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50 Cards in this Set

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  • Back
Why do we give a pt with Liver failure Lactulose (trade name: Chronulac)?
Why do we give a pt with Liver failure Lactulose (trade name: Chronulac)?

-to decrease the blood ammonia levels.
Why do we want to decrease the ammonia levels with Lactulose (trade name: Chronulac)?
Why do we want to decrease the ammonia levels with Lactulose (trade name: Chronulac)?

u want to reduce blood ammonia levels in hepatic encephalopathy (altered mental status is the key)
Lomotil (Diphenoxylate) is what kind of drug?
Lomotil (Diphenoxylate) is what kind of drug?
-an anti-diarrheal (narcotic).
Who don’t you give Lomotil (Diphenoxylate) to? and why?
Who don’t you give Lomotil (Diphenoxylate) to? and why?
- Do not give Lomotil (Diphenoxylate) to pt with glacoma.
- Why? Because it interferes with the ability to get rid of the aqueous humour. Makes the glaucoma worse.
(FYI: one of the side effects is drying of the mucus membranes thereby worsening the glaucoma)
Why don’t we give Misoprostol (Cytotec) to an pt with NSAID produced ulcer?
Why don’t we give Misoprostol (Cytotec) to an pt with NSAID produced ulcer?
If they are pregnant or could be pregnant, do not give Misoprostol (cytotec). It is a Category X drug. (example: if you have a female pt who is 29, @ child baring age, you would not give it to her unless it has been proven that she is not pregnant)
What kind of a drug is Simethicone (Mylicon)?
What kind of a drug is Simethicone (Mylicon)?
Antiflatulent.
What is Simethicone (Mylicon) given for?
What is Simethicone (Mylicon) given for?
Used to reduce gas in the intestinal tract
If pt is taking tums after each meal, how would you instruct them to take the medication?
If pt is taking tums after each meal, how would you instruct them to take the medication?
Full glass of water, chew it and follow with another full glass of water.
what kind of a drug is prilosec?
what kind of a drug is prilosec?
Proton pump inhibitor
What is Prilosec given for? And how does it work?
What is Prilosec given for? And how does it work?
given for GERD. Reduces the amount of gastric acid
If a laxative contains sodium, what type of pt do we not use it in?
If a laxative contains sodium, what type of pt do we not use it in?

Pt with hypertention or fluid retention
Pt with peptic ulcer disease is being prescribed aluminium magnesium complex (riopan), what do you have them take along with it?
Pt with peptic ulcer disease is being prescribed aluminium magnesium complex (riopan), what do you have them take along with it?
take with water
Besides encephalopathy, for what give lactolose?
Besides encephalopathy, for what give lactolose?
Constapation (its a laxative)
Your pt has been prescribed Zantac for peptic ulcer, what class of drugs do you tell them to avoid? and Why?
Your pt has been prescribed Zantac for peptic ulcer, what class of drugs do you tell them to avoid? and Why?
antiacid. Why? to prevent metabolic alkaloses
What kind of a drug is Colase?
What kind of a drug is Colase?

Stool softener
Can colase cause diarrhea?
Can colase cause diarrhea?
Yes
In what part of the gi do antiacids work?
In what part of the gi do antiacids work?
Stomach
Basal Gel (aluminum carbonate gel) given for indigestion, what is a common side effect?
Basal Gel (aluminum carbonate gel) given for indigestion, what is a common side effect?
Constapation
What does a ideal anti-acid do?
What does a ideal anti-acid do?
get rid of excessive acidity without causing constapation or diarrhea
How does immodium work?
How does immodium work?
slows peristalsis
Anything with sodium is going to retain fluid. We do not give sodium antiacids to pt’s with, what?
Anything with sodium is going to retain fluid. We do not give sodium antiacids to pt’s with, what?
Heart failure.
Which of the following cause diarrhea?
A. sodium bicarbonate
B. Tums
C. baso gel
D. Milk of Magnesia
Which of the following cause diarrhea?
A. sodium bicarbonate
B. Tums
C. baso gel
D. Milk of Magnesia
Answer: D. MOM
What class of drugs can be given to a pt with GERD?
What class of drugs can be given to a pt with GERD?
Proton Pump Inhibitors
If you have a pt with hyadal hernia and he tells you he has been able to sleep at night, what does that tell you about the med?
If you have a pt with hyadal hernia and he tells you he has been able to sleep at night, what does that tell you about the med?
It’s working
a pt has inflammatory bowel disease, prescribed Azulfidine (sulfa drug) for inflamation, how much h2o to take per day?
a pt has inflammatory bowel disease, prescribed Azulfidine (sulfa drug) for inflamation, how much h2o to take per day?
2 liters
where we store suppository?
where we store suppository?
in the fridge
What do you give a pt for H. pylori ?
What do you give a pt for H. pylori ?
Bismuth, Metronidazole, and tetracycline (antimicrobial) may be given with a histomine H2 antagonist to treat H. pylori. One of the side effects is bleeding, if pt is having GI bleeding that means the meds are not being effective. Look for black tarry stools, abdominal pain, respiration's are up, bp down
After all antibiotic therapy pt has been on, pt has developed cdiff, what kind is it?
After all antibiotic therapy pt has been on, pt has developed cdiff, what kind is it?
super infection. In order to stop diarrhea, flaggil should be given to stop the c. diff and lomatil to stop diarrhea
senokot is what kind of drug?
senokot is what kind of drug?
a stimulant laxative
Pt calls and concerned because while taking senokot, they have brown urine and yellow green poop, what do you tell the pt?
Pt calls and concerned because while taking senokot, they have brown urine and yellow green poop, what do you tell the pt?
tell pt its normal. Its a common side effect.
marinol is given to pt who have nausea from chemotherapy & radiation, what do u do if they have euphoria?
marinol is given to pt who have nausea from chemotherapy & radiation, what do u do if they have euphoria?
call dr., because its a side effect
giving pt med to stop diarrhea give too much may cause what?
giving pt med to stop diarrhea give too much may cause what?
pt may get constipation.
what is the prob when someone takes lax for too long? What kind of acid base problem?
what is the prob when someone takes lax for too long? What kind of acid base problem?
electrolyte imbalance, addiction, diarrhea
alkalosis (getting rid of the acid)
What kind of acid base do you get when a pt is vomiting?
What kind of acid base do you get when a pt is vomiting?
alkolosis
When is the best time to take most diarrheal medications?
When is the best time to take most diarrheal medications?
take at night on an empty stomach (couple hours after eating, before bed)
What is advantage of giving a h2 blocker over a conventional antiacid?
What is advantage of giving a h2 blocker over a conventional antiacid?
given less frequently
what would u tell pt who has been treated for an gastric ulcer and is now being sent home on antiacids?
what would u tell pt who has been treated for an gastric ulcer and is now being sent home on antiacids?
If the symptoms subside, don’t stop the treatment.
from other meds?
from other meds?
bulk forming laxative. take with 8oz of water. followed by by 8oz. Space 2 hours apart when taking other meds.
what kind of a drug is Reglan? What kind of pt’s do you give it to?
what kind of a drug is Reglan? What kind of pt’s do you give it to?
Upper GI stimulant. increases motility of the GI tract.
Give to people to increase mobility to prevent constipation (illious, decreased bowel sounds)
What type of laxative do you give to a pt with IBS?
What type of laxative do you give to a pt with IBS?
pt who have diarrhea from IBS, can also benefit from Bulk Forming Laxative. sigmoidoscopy, delivered baby, give them all laxatives)
pt has just delivered birth, what do u give?
pt has just delivered birth, what do u give?
Laxative
pt with abd pain and constipation, do you give a laxative?
pt with abd pain and constipation, do you give a laxative? NO. do not give laxative
why do we not give tagamet or sedeme (h2 blocker)?
why do we not give tagamet or sedeme (h2 blocker)?
may cause impedance
pt with ulcertivcolitis. asacol (a aspitrin prodict). how should u instruct pt to take it?
pt with ulcertivcolitis. asacol (a aspitrin prodict). how should u instruct pt to take it?
do not chew, break or crush
pt has inflammatory bowel desease, dr. prescribed azlulfidime (sulfanamide drug) what lab test do you monitor? and why?
pt has inflammatory bowel desease, dr. prescribed azlulfidime (sulfanamide drug) what lab test do you monitor? and why?
creatinine
y? it effects the kidneys
pt has a H. pylori infection causing peptic ulcer disease is being prescribed a combo med, how long should they take it?
pt has a H. pylori infection causing peptic ulcer disease is being prescribed a combo med, how long should they take it?
2-4 weeks
b4 pt takes a bulk laxative, what do u ask?
b4 pt takes a bulk laxative, what do u ask?
can they swallow.
pt going in for colonoscopy & prescribed Golitly, what assess do you want to take prior to procedure?
pt going in for colonoscopy & prescribed Golitly, what assess do you want to take prior to procedure?
skin turgir, mucosa, electrolyte
giving cephulac with end stage liver disease to reduce ammonia level how do u know working?
giving cephulac with end stage liver disease to reduce ammonia level how do u know working?
serum amonia level. pt becomes more lucid. mental status improves
what not to give with med?
what not to give with med? alcohol