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Nursing Chronic Care > Exam 1 Medications > Flashcards

Exam 1 Medications Flashcards

1
Q

What are the 3 groups of medications that treat GERD?

A

Antacids
Histamine H2 Receptor Blockers
Proton Pump Inhibitor

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2
Q

what are the medications under the Antacids list?

A

Magnesium hydroxide
Magnesium hydroxide with aluminum hydroxide
Dihydroxyalumimnum calcium carbonate
Sucralfate

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3
Q

when should you take Antacids?

A

one hour before meals or two to three before bedtime

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4
Q

how do Antacids help with GERD?

A

it raises the pH of your stomach acid so it reduces irrattion

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5
Q

how do Histamine H2 Receptor Blockers work?

A

decrease acid production and block histamine reception

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6
Q

why are people who take histamine H2 receptors and proton pump inhibitors at at risk for?

A

infection

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7
Q

why are people who take histamine H2 receptors and proton pump inhibitors at risk for infections?

A

because taking the med decreases the acid in the stomach which causes the healthy flora in your stomach to decrease

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8
Q

what is the ending for histamine H2 receptor medications?

A

-dine

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9
Q

what are the two drugs that in the H2 receptor category?

A

Cimetidine
Famotidine

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10
Q

how long does Histamine H2 Receptor Blockers last?

A

8 to 12 hours

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11
Q

can you get Histamine H2 Receptor Blockers OTC?

A

Yes

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12
Q

what is the best time to take Histamine H2 Receptor Blockers?

A

best to take at bedtime

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13
Q

what are the paths take Histamine H2 Receptor Blockers?

A

IV or PO

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14
Q

How do proton pump inhibitors work?

A

decrease acid production in the stomach

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15
Q

what is the ending of for proton pump inhibitors?

A

-zole

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16
Q

what are the proton pump inhibitor medications?

A

Pantoprazole
Omeprazole
Lansoprazole
Esomeprazole

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17
Q

how long do proton pump inhibitors last?

A

long-acting last 72-96 hours

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18
Q

what is the risk for people taking PPI long term?

A

increased risk for fractures

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19
Q

can PPIs be crushed?

A

no

20
Q

what mineral does PPI affect?

A

Calcium

21
Q

Why does PPI increase the risk for fractures?

A

it keeps your body from absorbing the calcium

22
Q

what procedures can be done to help with GERD?

A

Nissen fundoplications

23
Q

what is done in a Nissen fundoplications?

A

Get part of the stomach and wrap it around the sphincter

24
Q

when should you take PPIs?

A

30 minutes before your meals

25
Q

what are Bisphosponates?

A

medication that is absorbed by osteoclasts…once absorbed it slows down their activity

26
Q

how does taking bisphosphonates help with osteoporosis?

A

once the osteoclasts absorb it slows there activity allowing the osteoblasts to build bone

27
Q

what hormone is used to treat osteoporosis?

A

teriparatide

28
Q

do you take teriparatide before bisphosphonate?

A

yes

29
Q

what does carbidopa levodopa treat?

A

Parkinsons

30
Q

does carbidopa levodopa cure parkinsons?

A

no it only decreases symptoms

31
Q

how does carbidopa levodopa work?

A

it increases dopamine production

32
Q

what should be increased when taking carbidopa-levodopa?

A

fluid intake

33
Q

generally, what is the ending for anti alzheimer/dementia meds?

A

-ine

34
Q

what is the one anti alzheimer med that does not have the ending -ine?

A

donepezil

35
Q

what does calcitonin do?

A

it tells the body to pull calcium from blood to build bone via osteoblasts

36
Q

what is the ending for bisphosphonates?

A

-ate

37
Q

what is the one bisphosphonate that does not end in -ate?

A

zoledronic acid

38
Q

what are the side effects of antacids?

A

constipation, gas, diarrhea, headache, nausea, vomiting, acid rebound, neurotoxicity, anemia, osteopenia, hypercalcemia

39
Q

what are the side effects of H2 histamine?

A

xx

40
Q

what GERD medication should people with osteoporosis not take?

A

PPIs

41
Q

can you take antacids with other meds?

A

no

42
Q

what do Inotropic antidysrhythmic meds do?

A

tell your heart to contract harder

43
Q

what condition would need to use inotropic antidysrhythmic?

A

HF patients

44
Q

what is an example of an Inotropic antidysrhythmic?

A

digoxin

45
Q

how does digoxin work?

A

it allows the ventricles to fill completely and tells the heart to contract harder

46
Q

when should you not give digoxin to a patient?

A

if the HR is under 60

47
Q
A

Nursing Chronic Care (4 decks)

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