Mwsu - Pharmacology - Exam 5 - Chpt 41

Front 1

Psyllium mucilloid (Metamucil) is classified as a(n)

Back 1

Bulk-forming Laxitive

Front 2

What should you assess before administering Psyllium mucilloid (Metamucil)

Back 2

esophogeal obstructions, intestinal obstruction, fecal impaction, and undiagnosed abdominal pain.

Front 3

Nurse should monitor for _______ after administration of metamucil

Back 3

abdominal distention

Front 4

With Metamucil monitor patient's ability to ______

Back 4

Swallow (there is a risk for esophageal obstruction)

Front 5

How soon should results of therapy be seen after administration of Metamucil

Back 5

2-3 days after beginning of therapy

Front 6

How should Metamucil be administered?

Back 6

orally - drink mixed in a full glass of water immediately after mixing in liquid

Front 7

When taking Metamucil, when should the patient call the physician?

Back 7

if they are having difficulty swallowing

Front 8

Frequent use of psyllium may effect what?

Back 8

blood cholesterol level (causing a small reduction)

Front 9

What are benefits of taking Metamucil over other laxitives?

Back 9

*rarely produce side affects
*less abdominal cramping
*more natural bowel movements

Front 10

Adverse effects of Metamucil:

Back 10

*if taken with insufficient water, it may cause obstructions in the esophagus or intestine.

Front 11

Contraindications of Metamucil (psyllium mucilloid)

Back 11

Clients with undiagnosed abdominal pain, intestinal obstruction, or fecal impaction

Front 12

Psyllium decreases the absorption of:

Back 12

warfarin, digoxin, nitrofurantoin, antiobiotics, and sylicylates

Front 13

Metamucil may increase:

Back 13

serum glucose levels

Front 14

Treatment for overdose of Metamucil:

Back 14

no specific treatment.

Front 15

Classification of Diphenoxylate with Atropine

Back 15

Antidiarrheal

Front 16

When should laxatives be discontinued?

Back 16

if diarrhea occurs

Front 17

Prior to administration of Lomotil medication, assess ______:

Back 17

*sodium, chloride, and potassium levels
*presence of dehydration
*allergies, drug history, and possible drug interactions

Front 18

With Lomotil, patient should immediately report effects such as ______?

Back 18

persistent diarrhea, constipation, abdominal pain, blood in stool, confusion, dizziness, or fever

Front 19

The nurse should monitor ______ with patients taking Lomotil.

Back 19

*frequency volume and consistency of stools.
*dry mouth
*electrolyte levels
*abdominal pain or distention and degree and location of pain

Front 20

Instruct clients on Lomotil to increase _______:

Back 20

fluid intake and drink electrolyte-enriched fluid

Front 21

Diphenoxylate is the primary ingredient in ________ and is classified as a(n) _____

Back 21

Lomotil / opioid
(slows peristalsis and allows for more water to be absorbed)

Front 22

The effects of diphenoloxylate are seen within ____

Back 22

45 - 60 minutes

Front 23

What is the importance of atropine in Lomotil?

Back 23

it deters people from taking too much

Front 24

What are the anticholinergic effects of atropine in Lotomil?

Back 24

drowsiness, dry mouth, tachycardia

Front 25

Adverse effects of diphenoxylate with atropine (lotomil) include:

Back 25

dizziness and drowsiness - (no analgesic properties)

Front 26

Contraindications for Lomotil: LIST 6

Back 26

1. severe liver disease
2. obstructive jaundice
3. severe dehydration or electrolyte imbalance
4. narrow angle glaucoma
5. diarrhea associated with pseudomembranous colitis
6. hypersensitivity to the drug

Front 27

Drug-Drug interactions of diphenoxylate with atropine include:

Back 27

other CNS depressants
MAO inhibitors (may cause hypertensive crisis)

Front 28

Treatment for Lomotil overdose:

Back 28

Administer Naloxone (narcotic antagonist) - administered parenterally to reverse respiratory depression in minutes

Front 29

Bulk-forming agents _____

Back 29

absorb water, adding size to fecal mass

Front 30

Stool softeners work by

Back 30

more water and fat to be absorbed into stools

Front 31

Stimulants ______

Back 31

irritate bowel to increase perstalsis, Side effects: diarrhea, nausea, depedence, electrolyte imbalance, abdominal cramping, fainting

Front 32

Saline or osmotic laxatives _____

Back 32

pull water into fecal mass to create more watery stool

Front 33

Most commonly used OTC herbal agent is ______

Back 33

senna

Front 34

Mineral oil acts by _______

Back 34

lubricating stool and colon mucosa

Front 35

Stimulant laxatives increase _____

Back 35

secretion of water into large and small intestine (allowing feces to pass more easily because of presence of water)

Front 36

Tegaserod is used for

Back 36

IBS

Front 37

When should patient report lack of relief when on Tegaserod

Back 37

after 4 weeks

Front 38

Patients taking Tegaserod should be instructed to

Back 38

take with a full glass of water
prior to meals
not to crush tabs

Front 39

Tegaserod is contraindicated in

Back 39

hepatic/renal impariment, monitor liver & renal test
Men

Front 40

How does Tegaserod work

Back 40

promotes peristalsis and increase stool formation

Front 41

pancrelipse (Liopancreatin) is what classification

Back 41

pancreatic enzyme

Front 42

how does liopancreantin work

Back 42

breaks down lipids into glucerol and fatty acid
proteins to peptides
starches to sugars

Front 43

Pts on lipopancreatin should be instructed to

Back 43

wiegh self & report changes
taught to observe changes in stool, report abnormalities
stick to diet and eat small meals

Front 44

what relieves pancreatitis

Back 44

fetal and leaning forward

Front 45

liopancreatin interacts with _____ and shouldnt be given if allergy to _____

Back 45

iron and antacids, pork

Front 46

if abdominal pain is present in pancreatitis (which is common) what to do

Back 46

measure at belly button w/ tape same time/day

Front 47

Mechanism of action for Meridia

Back 47

SSRI- blocks serotonin (nervous system) which is responsible for hunger and appetite

Front 48

what are the SSRI used for

Back 48

anorexiant - to produce weight loss

Front 49

Side Effects of Anorexiant

Back 49

insomnia, headache, risk for liver dysfunction, increase in HR and BP

Front 50

Report______ asap if on Meridia

Back 50

any rash, fever, difficulty breathing

Front 51

Extrapyramidal signs are_____ and can occur with what drug______

Back 51

acute dystonia (face twicth), akathisia (repetitive movements), tardive dyskinesia (lip-smaking) occur with antiemetic

Front 52

mechanism of action of Comprazine

Back 52

blocks dopamine receptors in brain which inhibit signals to vomit in medulla

Front 53

big concern with Prochlorperazine

Back 53

sedation so patient is at risk for falls

Front 54

Nurse should monitor for _________ in patients taking Comprazine

Back 54

skin (gray-bluish), urinary (urine retention), neuro status (increase seizure), I & O

Front 55

Pts taking prochlorperazine should be instructed to

Back 55

avoid sun= gray-blue
urine may be reddish-brown
report pain w/ urination, nausea & vomiting
change positions slowly 2 avoid dizziness

Front 56

Extrapyramidal symptoms are a sign of____

Back 56

Overdose of Compazine