Close-Outs Week 6

Question 1

questions to ask patient with gas issues to determine if they should go to the doctor

Answer 1

unintentional weight loss?
diarrhea?
constipation?
fatigue?

Question 2

if patients gas is not due to food/drinks, lactase, or possibly oligosaccharides, what the best OTC recommendation?

Answer 2

simethicone

Question 3

simethicone
how to use?
is it safe for children?
side effects?

Answer 3

after meals and at bedtime as needed
yes
usually none

Question 4

if patients gas is likely due to oligosaccharide ingestion, what the best OTC recommendation?

Answer 4

alpha-Galactosidase

Question 5

if patients gas is likely due to lactose, what the best OTC recommendation?

Answer 5

lactase enzyme

Question 6

what information should you look for if someone is experiencing abnormal gas?

Answer 6

new medications?
new foods?
more fiber than usual?
discomfort after eating dairy?
how often do they drink carbonated beverages?

Question 7

what is the best treatment for viral/bacterial infections causing diarrhea?

Answer 7

fluid and electrolytes

Question 8

notable exclusions for self-treatment of diarrhea

Answer 8

• persistent vomiting
• pregnancy
• chronic/persistent diarrhea

Question 9

loperamide
use?
do not give to children under?
directions for use
side effects

Answer 9

diarrhea
6 years old
4mg initially, followed by 2mg after each loose stool, no more than 8mg/day
Dizziness, drowsiness or constipation

Question 10

bismuth subsalicylate
use?
recommended for children?
side effects
dosing:

Answer 10

diarrhea
no
black tongue/black stool (normal, not alarming)
chew 1 tablet q 30 to 60 min up to 8 times a day

Question 11

if a pregnant woman is experiencing nausea and vomiting, what is the best recommendation?

Answer 11

resting, vitamin B6 supplementation and OTC antihistamine

Question 12

exclusions for self-treatment for nausea and vomiting

Answer 12

• suspected food poisoning that persists over 24 hours
• yellow skin, eye discoloration
• stiff neck and sensitivity to light
• drug induced

Question 13

best non-pharm therapy for N/V?

Answer 13

fluids and electrolytes

Question 14

good non-pharm treatment for motion sickness?

Answer 14

acupressure wrist band

Question 15

why is meclizine recommended over cyclizine for motion sickness?

Answer 15

lasts longer and is less sedating

Question 16

meclizine
dosing:
use for children?
side effects
counsel point
what should you avoid taking it with?

Answer 16

25-50mg 1 hour before travel
not recommended
Drowsiness, dry mouth
avoid driving or operating machinery due to making you drowsy
do not take with alcohol

Question 17

cyclizine
dosing:
use for children?
side effects
counsel point
what should you avoid taking it with?

Answer 17

50mg 30 minutes before travel, then q 4-6h
yes over 6 give 25mg
drowsiness, dry mouth
do not drive or operate heavy machinery
do not take with alcohol

Question 18

ginger is a non-pharm treatment for?

Answer 18

nausea/vomiting

Question 19

recommendation for gas caused by fibrous food: alpha-Galactosidase
how to take:
side effects:
is it safe for children?

Answer 19

take 1 tablet with food causing gas
usually none
no, only for adults