Exam 3 Flashcards
Most important electrolyte loss from N/V/D
Potassium
*given in small doses
*can cause hypotension/sedation
*ex: Haldol, promethazine
Dopamine antagonists
Serotonin receptor example
Zofran
When should vomiting NOT be induced during an overdose
When the substance is unknown
Types of laxatives
Osmotic: saline (not for chf or poor renal function
Stimulant:
Bulk forming:fiber
Emollients: stool softeners
Where peptic ulcers occur
Stomach(gastric)
Duodenum
Types of ulcers
Esophageal
Duodenal
Gastric
GERD
*Decrease GI morility/secretions
*Delay gastric emptying time
*Take before meals
*Antacids can slow absorption
*Can cause: dry mouth tachycardia constipation
Anticholinergic medications
*Promote uncertainty healing
*take 1 to 3 hours after meals
*assess renal/electrolytes
* give 2 hrs after other medications
*maylox
Antacids
*Prevent gastric reflux into the esophagus reducing gastric acid secretions
*ranitidine ‘-tidine’ (zantac/pepcid)
*can cause ha, dizziness,constipation, decreased libido
Histamine 2 blockers
*protonix nexium(panta’prazle’)
*Take before meals
*monitor liver
*can cause ha, dizziness, abdominal pain
PPI (proton pump inhibitors)
*Sucralfate (carafate)
*non absorbable, combines w protein to form protective layer over ulcer
*can cause constipation
*antacids decrease effect
Mucosal protectant
Oral Hypoglycemia medications
Sulfonylureas - glipizide
Nonsulfonylureas- metformin
*can cause insulin reaction, GI effects
*Adverse reactions: hematology
*contraindications:type 1, pregnancy, breast feeding, stress
Sulfonylureas (glipizide)
*Doesn’t not cause Hypoglycemia
*GI disturbance
*contraindicated in renal failure
*stop taking 2 days prior to surgery
No sulfonylureas (metformin)
*onset of DM after adolescents
*dx of DM for less than 5 years
*normal or overweight
*fasting blood glucose < 200mg
*less than 40u insulin daily
*normal renal/hepatic functions
Criteria for use of oral Hypoglycemics
When taking oral hypoglycemic medication
*monitor vs
*administer with food
*monitor blood sugar
*teach pt symptoms of hypo/hyper, sick day plan, diet, exercise, glucometer use
Fast acting insulin
Humalog
Novalog