Chapter 41

Question 1

Osmotic Laxatives examples

Answer 1

Magnesium hydroxide (MOM)
Magnesium citrate

Question 2

Osmotic Laxatives side effects

Answer 2

↑Mg level, dehydration

Question 3

Bulk-Forming Laxatives contraindications

Answer 3

opiod use

Question 4

Psyllium (Metamucil) category

Answer 4

Bulk-Forming Laxatives

Question 5

Stool Softeners examples

Answer 5

Docusate sodium
Docusate calcium
(colace)

Question 6

Lactulose use

Answer 6

Pulls water into intestine

Used for constipation and to remove ammonia in pt with liver disease

Question 7

diphenoxylate with atropine (Lomotil) category

Answer 7

Opioid Antidiarrheals

Question 8

Inflammatory Bowel Disease (IBD) components

Answer 8

Ulcerative colitis

Crohn’s disease

Question 9

Inflammatory Bowel Disease (IBD) symptoms

Answer 9

Abdominal cramping and diarrhea

Question 10

Crohn’s disease

Answer 10

ulceration in distal part of small intestine

Question 11

Ulcerative colitis

Answer 11

erosions in large intestine

Question 12

Mild-to-moderate IBD tx

Answer 12

with 5-aminosalicylic acid (5-ASA) agents

Question 13

Persistant IBD tx

Answer 13

corticosteroids

Question 14

Severe IBD tx

Answer 14

immunosuppresants

Question 15

Crohn’s disease tx

Answer 15

Adalimumab (Humira™)

Question 16

Adalimumab (Humira™) action

Answer 16

Neutralizes the activity of tumor necrosis factor which causes inflammation

Question 17

Adalimumab (Humira™) adverse effects

Answer 17

flu-like sx, rash, erythema, pruritus, bleeding/hemorrhage pain or swelling, headache, erythema multiforme, Stevens-Johnson syndrome

Question 18

Irritable Bowel Syndrome (IBS) symptoms

Answer 18

abdominal pain, cramping, bloating, gas

Constipation, alternating with diarrhea

Question 19

Phenothiazine

Answer 19

can cause the adverse effect EPS (difficulty speaking)

Give Benadryl 25mg IV

Question 20

Antihistamines action for N/V

Answer 20

blocking action of acetylcholine

Question 21

Dopamine Antagonists

Answer 21

Block dopamine receptors in CTZ

Question 22

Dopamine Antagonists ending

Answer 22

zine

Question 23

Butyrophenones (Haldol, Droperidol) category

Answer 23

Dopamine Antagonists

Question 24

Dopamine Antagonists adverse effects

Answer 24

EPS 
hypotension
tremors
restlessness 
do not give with cardiac issues

Question 25

Benzodiazepines use

Answer 25

control N&V associated with chemo

use in combination with glucocorticoid & serotonin 5-HT3 receptor antagonist

Question 26

Serotonin (5-HT3) Receptor Antagonists

Answer 26

most effective with chemo related N/V

Question 27

Serotonin (5-HT3) Receptor Antagonists ending

Answer 27

setron

Question 28

Serotonin (5-HT3) Receptor Antagonists benefits

Answer 28

do not cause EPS

Question 29

Serotonin (5-HT3) Receptor Antagonists adverse effects

Answer 29

H/A, diarrhea, dizziness, fatigue

Question 30

Serotonin (5-HT3) Receptor Antagonists route

Answer 30

PO or IV

Question 31

Glucocorticoids use

Answer 31

chemo-induced nausea

Question 32

Glucocorticoids ending

Answer 32

sone

Question 33

Glucocorticoids side effects

Answer 33

so many side effects but none likely from one dose

cushing’s symptoms

Question 34

Cancer Induced N&V cocktail

Answer 34

Decadron, Ativan, & 5HT3 receptor antagonists

Question 35

Ipecac absorption causes

Answer 35

cardiotoxicity

Question 36

Pancreatitis causes

Answer 36

gallstones in women

alcoholism in men

Question 37

Pancreatitis symptoms

Answer 37

Severe pain- board like abdomen