Drug Therapy for: Nausea and Vomiting

Question 1

Dimenhydrinate (Dramamine): What does it prevent

Answer 1

nausea
vomiting
dizziness
vertigo associate with the vestibular system

Question 2

Dimenhydrinate (Dramamine): Administration for notion sickness

Answer 2

take one hour before traveling and retake every 24 for the duration of travel

Question 3

Dimenhydrinate (Dramamine): Post administration teaching

Answer 3

use caution while driving, operating machinery or performing other hazardous activities because it can make you DROWSY

Question 4

Ondansetron (Zofran): Action

Answer 4

antagonize serotonin receptors:

- prevents activation by the effects of emetogenic drugs and toxins

Question 5

Ondansetron (Zofran): What is it used for?

Answer 5

to prevent or treat moderate to severe nausea and vomiting associated with cancer therapies and post op status

Question 6

Ondansetron (Zofran): a/e

Answer 6

pain at injection site
transient elevation of liver enzymes
fatigue

headache and diarrhea = common

Question 7

Ondansetron (Zofran): How to remove the drug from packaging?

Answer 7

• do not take the tablet from the blister pack until you’re administering it
• REMOVAL IS ESSENTIAL: peel back the backing do not push it through the foil!

Question 8

Ondansetron (Zofran): Why should a pt use caution while on Zofran?

Answer 8

it can impair thinking or reactions. Use caution when driving or other task requiring mental alertness

Question 9

Dronabinol (Marinol): What is it made of

Answer 9

weed

Question 10

Dronabinol (Marinol): a/e

Answer 10

mood changes
    dizziness, trouble concentrating
    feeling "high"
    weakness, lack of coordination;
    anxiety, confusion;
    stomach pain, nausea, vomiting, diarrhea;
    warmth or tingly feeling; or
    sleep problems (insomnia).

Question 11

Dronabinol (Marinol): What are precautions of taking this med?

Answer 11

It may make you dizzy or drowsy or affect your judgment.

Do not do any activities requiring alertness and clear thinking, such as driving or using machinery, until you know how this medication affects you

Question 12

Scopolamine (Transderm Scop): How is it administered

Answer 12

Through a patch put applied to skin of the head, behind the ear

Question 13

Scopolamine (Transderm Scop): a/e

Answer 13

• eye pain or redness, seeing halos around lights;
• blurred vision and increased sensitivity to light;
• confusion, agitation, extreme fear, hallucinations, unusual thoughts or behavior; or
• urinating less than usual or not at all.

Question 14

Scopolamine (Transderm Scop): how does it affect the absorption of other drugs?

Answer 14

slows the digestive tract, which can make it harder for your body to absorb any medicines you take by mouth.

Question 15

Scopolamine (Tranderm Scop): What precautions should a pt take?

Answer 15

It may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Question 16

Metoclopramine (Reglan): a/e

Answer 16

• tremors or shaking in your arms or uncontrolled muscle movements in your face (chewing, lip smacking,frowning, tongue movement, blinking or eye movement); or
• any new or unusual muscle movements you cannot control.

Question 17

Metoclopramine (Reglan): Black Box Warning

Answer 17

High doses or long-term use of metoclopramide can cause tardive dyskinesia a serious movement disorder that may not be reversible especially in large doses or more than 12 weeks of admin