GI Flashcards
What is the action of ondansetron (Zofran)?
Prevent nausea and vomiting.
What are the side effects of ondansetron (Zofran)?
CNS: HA, serotonin syndrome; CV: EKG changes; GI: diarrhea, constipation.
What assessments should be done for ondansetron (Zofran)?
Assess bowel sounds, N/V. If vomiting is excessive, monitor fluid & electrolytes.
What teaching is important for ondansetron (Zofran)?
Report irregular heartbeat, unusual movements, changes in mental status.
What is the therapeutic response expected from ondansetron (Zofran)?
Prevent N/V.
What is the action of loperamide (Imodium)?
Inhibits peristalsis & prolongs transit time thru bowel.
What are the side effects of loperamide (Imodium)?
CNS: drowsiness; CV: EKG changes; GI: constipation.
What assessments should be done for loperamide (Imodium)?
Assess bowel sounds, number & consistency of stools. Assess electrolyte & fluid balance.
What teaching is important for loperamide (Imodium)?
Take as directed. No alcohol. Notify HCP s/s ‘hot belly’. Encourage fluids.
What is the therapeutic response expected from loperamide (Imodium)?
Decrease in diarrhea.
What is the action of bisacodyl (Dulcolax)?
Treatment for constipation. Used as bowel prep. NOT FOR WT LOSS.
What are the side effects of bisacodyl (Dulcolax)?
GI: abd. cramps, nausea.
What assessments should be done for bisacodyl (Dulcolax)?
Assess BS, abdomen, color, consistency & amt of stools.
What teaching is important for bisacodyl (Dulcolax)?
Limit use, can be addictive. Increase fluid, fiber, activity. Can be oral or supp.
What is the therapeutic response expected from bisacodyl (Dulcolax)?
Soft, formed BM. Evacuation of bowel.
What is the action of docusate sodium (Colace)?
Incorporates water into stool to soften stool for easier passage. Does not stimulate bowel.
What assessments should be done for docusate sodium (Colace)?
Assess BS, abdomen, color, consistency & amt of stools.
What teaching is important for docusate sodium (Colace)?
Use as little as possible. Increase fluid, fiber, activity. Give with full glass of water or juice.
What is the therapeutic response expected from docusate sodium (Colace)?
Soft, formed BM. May take several days of therapy.
What is the action of famotidine?
Treatment, healing & preventing of ulcers & symptoms of reflux, GERD, sour stomach, etc. Decrease gastric acid.
What are the side effects of famotidine?
CNS: confusion; CV: arrythmias; CBC: aplastic anemia, agranulocytosis.
What assessments should be done for famotidine?
Monitor for GI bleed: pain, hematemesis, dark tarry stools.
What teaching is important for famotidine?
Stop smoking, alcohol, NSAIDs. Give with meals or at bedtime if only taking once a day. Report signs & symptoms of GI bleed.
What is the therapeutic response expected from famotidine?
Decrease heartburn, acid indigestion, symptoms of reflux, or evidence of ulcers.
