GI DRUGS 2 Flashcards
ANTACIDS
Therapeutic Uses
PEPTIC ULCERS
GERD (HEARTBURN)
NEUTRALIZES STOMACH QUICKLY
NOT LONG ACTING
ANTACIDS
Drug Names (suffix or prefix)
SOIDUM BICARBONATE
CALCIUM CARBONATE
ALUMINUM HYDROXIDE
MAGNESIUM HYDROXIDE
IT IS A SCAM - CAUSE THEY DO NOT LAST A LONG TIME
ANTACIDS
Side Effects
DEPENDS ON THE ANTACIDE
CALCIUM AND ALUMINUM
CONSTIPATION
MAGNESIUM
UPSET STOMACH
DIARRHEA
ANTACIDS
Nclex Tips / Memory Tricks
IT IS A SCAM - CAUSE THEY DO NOT LAST A LONG TIME
ANTACIDS
Patient Education
DO NOT TAKE WITH MEALS
TAKE 1 HOUR AFTER MEALS
3 HOURS AFTER MEALS
AT BEDTIME
NOT WITH OTHER MEDS (TAKE 1 HR BEFORE OR AFTER OTHER MEDS)
PROTON PUMP INHIBITORS (PPI)
Therapeutic Uses
STRESS ULCER PREVENTION (HOSPITALIZED / SURGICAL CLIENT)
GASTRIC / DUODENAL ULCERS (H PYLORI INFECTIONS)
GERD (HEARTBURN)
SUPPRESSES PRODUCTION OF GASTRIC ACID
PROTON PUMPS PRODUCE ACID SO PROTON PUMP INHIBITORS PROHIBIT THIS PRODUCTION - THEY SUPPRESS ITS PRODUCTION
PROTON PUMP INHIBITORS (PPI)
Drug Names( suffix or prefix)
PRAZOLE’
DEXLANSOPRAZOLE
ESOMEPRAZOLE
LANSOPRAZOLE
OMEPRAZOLE
PANTOPRAZOLE
PROTON PUMP INHIBITORS (PPI)
Side Effects
LONG TERM USE
OSTEOPOROSIS
C DIFF
GI UPSET (HEADACHE / NAUSEA / DIARRHEA / ABDOMINAL PAIN)
PROTON PUMP INHIBITORS (PPI)
Nclex Tips / Memory Tricks
PROTON PUMPS PRODUCE ACID SO PROTON PUMP INHIBITORS PROHIBIT THIS PRODUCTION - THEY SUPPRESS ITS PRODUCTION
PROTON PUMP INHIBITORS (PPI)
Patient Education
TAKE 30 MINUTES B/F FIRST MEAL OF DAY
TAKE CALCIUM / VIT D SUPPS - PREVENT OSTEOPOROSIS
PROTON PUMP INHIBITORS (PPI)
Nursing Admin
PPIS PREVENT DEVELOPMENT OF ULCERS DUE TO SURGERY OR HOSPITALIZATION
HISTAMINE (H2) RECEPTOR ANTAGONISTS
Therapeutic Uses
ULCERS (DUODENAL / GASTRIC)
GERD
LONG LASTING RELIEF VS ANTACIDS WHICH IS SHORT ACTING RELEIF
HISTAMINE (H2) RECEPTOR ANTAGONISTS
Drug Names( suffix or prefix)
TIDINE’
CIMETIDINE
FAMOTIDINE
NIZATIDINE
HISTAMINE (H2) RECEPTOR ANTAGONISTS
Side Effects
STOMACH INFECTION
HISTAMINE (H2) RECEPTOR ANTAGONISTS
Nclex Tips / Memory Tricks
TIDINE’ TAKE BEFORE YOU DINE
HISTAMINE (H2) RECEPTOR ANTAGONISTS
Patient Education
TAKE 30 MINUTES BEFORE MEAL
TO PREVENT GERD -
DON’T OVEREAT
DECREASE STRESS
DON’T SMOKE
DON’T TAKE NSAIDS (RISK GI BLEED)
SUCRALFATE
Med Class
PEPSIN INHIBITORS OR MUCOSAL PROTECTIVE AGENTS
SUCRALFATE
Therapeutic Uses
PREVENTION / SHORT TERM TREATMENT - DUODENAL ULCERS
COATS THE STOMACH AND PROVIDES A PROTECTIVE BARRIER
SUCRALFATE
Drug Names( suffix or prefix)
SUCRALFATE
SUCRALFATE
Side Effects
CONSTIPATION
SUCRALFATE
Patient Education
PPIS OR H2 BLOCKERS - DO NOT TAKE WITHIN 30 MINUTES OF SUCRALFATE
TAKE ALL OTHER MEDS 1-3 HOURS B/F OR AFTER (SUCRALFATE BINDS WITH MANY MEDS - DECREASING THEIR EFFECTIVENESS)
FLUIDS / FIBER / FRUITS FILL UP THE TOILET (CONSTIPATION)
ADMIN
TAKE ON EMPTY STOMACH
WITH FULL GLASS H20
1 HR B/F MEALS TO COAT STOMACH
LOPERAMIDE
Med Class
ANTIDIARRHEAL
LOPERAMIDE
Therapeutic Uses
TREATS DIARRHEA
DECREASES INTESTINAL PERISTALSIS
LOPERAMIDE
Drug Names( suffix or prefix)
LOPERAMIDE
LOPERAMIDE
Side Effects
CHEMICALLY RELATED TO OPIOIDS SO SIMILAR SYMPTOMS
DIZZY / DROWSY
SEDATION / EUPHORIA
NO ANALGESIC EFEFC TTHOUGH LIKE OPIOIDS
LOPERAMIDE
Patient Education
USE CAUTION - DRIVING / MACHINERY (DROWSY)
DO NOT TAKE OTHER CNS DEPRESSANTS
AVOID ALCOHOL
DO NOT USE > 2 DAYS (IF DIARRHEA PERSISTS - CALL DOC)
LACTULOSE
Med Class
LAXATIVES
AMMONIA DETOXICANTS
LACTULOSE
Therapeutic Uses
REMOVES EXCESS AMMONIA (CLIENTS WITH CIRRHOSIS / HEPATIC ENCEPHALOPATHY)
LAXATIVE FOR CONSTIPATION
LACTULOSE
Drug Names( suffix or prefix)
LACTULOSE
LACTULOSE
Nclex Tips / Memory Tricks
CIRRHOSIS CAUS HIGH AMMONIA - CAN LEAD TO HEPATIC ENCEPHALOPATHY / NEUROTOXICITY
LACTULOSE
Nursing Admin
THERAPEUTIC RESPONSE
IMPROVED MENTAL STATUS
AMMONIA LEVELS DECREASE
LACTULOSE
Relevant Lab Values
AMMONIA ERR 15-110
METOCLOPRAMIDE
Med Class
GI STIMULANT
METOCLOPRAMIDE
Therapeutic Uses
NAUSEA
VOMITING
GERD
GASTRIC STASIS (INCREASES MOBILITY / PROMOTES STOMACH EMPTYING)
METOCLOPRAMIDE
Drug Names( suffix or prefix)
METOCLOPRAMIDE
METOCLOPRAMIDE
Side Effects
MAJOR RISK EPS EFFECTS (TARDIVE DYSKINESIA)
OTHER SIDE EFFECTS
SEDATION
FATIGUE
RESTLESSNESS
HEADACHE
INSOMNIA
DRY MOUTH
CONSTIPATION
TARDIVE DYSKINESIA S/S
UNCONTROLLED MOTIONS
INVOLUNTARY MOVEMENT OF EXTREMITIES
MUSCLE RIGIDITY
TREMORS
OFTEN REVERSIBLE
KEY WORDS TO LOOK FOR
LIP SMACKING
PUFFING OF CHEEKS
BLINKING OF EYES
METOCLOPRAMIDE
Nclex Tips / Memory Tricks
TAKING THAT POOP ON A METRO RIDE - METOCLOPRAMIDE
METOCLOPRAMIDE
Patient Education
RINSE MOUTH FREQUENTLY
SUCK SUGAR FREE HARD CANDY - DRY MOUTH
REPORT EPS TO PREVENT TD FROM OCCURING
ONDANSETRON
Med Class
SEROTONIN 5-HTS ANTAGONIST
ANTIEMETIC
ONDANSETRON
Therapeutic Uses
TREATS / PREVENTS NAUSEA / VOMITING WHILE ON CHEMO / RADIATION
PREVENTS POST OP NAUSEA / VOMITING
ONDANSETRON
Drug Names( suffix or prefix)
ONDANSETRON
ONDANSETRON
Side Effects
TORSADES DE POINTES (POTENTIALLY FATAL HEART RHYTHYM - QT INTERVAL PROLONGATION)
ONDANSETRON
Patient Education
ADMIN B/F CHEMO TREATMENT
ONDANSETRON
Nursing Admin
MONITOR CARDIAC RHYTHM
MISOPROSTOL
Med Class
SYNTHETIC PROSTAGLANDIN
MISOPROSTOL
Therapeutic Uses
PREVENTS GASTRIC ULCERS IN CLIENTS WITH LONG TERM NSAID USE
CERVICAL RIPENING AGENT
MISOPROSTOL
Drug Names( suffix or prefix)
MISOPROSTOL
MISOPROSTOL
Side Effects
DIARRHEA
ABDOMINAL PAIN / CRAMPING
MISOPROSTOL
Nclex Tips / Memory Tricks
MISOPROSTOL CAN CAUSE MISCARRIAGE
ONLY TAKE WHILE IN LABOR TO RIPEN CERVIX OTHERWISE NOT SAFE DURING PREGNANCY
MISOPROSTOL
Patient Education
TAKE WITH FOOD - DECREASE GI UPSET
PREG TEST B/F USE
NEED TO BE ON BC WHILE TAKING MED
DO NOT TAKE WITH ANTACIDS
REPORT SEVERE MENSTRUAL PAIN/ BLEEDING/SPOTTING
MISOPROSTOL
Nursing Admin
ONLY TAKE WHILE IN LABOR TO RIPEN CERVIX OTHERWISE NOT SAFE DURING PREGNANCY.
DOCUSATE SODIUM
Med Class
STOOL SOFTENER
DOCUSATE SODIUM
Therapeutic Uses
RELIEVE CONSTIPATION
PREVENTS STRAINING DURING BOWEL MOVEMENT
DOCUSATE SODIUM
Drug Names( suffix or prefix)
DOCUSATE SODIUM
DOCUSATE SODIUM
Patient Education
DO NOT TAKE W/IN 1 HR OF OTHER MEDS / MILK / ANTACIDS
DO NOT TAKE > 1 WEEK
FLUID / FIBER / FRUIT FILL UP TOILET (CONSTIPATION)
DOCUSATE SODIUM
Nursing Admin
CONTRAINDICATED - IF HAVE BOWEL OBSTRUCTION
MUST BE TAKEN WITH FULL GLASS OF H20 FOR MAX RESULTS
PANCRELIPASE
Med Class
PANCREATIC ENZYME
PANCRELIPASE
Therapeutic Uses
PANCREATIC INSUFFICIENCY (COMMONLY SEEN IN CYSTIC FIBROSIS)
TREATS DUCTAL OBSTRUCTION
PANCRELIPASE
Drug Names( suffix or prefix)
ENDS IN ASE - ITS AN ENZYME
PANCRELIPASE
PANCRELIPASE
Side Effects
ABDOMINAL PAIN / CRAMPS
NAUSEA / VOMITING
DIARRHEA
PANCRELIPASE
Nclex Tips / Memory Tricks
IN CYSTIC FIBROSIS - PANCREAS SECRETES THICK MUCUS - CAUSES A DEFICIENCY IN PANCREATIC ENZYME SECRETION (PROTEASE / LIPASE / AMYLASE)
PANCRELIPASE
Patient Education
MUST BE TAKEN WITH EVERY MEAL
CAN BE SWALLOWED OR SPRINKLED ON FOOD THAT IS ACIDIC - EX APPLE SAUCE
PANCRELIPASE
Nursing Admin
PROTEASE - BREAKS DOWN PROTEIN
AMYLASE - BREAKS DOWN CARBS
LIPASE - BREAKS DOWN FATSX
THERAPEUTIC EFFECT
IMPROVED NUTRITIONAL STATUS
REDUCTION IN # OF FATTY STOOLS