Chapter 42 : Gastrointestinal Drugs Flashcards
Antiemetics
* What is it ?
ANTIVOMITING AGENT
Antiemetics
*what are you assessing ?
Current health history
Vital signs
Urinalysis
Antiemetics
*side effects/ adverse reactions
Hypotension
Drowsiness
Antiemetics
What are you teaching the patient?
- If pregnant: do not take antiemetics during 1st trimester, it can cause teratogenic effects
- Do not drive because of drowsiness SE
- Try non-pharmacological methods
Antihistamines + Anticholinergics
*What is it / what does it do?
Treats nausea & vomiting
Antihistamines +Anticholinergics
*SE / adverse reactions ?
Drowsiness
Dry mouth
Blurred vision
Tachycardia (with the Anticholinergics)
Antihistamines + Anticholinergics
Interventions?
Patients with glaucoma should not use !
Dopamine antagonist
What is it / what do they do?
Blocks D2 receptors from the CTZ zone
Phenothiazines (Dopamine Antagonist)
SE/ Adverse reactions?
Hypotension
CNS effects
EPS symptoms
Butyrophenones
What are two SE/adverse reactions ?
EPS symptoms
Hypotension
Metocloparimide (dopamine antagonist)
SE/adverse reactions ?
Sedation and diarrhea (with high doses)
EPS especially prevalent in children
Metocloparimide (dopamine antagonist)
Do not give if patient has what ?
GI obstruction
Hemorrhage
Perforation
Serotonin receptor antagonist
What is it used for ?
Treats Nausea and vomiting due to cancer chemotherapy
Serotonin receptor antagonists
SE/ adverse reactions
Headache
Diarrhea
Fatigue
Nursing process for : antidiarrheals
What are you assessing ?
Contributing health hx contributing to diarrhea cause
Vital signs
Narcotic drug hx