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56 Cards in this Set
- Front
- Back
Spicy foods can produce ____ and ____ in some individuals
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Diarrhea and flauts
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Name some gas producing foods
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Cabbage, onions, bananas and apples
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Name some laxative producing foods
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Bran, prunes, figs, chocolate and alcohol
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Name some constipation producing foods
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Cheese, pasta, eggs and lean meat
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Two medications that cause constipation are
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Morphine and codeine
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Aspirin can change the stool color to _____ or _____
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Red or black
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Constipation can be caused by increased ______ consumption
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Iron
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Iron changes the stool color to ____
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Black
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Antibiotics can change the color of the stool to _____
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Gray-green
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Antacids can change the color of the stool to ______
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Whitish
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General anesthetics block _______
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parasympathetic stimulation to the muscles of the colon. Lasting 24-48 hours
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The nurse should monitor a patient's pulse rate when performing this manuever
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Digital removal of fecal impaction
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The production of abnormally large amounts of urine
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Polyuria
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Excessive fluid intake
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Polydypsia
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Low urine output
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Oliguria - less than 500 ml/day or 30 ml/hr
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2 or more urine outputs at night
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Nocturia
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Painful or difficult urination
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Dysuria
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Involuntary urination in children beyond the age of normal bladder control
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Enuresis
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No perception of bladder fullness and inability to control the urinary sphincters
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Neurogenic bladder
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Normal urine pH
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slightly acidic, pH - 6
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Present in the urine when fatty acids are being broken down in the body
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Ketones. Present with poorly controlled diabetes, alcoholic, starving, fasting or consuming high protein diets
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Specific gravity of urine
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1.010 - 1.025
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Stimulates the distal tubule to reabsorb Na+ and excrete K+
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Aldosterone
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This hormone stimulates the collecting duct to reabsorb water, released by the posterior pituitary gland in response to low blood vloume and increased concentration of solute in the plasma
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Antidiuretic Hormone (ADH)
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Stimulates the renal reabsorption of calcium and the excretion of phosphate
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Parathyroid hormone
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Inhibits the reabsorption of Na+ and water, thereby causing natriuresis
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Atrial natriuretic factor
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Irritant (and vegetable) laxatives
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Figs, prunes, pears, raising and rhubarb
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Mineral oil is this type of laxative
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Emollient laxative
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Hyperosmotic laxatives
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Glycerin, sorbitol, lactulose and saline (magnesium cations and phosphate anions)
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Bulk-forming laxatives
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Mimic the actions of dietary fiber in the digestive tract. They are not absorbed, rather carried out of the body in feces. Contraindicated in clients with dysphasia
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Lubricant laxatives
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various oils that retard the reabsorption of water from the fecal mass in the colon. They interfere with the absorption of fat-soulble nutrients, Vit A, D, (E) and K
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Stool softeners
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Moistening agents. Best if used a few days prior to anticipated procedure or before constipation is expected to develop
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Sodium phosphate has its major activity as a _______
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Saline cathartic
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What is the most common side effect of Sucralfate?
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Constipation
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Adverse effects of Metoclopramide
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Dystonic or extrapyramidal effects
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Sodium bicarb is most likely to cause _______
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Systemic alkalosis
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Saline cathartics, such as sodium sulfate or magnesium sulfate act by _____
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Increasing intestinal volume, hence stimulating peristalic action
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Adverse effects of laxatives
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Electrolyte disturbances (hypernatremia, hypokalemia), dehydration, spastic colitis with stimulant laxative, gastrointestinal obstruction with bulk forming agents
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Drug that exerts anti-peptic ulcer effects through histamine-2 receptor antagonism
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Ranitidine
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Principally an emollient laxative
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Mineral oil
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Aluminum hydroxide antacids interfere with ______
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The gastrointestinal absorption of tetracycline
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An agent that promotes defecation without increasing peristalsis
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Docusate sodium
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Cimetidine
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Reduces the clearance of all the following: Theophylline, phenytoin, warfarin, quinidine
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Castor Oil has its major activity as a _____
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Stimulant cathartic
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Pharmacologic effects of antacids include
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Increase gastric pH, increase or decrease gastric motor activity
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Omeprazole's pharmacologic action
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The mechanism to reduce gastric acid secretion by blocking the H+, Na+, ATPase pump in the parietal cell
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Common antibiotics used to treat UTI
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Nitrofurantion, Cephalosporins, Sulfa drugs (sulfonamides), Amoxicillin, Trimethoprim-sulfamethoxazole, Doxycycline (not for use in pts under 8 yrs), Quinolones (not for use in children)
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Properties of Urine: Color
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Straw, yellow, amber
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Properties of Urine: Amount
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1.5-2 L/day
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Properties of Urine: All others
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Clear, Sterile, No glucose, ketones or protein
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Properties of Urine: Concentration
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1.005-1.030
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Properties of Urine: Odor
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Slightly aromatic
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Properties of Urine: pH
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pH: 4.8-8 Normal is 6
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Renin
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Secreted by the kidneys when BP is too low to increase vasoconstriction and raise BP
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If specific gravity of urine is 1.035, the urine is _____
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Concentrated
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1 g urine in diaper = ___mL urine in diaper
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1 mL. The weight is the same
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