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31 Cards in this Set
- Front
- Back
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What are the anti-cholinergic side effects involving the GI system?
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-constipation
-dry mouth -decreased peristalsis |
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Why is Metoclopramide (Reglan) a cholinergic med?
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because it increases contractions in the upper digestive tract
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Reglan works as an anti-emetic by...?
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-decreaseing n/v
-increase peristalsis |
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Name one histamine 2 blocker
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Famotidine (Pepcid)
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Name one proton pump inhibitor (PPI)
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Omeprazole (Prilosec)
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What do both H2 blockers and PPIs do?
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-decrease gastric acid
-can be used for gastits/peptic ulcer disease |
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What can PPIs be used for but H2 receptors can NOT be used for?
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GERD
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What do Antiacids do?
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increase the pH of the gastric fluids (less acidic)
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Antiacids that contain Magnesium casue what?
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diarrhea
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Antiacids that contain Aluminum casue what?
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constipation
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What does Sucralfate (Carfate) do? And what type of drug is it?
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-adheres to inrriteated gastric tissuse
-Antiacid |
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What should antiacids never be taken with?
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other medications
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Why is it important to give Sucrafate (Carfate) on an empty stomach?
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becasue food can get in the way of the med coating the ulcer
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What is Helicobacter pylori?
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a gram neg bacterium
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What does Helicobacter pylori cause?
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PUD
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What are two dopamine antagonists antiemetics?
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-Ptomethazine (Phenergan)
-Prochlorperazine (Compazine) |
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What can Phenergan and Compazine cause?
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-sedation
-respiratory depression |
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Which antiemetic is used most offten?
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Odansetron (Zofran)
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What class is Zofran?
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serotonin antagonist
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What is the good thing about using Zofran over the other antiemetics?
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it is non sedating
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What med is used to sitmulate appetite in the elderly?
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Megestrol (Megace)
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What does Docusate (Colace) do?
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decreases surface tension of stool (softens stool)
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What does Bisacodyl (Dulcolax) do?
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irritates intestinal walls
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What does Magnesium Citrate do?
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draws water into GI tract by osmosis
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What does Psyllium (Metamucil) do?
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adds bulk to stool
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What does Glycerin Suppositories do?
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best for pediatric pts
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What should a nurse include in the teaching about Metamucil?
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drink at least 8oz of fluid with med!
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What does Polyethylene Glycol do?
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a laxative that increases the amount of water in the intestinal tract to stimulate bowel movements
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What does Lactulose do?
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-useful for pts with liver failure
-it pervents the build up of ammonia levels |
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What can you not give Pepto Bismol to kids?
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because it contains a large amount of aspirin!
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What med can be used to treat metastatic ro recurrent breast cancer?
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Megace
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