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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 |
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What are the two types of antacids? |
Systemic and nonsystemic |
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What does a proton pump inhibitor do? |
Calms down stomach acid |
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Certain drugs can be risk factors for peptic ulcers or acid reflux-give examples |
Glucocorticoids Aspirin NSAIDS |
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Watch electrolyte levels with antacids, they mess with _______, levels |
Potassium |
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Name a nonsystemic antacid |
Milk of mag |
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Name a systemic antacid |
Sodium bicarbonate |
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When Histamine receptor antagonists are given to elderly in high doses, what could the SE be? |
Confusion Disorientation Hallucinations |
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What class is Zantac? |
Histamine receptor antagonist |
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When should you give Zantac? |
At bedtime without food |
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Proton pump inhibitor automatically is given when |
Before meals AC |
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Side effects of Anticholinergics? |
Fight or flight SE's |
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Pepsin inhibitor will ____ work, if given with food |
NOT |
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Pepsin inhibitor will do what to other medications |
Block their effects |
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Prostaglandin Analogue have a secondary use for |
Abortions |
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The Chemoreceptor trigger zone (CTZ) transmits impulses to the |
Vomit center- medulla |
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Can Dopamine and Seratonin stimulate the CTZ? |
Yes |
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Can Acetylcholine and histamines stimulate the CTZ? |
Yes |
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Which two classes of anti-emetics are good for motion sickness? |
Antihistamines Anticholinergics |
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If you have glaucoma, can you use an antihistamine or an Anticholinergic? |
No |
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Should you avoid OTC anti-emetics if you're pregnant? |
Yes! |
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Reglan, a Dopamine antagonist, stimulates motility of what |
GI Tract |
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Why is being a chemo pt a nursing consideration for Glucocorticoids? |
It surpresses the immune system |
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Why are antihistamines and Anticholinergics bad for glaucoma pts? |
It dialates pupils |
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Emetics work by |
Stimulating the CTZ and acts on the gastric mucosa |
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Give emetics within ________ of poisoning |
60 minutes |
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Acute dystonia Parkinsonism Akathesia Tarditive dyskinesia are all symptoms of |
Extrapyramidal symptoms (EPS) |
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All symptoms that are caused by EPS are |
Involuntary muscle movements |
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Do not use antidiarrheals for longer than |
2 days |
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Don't use a antidiarrheal if _________& ________ is suspected |
Bowel obstruction / food poisoning |
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Opiates have atropine in them to |
Detour people from taking it when they don't need to |
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Can you take opiates if your liver is impaired? |
No |
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Somatost Analog is only given to _______ patients |
Cancer |
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What is given to patients that have ingested poisons that cannot come back up esophagus? |
Charcoal |
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Questran is an Adsorbent- antidiarrheal that should be mixed up and given |
With lots of water |
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Emollients stool softeners ________ stimulate peristalsis |
Do not |
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Bulk forming laxative can be used regularly and for |
IBS |
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Osmotic saline laxatives, like milk of magnesia can |
Become toxic easily |