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38 Cards in this Set

  • Front
  • Back

Nonpharmacological Tx for GERD

Losing weight


Avoid irritating foods or drinks


Stop smoking


Consume smaller meals


Don't lay down after eating for at least 2 hrs


Avoid tight clothing and alcohol

What are the two types of antacids?

Systemic and nonsystemic

What does a proton pump inhibitor do?

Calms down stomach acid

Certain drugs can be risk factors for peptic ulcers or acid reflux-give examples

Glucocorticoids


Aspirin


NSAIDS

Watch electrolyte levels with antacids, they mess with _______, levels

Potassium

Name a nonsystemic antacid


Milk of mag

Name a systemic antacid

Sodium bicarbonate

When Histamine receptor antagonists are given to elderly in high doses, what could the SE be?

Confusion


Disorientation


Hallucinations

What class is Zantac?

Histamine receptor antagonist

When should you give Zantac?

At bedtime without food

Proton pump inhibitor automatically is given when

Before meals AC

Side effects of Anticholinergics?

Fight or flight SE's

Pepsin inhibitor will ____ work, if given with food

NOT

Pepsin inhibitor will do what to other medications

Block their effects

Prostaglandin Analogue have a secondary use for

Abortions

The Chemoreceptor trigger zone (CTZ) transmits impulses to the

Vomit center- medulla

Can Dopamine and Seratonin stimulate the CTZ?

Yes

Can Acetylcholine and histamines stimulate the CTZ?

Yes

Which two classes of anti-emetics are good for motion sickness?

Antihistamines


Anticholinergics

If you have glaucoma, can you use an antihistamine or an Anticholinergic?

No

Should you avoid OTC anti-emetics if you're pregnant?

Yes!

Reglan, a Dopamine antagonist, stimulates motility of what

GI Tract

Why is being a chemo pt a nursing consideration for Glucocorticoids?

It surpresses the immune system

Why are antihistamines and Anticholinergics bad for glaucoma pts?

It dialates pupils

Emetics work by

Stimulating the CTZ and acts on the gastric mucosa

Give emetics within ________ of poisoning

60 minutes

Acute dystonia


Parkinsonism


Akathesia


Tarditive dyskinesia are all symptoms of

Extrapyramidal symptoms (EPS)

All symptoms that are caused by EPS are

Involuntary muscle movements

Do not use antidiarrheals for longer than

2 days

Don't use a antidiarrheal if _________& ________ is suspected

Bowel obstruction / food poisoning

Opiates have atropine in them to

Detour people from taking it when they don't need to

Can you take opiates if your liver is impaired?

No

Somatost Analog is only given to _______ patients

Cancer

What is given to patients that have ingested poisons that cannot come back up esophagus?

Charcoal

Questran is an Adsorbent- antidiarrheal that should be mixed up and given

With lots of water

Emollients stool softeners ________ stimulate peristalsis

Do not

Bulk forming laxative can be used regularly and for

IBS

Osmotic saline laxatives, like milk of magnesia can

Become toxic easily