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52 Cards in this Set

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Potassium Chloride
K-Dur
K-Lor
Klor-Con
Micro-K
ExtenCaps
Slow-K
PO/IV: Treatment/prevention of depletion of minerals/electrolytes; IV: Treatment of arrhythmias due to digoxin toxicity

Maintains acid-base balance
Essential for nerve conduction
Essential for contraction of cardiac, skeletal, and smooth muscle
Sodium Bicarbonate
Baking Soda
Bell-Ans
Citrocarbonate
Neut
Soda Mint
Acts as an alkalinizing agent by releasing bicarbonate ions. Following oral administration, releases bicarbonate, which is capable of neutralizing gastric acid.

Therapeutic Effects: Alkalinization of body fluids, Neutralization of gastric acid, and Increase of blood pH.
Sodium Citrate and Citric Acid
Bicitra, Oracit
Acts as an alkalinizing agent by releasing bicarbonate ions. Following oral administration, releases bicarbonate, which is capable of neutralizing gastric acid.

Therapeutic Effects: Alkalinization of body fluids, Neutralization of gastric acid, and Increase of blood pH.
0.9% NaCl Solution (Isotonic)

0.45% NaCl Solution (Hypotonic)
Sodium Chloride Solution
Isotonic Solution: Increases circulating blood volume (increases blood pressure)

Hypertonic Solution: Pulls fluid from interstitium and cells to the vascular space.

Hypotonic Solution: Hydrates the interstitium and cells
5% Dextrose in Water (Isotonic)
Dextrose
Isotonic Solution: Increases circulating blood volume (increases blood pressure)

Hypertonic Solution: Pulls fluid from interstitium and cells to the vascular space.

Hypotonic Solution: Hydrates the interstitium and cells
Lactated Ringer's Solution (Isotonic)
Lactated Ringer's Solution
Isotonic Solution: Increases circulating blood volume (increases blood pressure)

Hypertonic Solution: Pulls fluid from interstitium and cells to the vascular space.

Hypotonic Solution: Hydrates the interstitium and cells
Dextrose 5% and 0.9% NaCL (Hypertonic)

Dextrose 5% and 0.45% NaCl (Hypertonic)
Dextrose and Sodium Chloride
Isotonic Solution: Increases circulating blood volume (increases blood pressure)

Hypertonic Solution: Pulls fluid from interstitium and cells to the vascular space.

Hypotonic Solution: Hydrates the interstitium and cells
Sodium Polystyrene Sulfonate (SPS)
Kayexalate
Exchanges sodium ions for potassium ions in the intestine (each 1 g is exchanged for 1 mEq potassium).

Therapeutic Effects: Reduction of serum potassium levels (treat hyperkalemia)
Calcium Carbonate
Os-Cal
Tums
Tums E-X
Nephro-Calci
Acts as an activator of the trasmission of nerve impulses and contraction of cardiac, skeletal, and smooth muscle

Essential for bone formation and blood coagulation.

Buffers acidity. Treats electrolyte imbalance
Calcium Gluconate
Kalcinate
Acts as an activator of the trasmission of nerve impulses and contraction of cardiac, skeletal, and smooth muscle

Essential for bone formation and blood coagulation.

Buffers acidity. Treats electrolyte imbalance
Famotidine
Pepcid
Inhibits the action of histamine at the H2 receptor site located in gastric parietal cells.

Inhibits gastric acid secretion.

Treats duodenal ulcers, GERD (gastroesophageal reflux disease), and manges gastric hypersecretory states (Zollinger-Ellison syndrome).

IV Solution prevents/treats upper GI bleed.
Cimetidine
Tagamet
Inhibits the action of histamine at the H2 receptor site located in gastric parietal cells.

Inhibits gastric acid secretion.

Treats duodenal ulcers, GERD (gastroesophageal reflux disease), and manges gastric hypersecretory states (Zollinger-Ellison syndrome).

IV Solution prevents/treats upper GI bleed.
Ranitidine
Zantac
Inhibits the action of histamine at the H2 receptor site located in gastric parietal cells.

Inhibits gastric acid secretion.

Treats duodenal ulcers, GERD (gastroesophageal reflux disease), and manges gastric hypersecretory states (Zollinger-Ellison syndrome).

IV Solution prevents/treats upper GI bleed.
Nizatidine
Axid
Inhibits the action of histamine at the H2 receptor site located in gastric parietal cells.

Inhibits gastric acid secretion.

Treats duodenal ulcers, GERD (gastroesophageal reflux disease), and manges gastric hypersecretory states (Zollinger-Ellison syndrome).

IV Solution prevents/treats upper GI bleed.
Esomeprazole
Nexium
Decreases gastric acid by binding to an enzyme on gastric parietal cells.

Prevent proton pump from releasing acid into the gastric lumen, raises gastric pH.

Treats GERD, duodenal ulcers, upper GI bleeds, and hypersecretory conditions.
Omeprazole
Prilosec
Prilosec OTC
Decreases gastric acid by binding to an enzyme on gastric parietal cells.

Prevent proton pump from releasing acid into the gastric lumen, raises gastric pH.

Treats GERD, duodenal ulcers, upper GI bleeds, and hypersecretory conditions.
Pantoprazole
Protonix
Protonix I.V.
Decreases gastric acid by binding to an enzyme on gastric parietal cells.

Prevent proton pump from releasing acid into the gastric lumen, raises gastric pH.

Treats GERD, duodenal ulcers, upper GI bleeds, and hypersecretory conditions.
Lanzoprazole
Prevacid
Decreases gastric acid by binding to an enzyme on gastric parietal cells.

Prevent proton pump from releasing acid into the gastric lumen, raises gastric pH.

Treats GERD, duodenal ulcers, upper GI bleeds, and hypersecretory conditions.
Misoprostol
Cytotec
Acts as a prostaglandin analog, decreasing gastric acid secretion and increases production of protective muscus.

Causes uterine contractions.

Prevents gastric mucosal injury from NSAIDs, including aspirin, in high risk clients.

Used with mifepristone for termination of pregnancy.
Sucralfate
Carafate
Activated by stomach acid to form a thick, protective paste.

Used for management of peptic ulcers.

Suspension used for mucositis/stomatitis/oral ulcers.
Lansoprazole/Amoxicillin/Clarithromycin
Prevpac
(Prevacid/Amoxil/Biaxin)
Decreases gastric acidity. Eliminates H. pylori infection to cure gastric ulcers.
Bismuth Subsalicylate/Metronidazole/Tetracycline
Helidac
(Pepto-Bismol/Flagyl/Achromycin)
Decreases gastric acidity. Eliminates H. pylori infection to cure gastric ulcers.
Bismuth Subsalicylate
Pepto-Bismol
Promote intestinal absorption of fluid and electrolytes.

Decreases water content of stool (antidiarrheal)
Attapulgite
Kaopectate
Promote intestinal absorption of fluid and electrolytes.

Decreases water content of stool (antidiarrheal)
Atropine
Atro-Pen
Inhibits the muscarinic effect of acetylcholine in smooth muscles, secretory glands, and the CNS.

Treats spastic bladder and bowel, including:
Diverticulitis
Infant Colic
Biliary and Renal Colic
Peptic Ulcer Disease
Irritable Bowel Syndrome
Hyoscyamine
Anaspaz
Levsin
Inhibits the muscarinic effect of acetylcholine in smooth muscles, secretory glands, and the CNS.

Treats spastic bladder and bowel, including:
Diverticulitis
Infant Colic
Biliary and Renal Colic
Peptic Ulcer Disease
Irritable Bowel Syndrome
Diphenoxylate/Atropine
Lomotil
Inhibits excess GI motility. Reduces fecal volume, increases fecal viscosity and bulk while diminishing loss of fluid and electrolytes. Inhibits peristalsis.

Used as adjunct therapy for actue diarrhea, and chronic diarrhea associated with IBS.
Decreases ileostomy drainage
Loperamide
Imodium
Inhibits excess GI motility. Reduces fecal volume, increases fecal viscosity and bulk while diminishing loss of fluid and electrolytes. Inhibits peristalsis.

Used as adjunct therapy for actue diarrhea, and chronic diarrhea associated with IBS.
Decreases ileostomy drainage
Codeine
Codeine
Inhibits excess GI motility. Reduces fecal volume, increases fecal viscosity and bulk while diminishing loss of fluid and electrolytes. Inhibits peristalsis.

Used as adjunct therapy for actue diarrhea, and chronic diarrhea associated with IBS.
Decreases ileostomy drainage
Alosetron
Lotronex
Used to treat IBS characterized by diarrhea.

5-HT3 receptor site antagonism results in slowing of colonic transit time in IBS characterized by diarrhea.
Psyllium
Metamucil
Combines with water in the intestines to form an emollient gel or viscous solution that promotes peristalsis/reduces transit time.

Manages chronic/simple constipation, esp. with low-fiber diet. Also useful in situations where straining should be avoided.
Methylcellulose
Citrucel
Combines with water in the intestines to form an emollient gel or viscous solution that promotes peristalsis/reduces transit time.

Manages chronic/simple constipation, esp. with low-fiber diet. Also useful in situations where straining should be avoided.
Polyethylene Glycol/Electrolyte
GoLYTELY
NuLytely
MIRALAX
Polyethylene glycol (PEG) in solution acts as an osmotic agent, drawing water into the lumen of the GI tract.

Used for bowel cleansing in preparation for GI examination.

Also for treatment of acute iron overdose in children.
Sodium Chloride/Sodium Bicarbonate/Potassium Chloride with Bisacodyl Slow Release Tablets
Halflytely
Polyethylene glycol (PEG) in solution acts as an osmotic agent, drawing water into the lumen of the GI tract.

Used for bowel cleansing in preparation for GI examination.

Also for treatment of acute iron overdose in children.
Simethicone
Gas-X
Mylicon
Phazyme
Causes the coalescence of gas bubbles. Does not prevent the formation of gas.

Relieves painful symptoms of excess gas in GI tract that occurs postoperatively, or due to air swallowing, dyspepsia, peptic ulcer, or diverticulitis.
Lactulose
Cephulac
Kristalose
Chronulac
Increases water content and softens the stool. Lowers the pH of the color, which keeps ammonia from infusing from the colon into the blood, reducing blood ammonia levels.

Treats chronic constipation in adults/geriatric. Used in diabetic clients with gastroparesis.

Adjunct in management of portal-systemic (hepatic) encephalopathy (PSE).
Sennoside
Ex-Lax
Fletcher's Castoria
Senokot
Active componenets alter water and electrolyte transport in the large intestine, resulting in accumulation of water and increased peristalsis.

Treats constipation, esp. with slow transit time, constipating drugs, or IBS/SBS.
Bisacodyl
Dulcolax
Active componenets alter water and electrolyte transport in the large intestine, resulting in accumulation of water and increased peristalsis.

Treats constipation, esp. with slow transit time, constipating drugs, or IBS/SBS.
Casanthranol & Docusate Sodium
Peri-Colace
Active componenets alter water and electrolyte transport in the large intestine, resulting in accumulation of water and increased peristalsis.

Treats constipation, esp. with slow transit time, constipating drugs, or IBS/SBS.
Docusate Calcium
Surfak
DC Softgels
Adsorbent: pulls water into stool. Increases electrolyte and water secretion into colon.

Prevents constipation and straining at stool (cardiac clients, recent rectal surgery, etc). Can be used rectally to soften fecal impaction.
Docusate Sodium
Colace
Adsorbent: pulls water into stool. Increases electrolyte and water secretion into colon.

Prevents constipation and straining at stool (cardiac clients, recent rectal surgery, etc). Can be used rectally to soften fecal impaction.
Magnesium Oxide
Mag-Ox 400
Essential for activity of many enzymes. Important to neurotransmission and muscular excitability. Osmotically active in GI tract, drawing water into the lumen and causing peristalsis.

Treats/prevents hypomagnesemia. Also a laxative/bowel evacuant. PO liquid is used as an antacid.
Magnesium Sulfate (IV)
Magnesium Sulfate Injection
Essential for activity of many enzymes. Important to neurotransmission and muscular excitability. Osmotically active in GI tract, drawing water into the lumen and causing peristalsis.

Treats/prevents hypomagnesemia. Also a laxative/bowel evacuant. PO liquid is used as an antacid.
Magnesium Hydroxide
Dulcolax Magnesia Tablets
Phillips Magnesia Tables
Phillips Mike of Magnesia
MOM
Essential for activity of many enzymes. Important to neurotransmission and muscular excitability. Osmotically active in GI tract, drawing water into the lumen and causing peristalsis.

Treats/prevents hypomagnesemia. Also a laxative/bowel evacuant. PO liquid is used as an antacid.
Scopolamine
Isopto Hyoscine
Transderm-Scop
Inhibits muscarinic activity of acetylcholine. Correct imbalance of acetylcholine and norepinephrine in the CNS, which may be responsible for motion sickness.

Transdermal: Prevents motion sickness. Manages N/V assoc. with opiod analgesia/general anesthesia.
IM/IV/SQ: Preoperatively for production of amnesia and reduction of salivation/respiratory secretions
Meclizine
Antivert
Bonine
Dramamine II
Has central anticholinergic, CNS depressant, and antihistaminic properties. Decreases excitability of the middle ear labyrinth.

Manages/prevents motion sickness and vertigo.
Prochlorperazine
Compazine
Alters effects of dopamine in the CNS. Depresses the chemoreceptor trigger zone (CTZ) in the CNS.

Used to manage N/V
Metoclopramide
Reglan
Blocks dopamine receptors in the chemorecepted trigger zone (CTZ) in the CNS. Stimulates motility of the upper GI tract and accelerates gastric emptying.

Prevents emesis related to chemotherapy/surgery. Reduces GERD. Prevents microaspiration in clients with enteral feedings.

Also used to treat hiccups.
Ondansetron
Zofran
Blocks the effects of serotonin at receptor sites (selective antagonist) located in vagal nerve terminals and in the CTZ in the CNS.

Prevents N/V assocated with chemotherapy and radiation therapy.

IM/IV: Prevents/treats postoperative N/V.
Granisetron
Kytril
Blocks the effects of serotonin at receptor sites (selective antagonist) located in vagal nerve terminals and in the CTZ in the CNS.

Prevents N/V assocated with chemotherapy and radiation therapy.

IM/IV: Prevents/treats postoperative N/V.
Dronabinol
THC
Marinol
Active ingredient in marijuana, with wide variety of CNS effects, including inhibition of Vomiting control mechanism in the medulla oblongata.

Treatment of N/V due to chemo that hasn't responded to other antiemetics.

Also stimulation of appetite in the cachexic client.
Nabilone
Cesamet
Active ingredient in marijuana, with wide variety of CNS effects, including inhibition of Vomiting control mechanism in the medulla oblongata.

Treatment of N/V due to chemo that hasn't responded to other antiemetics.

Also stimulation of appetite in the cachexic client.