Exam 3 Drugs Lower GI

Question 1

Aminosalicylates are _________ compounds with __________ action.

Answer 1

Aspirin

Anti-inflammatory

Question 2

Aminosalicylates exert what kind of effect on the bowel

Answer 2

a topical anti-inflammatory

Question 3

What is used to treat Crohn’s disease and ulcerative colitis

Answer 3

Aminosalicylates

Question 4

Most common reactions of Aminosalicylates

Answer 4

abdominal pain, nausea, and diarrhea

Question 5

What do Antidiarrheals do?

Answer 5

Decrease intestinal peristalsis (usually increased when patient has diarrhea)

Question 6

Examples of Antidiarrheals

Answer 6

lomotil

Immodium

Question 7

Antidiarrheals treat what?

Answer 7

Used in treatment of diarrhea

Question 8

Antidiarrheals Contraindications

Answer 8

1. When diarrhea is associated with organism that can harm intestinal mucosa
2. Can cause additive CNS depression
   (some are narcotic based)

Question 9

Antiflatulents do what?

Answer 9

Reduces amount of intestinal gas

Question 10

Example if Anti-Flatulents

Answer 10

Simethicone (Mylicon)
GasX
Gaviscon
Charcoal = absorbent that reduces amount of intestinal gas

Question 11

Laxatives what is their action?

Answer 11

1. Relief of constipation
2. Prevent straining at stool
3. Preparation prior to rectal or colon exams, prior to surgery or x-ray of bowel

Question 12

Laxative - Types

Answer 12

Bulk forming

Question 13

What does a bulk forming laxative do

Answer 13

Adds bulk and water
Stimulates peristalsis
Evacuates bowel
Example = Metamucil

Question 14

Laxative types

Answer 14

1. Emolients

2. Irritants and Stimulants

Question 15

Examples of Emolients

Answer 15

Example = Colace, Surfak

Question 16

Examples of Irritants and Stimulants

Answer 16

Examples = Cascara Sagrada, Senekot

Question 17

Emolients do what?

Answer 17

Soften stool = prevents straining while having BM

Question 18

Irritants and Stimulants do what?

Answer 18

Causes intestinal irritation and increase in peristalsis

Question 19

Saline Laxatives DO what?

Answer 19

1. Water pulled into intestine

2. Increases pressure in bowel with resulting increase in peristalsis

Question 20

Examples of Saline Laxatives

Answer 20

Milk of Magnesia, Magnesium Citrate, and Fleet’s Enema

Question 21

Laxatives – Saline Adverse Reaction

Answer 21

Prolonged use = loss of water and electrolytes
Abd pain, N,V
Dependent on laxatives to have bowel movement

Question 22

Nursing Process Laxatives Antidiarrheals

Answer 22

1. May be ordered given after each loose bowel movement
2. Usually give two after first loose bowel movement and one with each loose bowel movement thereafter.
3. Do not exceed 8 tablets in a 24 hour period.

Question 23

Nursing Process monitor for

Answer 23

relief of symptoms

Question 24

Nursing Process Laxatives

Answer 24

Gives bulk producing or fecal softening laxatives with full glass of water followed by additional glass of water