given sulfa drugs for inflammotry bowel problem. it is important to monitor creatinine levels because?
- sulfasalzine. push fluids to prevent crystalluria from sulfa monitor BUN and serum creatinine for kidney damage. |
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dx with h. pylori and... how should they take combo meds?
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dx with h. pylori and... how should they take combo meds?
- normal time frame 17 days |
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your pt has been prescribe ...?? (a stool softner). what color and cosistency should stool be?
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your pt has been prescribe ...?? (a stool softner). what color and cosistency should stool be?
- soft and brown |
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pt has diverticulosis and put on bulk laxative. what question do you want to ask pt before giving?
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pt has diverticulosis and put on bulk laxative. what question do you want to ask pt before giving?
- "can you swallow?" |
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pt is going for colonscopy and doctor prescribes golytely the night before. what do you want to know before giving about fluids?
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pt is going for colonscopy and doctor prescribes golytely the night before. what do you want to know before giving about fluids?
- electrolyte balance, skin turgor (to know hes not already dehydrated), and assess mucous membrane |
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your giving compazine, what is it for?
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your giving compazine, what is it for?
- anti-emetic. - side effects: extrapyramidal syndrome--> muscle rigidity, slurred speech, uncontrolled muscle contractions, tremors, shuffling gait |
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another drug in the same class as compazine (ant-dopaminergic) is ...?
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another drug in the same class as compazine (ant-dopaminergic) is...
- phenergan |
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FYI: no drinking alcohol with compazine or phenergan
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FYI: no drinking alcohol with compazine or phenergan
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doctor prescribe bentyl an anticholinergic for IBS. if its workoing properly, what kind of stools should they be having?
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doctor prescribe bentyl an anticholinergic for IBS. if its workoing properly, what kind of stools should they be having?
- stools should be getting more firm side effects: agitation, confusion, drowsiness, dry mouth |
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of the following clients wiht IBS which pt would not be given Bentyl?
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of the following clients wiht IBS which pt would not be given Bentyl?
- you would NOT give it to a pt with an enlarged prostate |
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Pt given Lactulose (changes pH in intestines killing off some off the bacteria that create ammonia) - to decrease high ammonia levels, what test do you check?
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Pt given Lactulose (changes pH in intestines killing off some off the bacteria that create ammonia) - to decrease high ammonia levels
- test is serum ammonia level |
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Lomotil - narcotic like anti-diarrheal - risk for elderly especially with what problems?
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Lomotil - narcotic like anti-diarrheal - risk for elderly especially respiratory depression, tachycardia, narrow angle glaucoma pt's
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Lomotil - narcotic like anti-diarrheal - risk for elderly especially with 1. ?, 2.?, and 3.?
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Lomotil - narcotic like anti-diarrheal - risk for elderly especially with..
1. respiratory depression 2. tachycardia 3. narrow angle glaucoma |
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Pt needing drugs pre surgery are priority administration - especially if they're ....?
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Pt needing drugs pre surgery are priority administration - especially if they're .....
on call for surgery |
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Don't give cytotec to female patients that may be pregnant, why?
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Don't give cytotec to female patients that may be pregnant, why?
as it crosses the placental barrier and it can exacerbate ulcerations (it's cytotoxic) |
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Prilosec is what type of med?
How do you know if Prilosec is effective? |
Prilosec is what type of med?
- H2 receptor antagonist How do you know if Prilosec is effective? - is effective if symptoms of burning pain is relieved |
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What is Simethicone (Mylicon) used for?
What does Simethicone (Mylicon) do? |
What is Simethicone (Mylicon) used for?
- for gas What does Simethicone (Mylicon) do? - reduces surface tension of bubbles |
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Na+ containing laxatives (such as Colace - Docusate Sodium) are contraindicated in ?
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Na+ containing laxatives (such as Colace - Docusate Sodium) are contraindicated in ?
HTN and fluid retention - "where water goes Na+ goes" |
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How should a pt take aluminum(Al+) and magnesium (Mg+) (Riopan) complex?
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How should a pt take aluminum(Al+) and magnesium (Mg+) (Riopan) complex
-take with copious water |
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Cephulac (Lactulose) is for ?
it is also a ? |
Cephulac (Lactulose) is for ?
-Pt's with Hepatic encephalopathy to reduce ammonia levels it is also a...? - is also a diarrheal |
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Pancreolipase (Cotazym) is a enzyme supplement for what?
aids in ..? |
Pancreolipase (Cotazym) - enzyme supplement for ..
-pancreatic deficiency - aids in digestion of proteins |
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what does Zantac treat?
Zantac is a ..? Don't take with other antacids to prevent ..? |
Zantac - treats peptic ulcer - H2 antagonist - don't take with other antacids to prevent metabolic Alkalosis
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Antacids work on the ..?
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Antacids work on the stomach
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Usage of Androgel can lead to, what?
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Usage of Androgel can lead to constipation
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Lowered ammonia levels tend to show what behavior in pt's?
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Lowered ammonia levels tend to show more lucid patients
(FYI: a LUCID state of mind; not confused) |
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What is Imodium? How does it work?
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What is Imodium? How does it work?
- Imodium is an anti-diarrheal - works by slowing peristalsis |
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Why do you question an order of NaHCO3 for a cardiac patient?
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Order for NaCHO3 question is its for a cardiac patient as it may cause fluid retention
(FYI: Baking soda is sodium bicarbonate (NaHCO3)) |
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Mg+ and Na+ antacids tent to elicit, what?
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Mg+ and Na+ antacids tent to elicit diarrhea
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Al+ and Ca+ based antacids tend to elicit, what?
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Al+ and Ca+ based antacids tend to elicit constipation
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What do you give to a pt with GERD?
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What do you give to a pt with GERD?
- Pt with GERD give Proton Pump inhibitors ( -prazole ) Nexium=Esomeprazole |
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How do you know if therapy is effective for a pt with Heital Hernia?
- therapy effective when they can sleep laying flat and be comfortable |
How do you know if therapy is effective for a pt with Heital Hernia?
- therapy effective when they can sleep laying flat and be comfortable |
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Pt with IBS is prescribed sulfasalazine (Azulfidine) - sulfa based aminosalicylate, what do they take daily to prevent crystalluria?
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Pt with IBS is prescribed sulfasalazine (Azulfidine) - sulfa based aminosalicylate - lots of water 2000mL+ daily to prevent crystalluria
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Flagyl for Heliobacter Pylori (also for C. Diff) - for ulcerations of stomach and duodenum, how do u know if the treatment was effective?
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Flagyl for Heliobacter Pylori (also for C. Diff) - for ulcerations of stomach and duodenum
- effective treatment if relief of pain and lack of bleeding, pulse and resp. up B/P down |
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Senacot - what color urine and feces is considered normal?
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Senacot - Pt having yellow Brown urine and gray/green feces is normal
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what is Marinol (marijuana derivative) used for?
what is a common side effect? |
Marinol (marijuana derivative)
- to prevent N/V in chemotherapy - common S/E is euphoria |
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Pt with constipation taking Imodium commonly will have?
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Pt wit constipation taking Immodium commonly will have constipation
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Pt with Sulfa allergies should avoid ...?
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Pt with Sulfa allergies - avoid mesalazine (Asacol, Rowasa) "-sala-"
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when do u give mineral oil laxative?
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give mineral oil laxative before bed time on an empty stomach
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What is the advantage of H2 antagonist over antacids?
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advantage of H2 antagonist over antacids is lower frequency of dose administration
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cytotec is contraindicated in what individuals?
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cytotec contraindicated in pregnant individuals as is cytotoxic
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when discharging a Pt on antacids tell Pt to take antacids separate from ..?
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when discharging a Pt on antacids tell Pt to take antacids separate from other meds, and continue even if symptoms subside
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Methylcelullose (Citrucel) - bulk laxative - take with ..?
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Methylcelullose (Citrucel) - bulk laxative - take with 16oz of water or 2 cups
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sucralfate (Carafate) - for peptic and duodenal ulcers - should be taken when?
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sucralfate (Carafate) - for peptic and duodenal ulcers - take on an empty stomach 2 hours b4 and after other drugs
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Why would a Pt take Reglan (metroclopramide) for gastric stasis?
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Pt on Reglan (metroclopramide) for gastric stasis - is to increase gastric peristalsis - gastric stimulant
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do not give a laxative to Pt c/o...?
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do not give a laxative to Pt c/o abd pain and discomfort
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Give bulk building laxatives to pt's with...?
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can give bulk building laxatives to pt's with constipation
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Taganet (cimetidine) - causes what in male patients?
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Taganet (cimetidine) - causes temporary impotence in male patients
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Asacol - aspirin based - DO NOT ..?
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Asacol - aspirin based - DO NOT crush break or chew
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Pt being given a sulfanamide, what should be monitored and why?
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Pt being given a sulfanamide - monitor serum creatinine level because it can produce crystaluria-creating kidney stones and possibly block the kidneys
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Typical H2 antagonist period of use is how long? - for H. Pylori / peptic and duodenal ulcers
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Typical H2 antagonist period of use is 2-4 weeks or 17 days - for H. Pylori / peptic and duodenal ulcers
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Pt on Colace should have what kind of stools?
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Pt on Colace should have soft and round stools
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Pt with diverticulosis pt on a bulk laxative - ask if they can what? and give with what?
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Pt with diverticulosis pt on a bulk laxative - ask if they can swallow and give with 8oz of H2O
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Pt going in for colonoscopy is given GOLYTELY to what? and what should you assess for?
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Pt going in for colonoscopy is given GOLYTELY to clear the bowels - assess for s/s of dehydration in mucous membranes and skin turgor
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How do Bulk laxatives work? What shouldn't they contain when given to a cardiac pt?
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Bulk laxatives as the stool grows it stimulates peristalsis and no Na+ containing ones for cardiac pt's
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Pt in end stage liver cancer given Lactulose - ammonia levels go down and LOC improves....Lactulose is metabolized in the colon by bacterial flora to short chain fatty acids including the production of the lactic acid and acetic acid so the pH drops. This partially dissociates, acidifying the colonic contents (increasing the H+ concentration in the gut). This favors the formation of the nonabsorbable NH4+ from NH3, trapping NH3 (ammonia) in the colon and effectively reducing plasma NH3 concentrations.
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Pt in end stage liver cancer given Lactulose - ammonia levels go down and LOC improves....Lactulose is metabolized in the colon by bacterial flora to short chain fatty acids including the production of the lactic acid and acetic acid so the pH drops. This partially dissociates, acidifying the colonic contents (increasing the H+ concentration in the gut). This favors the formation of the nonabsorbable NH4+ from NH3, trapping NH3 (ammonia) in the colon and effectively reducing plasma NH3 concentrations.
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Compazine - antiemetic - what is the side effect?
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Compazine - antiemetic - s/e EPS (extra pyramidal syndrome - muscle rigidity, slurred speech, uncontrolled muscle contractions, tremors, shuffling gait, pill rolling)
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Pt on Penergan (antidomaminergic) antiemetic - what should be avoided?
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Pt on Penergan (antidomaminergic) antiemetic - avoid EOTH
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Pt prescribed Bentyl for IBS - pt should report what after treatment?
what are the side effects? |
Pt prescribed Bentyl for IBS - pt should report no pain and formed stools after treatment - s/e can be dry mouth, drowsiness, confusion, decreased bowel sounds, and photophobia
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Why do you not give Bentyl to a Pt with BPH due to urinary hesitancy/retention?
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Do no give Bentyl to a Pt with BPH due to urinary hesitancy/retention - is anticolernergic- reducing gastric motility,
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