Gastro/Nutrition

Question 1

Albumin

Answer 1

• treats post-op hypotension
• post-op paracentesis
• indicates response to TPN

Question 2

Psyllium

Answer 2

• managing diverticulitis
• bulk forming laxative

Question 3

Simethicone

Answer 3

• treats excessive flatulence

Question 4

Ferrous sulfate

Answer 4

• iron
• treats iron deficiency anemia
• mix with water
• drink through straw
• vitamin C enhances absorption of iron
• calcium decreases absorption
  
  • don’t give with milk

Question 5

Cimetidine

Answer 5

• treats GERD/peptic ulcer disease
  
  • inhibits gastric acid secretion
• H. pylori
• give at bedtime
  
  • causes serious drowsiness
  • increase risk of falls
• avoid antacids
• combine with antibiotics

Question 6

Famotidine

Answer 6

• treats gastric ulcers
• used in mechanical ventilation to prevent stress ulcer

Question 7

Metoclopramide

Answer 7

• dopamine antagonist
  
  • can cause dystonia
• causes gastric emptying
• treats gastoparesis (paralysis of stomach muscles)
• treats nausea and vomiting
• can cause NMS
  
  • muscle rigidity
  • tachycardia
  • FEVER

Question 8

Nystatin

Answer 8

• treats fungal infections in stomach or intestines
• if given as fluid to baby, place half does on each side of mouth
  
  • NPO 10-15 min after

Question 9

Gastrectomy risk

Answer 9

• pernicious anemia (B12 deficiency)
  
  • slow mental state
  • numbness and tingling
  • glossitis
  • insomnia
  • irritability
• give cyanocobalamin (vitamin B12)

Question 10

Sucralfate

Answer 10

• gastric protectant
• coats gasto ulcers
• give 1 hour before meals to avoid irritating ulcer

Question 11

Ondansetron

Answer 11

• treats nausea and vommiting
  
  • give for prophylactic prevention
  • transsphenoidal hypophysectomy
• safe to take pre/post iodine CT scan
• can prolong QT interval

Question 12

Dicyclomine

Answer 12

• antispasmatic
• treats irritable bowl syndrome (IBS)
  
  • spasms and cramps
• common adverse effect is dizziness
  
  • monitor for risk of falls

Question 13

Diphenoxylate with atropine

Answer 13

• irritable bowl syndrome
  
  • antidiarrhea medication

Question 14

Hepatotoxic meds

like cirrhosis

Answer 14

✓ Acetaminophen
✓ Antifungals (ketoconazole)
✓ Antiepileptics (valproic acid)
✓ Antituberculins (isoniazid)
✓ Statins (atorvastatin)
✓ Anabolic steroids
✓ Antiarrhythmics (amiodarone)
NOT LITHIUM

Question 15

Atorvastatin risk

Answer 15

• leg pain/ muscle aches
• indicates rhabdomyolysis
• emergency

Question 16

Pernicious anemia

Answer 16

• B12 deficiency
• risk post op gastrointestinal surgery

Question 17

Misoprostol

Answer 17

• decreases gastric acid secretion
• lines stomach for protection
  
  • by increasing mucus and bicarb secretion
• reduces risk of NSAID-induced ulcers

Question 18

Gastrografin

Answer 18

• bowel perforation
• give when GI xray is needed
• do NOT give milk of magnesia
  
  • excretes barium sulfate (helps visualize xray)
  • NO barium sulfate with perforation

diatrizoic acid

Question 19

Gastro Xray imaging meds

Answer 19

• barium sulfate/swallow
  
  • DO NOT give if bowel perforated
• Gastrografin
  
  • give if bowel perforated

Question 20

Scopolamine

Answer 20

• treats IBS
• treats motion sickness

Question 21

Calcium carbonate

Answer 21

• main ingredient in antacid