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NUR 221 > GI DRUGS 2 > Flashcards

GI DRUGS 2 Flashcards

1
Q

ANTACIDS

Therapeutic Uses

A

PEPTIC ULCERS
GERD (HEARTBURN)
NEUTRALIZES STOMACH QUICKLY
NOT LONG ACTING

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2
Q

ANTACIDS

Drug Names (suffix or prefix)

A

SOIDUM BICARBONATE
CALCIUM CARBONATE
ALUMINUM HYDROXIDE
MAGNESIUM HYDROXIDE

IT IS A SCAM - CAUSE THEY DO NOT LAST A LONG TIME

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3
Q

ANTACIDS

Side Effects

A

DEPENDS ON THE ANTACIDE

CALCIUM AND ALUMINUM
CONSTIPATION

MAGNESIUM
UPSET STOMACH
DIARRHEA

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4
Q

ANTACIDS

Nclex Tips / Memory Tricks

A

IT IS A SCAM - CAUSE THEY DO NOT LAST A LONG TIME

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5
Q

ANTACIDS

Patient Education

A

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)

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6
Q

PROTON PUMP INHIBITORS (PPI)

Therapeutic Uses

A

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

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7
Q

PROTON PUMP INHIBITORS (PPI)

Drug Names( suffix or prefix)

A

PRAZOLE’

DEXLANSOPRAZOLE
ESOMEPRAZOLE
LANSOPRAZOLE
OMEPRAZOLE
PANTOPRAZOLE

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8
Q

PROTON PUMP INHIBITORS (PPI)

Side Effects

A

LONG TERM USE
OSTEOPOROSIS
C DIFF

GI UPSET (HEADACHE / NAUSEA / DIARRHEA / ABDOMINAL PAIN)

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9
Q

PROTON PUMP INHIBITORS (PPI)

Nclex Tips / Memory Tricks

A

PROTON PUMPS PRODUCE ACID SO PROTON PUMP INHIBITORS PROHIBIT THIS PRODUCTION - THEY SUPPRESS ITS PRODUCTION

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10
Q

PROTON PUMP INHIBITORS (PPI)

Patient Education

A

TAKE 30 MINUTES B/F FIRST MEAL OF DAY
TAKE CALCIUM / VIT D SUPPS - PREVENT OSTEOPOROSIS

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11
Q

PROTON PUMP INHIBITORS (PPI)

Nursing Admin

A

PPIS PREVENT DEVELOPMENT OF ULCERS DUE TO SURGERY OR HOSPITALIZATION

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12
Q

HISTAMINE (H2) RECEPTOR ANTAGONISTS

Therapeutic Uses

A

ULCERS (DUODENAL / GASTRIC)
GERD

LONG LASTING RELIEF VS ANTACIDS WHICH IS SHORT ACTING RELEIF

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13
Q

HISTAMINE (H2) RECEPTOR ANTAGONISTS

Drug Names( suffix or prefix)

A

TIDINE’

CIMETIDINE
FAMOTIDINE
NIZATIDINE

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14
Q

HISTAMINE (H2) RECEPTOR ANTAGONISTS

Side Effects

A

STOMACH INFECTION

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15
Q

HISTAMINE (H2) RECEPTOR ANTAGONISTS

Nclex Tips / Memory Tricks

A

TIDINE’ TAKE BEFORE YOU DINE

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16
Q

HISTAMINE (H2) RECEPTOR ANTAGONISTS

Patient Education

A

TAKE 30 MINUTES BEFORE MEAL

TO PREVENT GERD -
DON’T OVEREAT
DECREASE STRESS
DON’T SMOKE
DON’T TAKE NSAIDS (RISK GI BLEED)

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17
Q

SUCRALFATE

Med Class

A

PEPSIN INHIBITORS OR MUCOSAL PROTECTIVE AGENTS

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18
Q

SUCRALFATE

Therapeutic Uses

A

PREVENTION / SHORT TERM TREATMENT - DUODENAL ULCERS

COATS THE STOMACH AND PROVIDES A PROTECTIVE BARRIER

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19
Q

SUCRALFATE

Drug Names( suffix or prefix)

A

SUCRALFATE

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20
Q

SUCRALFATE

Side Effects

A

CONSTIPATION

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21
Q

SUCRALFATE

Patient Education

A

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

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22
Q

LOPERAMIDE

Med Class

A

ANTIDIARRHEAL

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23
Q

LOPERAMIDE

Therapeutic Uses

A

TREATS DIARRHEA
DECREASES INTESTINAL PERISTALSIS

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24
Q

LOPERAMIDE

Drug Names( suffix or prefix)

A

LOPERAMIDE

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25
Q

LOPERAMIDE

Side Effects

A

CHEMICALLY RELATED TO OPIOIDS SO SIMILAR SYMPTOMS
DIZZY / DROWSY
SEDATION / EUPHORIA
NO ANALGESIC EFEFC TTHOUGH LIKE OPIOIDS

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26
Q

LOPERAMIDE

Patient Education

A

USE CAUTION - DRIVING / MACHINERY (DROWSY)
DO NOT TAKE OTHER CNS DEPRESSANTS
AVOID ALCOHOL

DO NOT USE > 2 DAYS (IF DIARRHEA PERSISTS - CALL DOC)

27
Q

LACTULOSE

Med Class

A

LAXATIVES
AMMONIA DETOXICANTS

28
Q

LACTULOSE

Therapeutic Uses

A

REMOVES EXCESS AMMONIA (CLIENTS WITH CIRRHOSIS / HEPATIC ENCEPHALOPATHY)

LAXATIVE FOR CONSTIPATION

29
Q

LACTULOSE

Drug Names( suffix or prefix)

A

LACTULOSE

30
Q

LACTULOSE

Nclex Tips / Memory Tricks

A

CIRRHOSIS CAUS HIGH AMMONIA - CAN LEAD TO HEPATIC ENCEPHALOPATHY / NEUROTOXICITY

31
Q

LACTULOSE

Nursing Admin

A

THERAPEUTIC RESPONSE
IMPROVED MENTAL STATUS
AMMONIA LEVELS DECREASE

32
Q

LACTULOSE

Relevant Lab Values

A

AMMONIA ERR 15-110

33
Q

METOCLOPRAMIDE

Med Class

A

GI STIMULANT

34
Q

METOCLOPRAMIDE

Therapeutic Uses

A

NAUSEA
VOMITING
GERD
GASTRIC STASIS (INCREASES MOBILITY / PROMOTES STOMACH EMPTYING)

35
Q

METOCLOPRAMIDE

Drug Names( suffix or prefix)

A

METOCLOPRAMIDE

36
Q

METOCLOPRAMIDE

Side Effects

A

MAJOR RISK EPS EFFECTS (TARDIVE DYSKINESIA)

OTHER SIDE EFFECTS
SEDATION
FATIGUE
RESTLESSNESS
HEADACHE
INSOMNIA
DRY MOUTH
CONSTIPATION

37
Q

TARDIVE DYSKINESIA S/S

A

UNCONTROLLED MOTIONS
INVOLUNTARY MOVEMENT OF EXTREMITIES
MUSCLE RIGIDITY
TREMORS
OFTEN REVERSIBLE

KEY WORDS TO LOOK FOR
LIP SMACKING
PUFFING OF CHEEKS
BLINKING OF EYES

38
Q

METOCLOPRAMIDE

Nclex Tips / Memory Tricks

A

TAKING THAT POOP ON A METRO RIDE - METOCLOPRAMIDE

39
Q

METOCLOPRAMIDE

Patient Education

A

RINSE MOUTH FREQUENTLY
SUCK SUGAR FREE HARD CANDY - DRY MOUTH

REPORT EPS TO PREVENT TD FROM OCCURING

40
Q

ONDANSETRON

Med Class

A

SEROTONIN 5-HTS ANTAGONIST

ANTIEMETIC

41
Q

ONDANSETRON

Therapeutic Uses

A

TREATS / PREVENTS NAUSEA / VOMITING WHILE ON CHEMO / RADIATION

PREVENTS POST OP NAUSEA / VOMITING

42
Q

ONDANSETRON

Drug Names( suffix or prefix)

A

ONDANSETRON

43
Q

ONDANSETRON

Side Effects

A

TORSADES DE POINTES (POTENTIALLY FATAL HEART RHYTHYM - QT INTERVAL PROLONGATION)

44
Q

ONDANSETRON

Patient Education

A

ADMIN B/F CHEMO TREATMENT

45
Q

ONDANSETRON

Nursing Admin

A

MONITOR CARDIAC RHYTHM

46
Q

MISOPROSTOL

Med Class

A

SYNTHETIC PROSTAGLANDIN

47
Q

MISOPROSTOL

Therapeutic Uses

A

PREVENTS GASTRIC ULCERS IN CLIENTS WITH LONG TERM NSAID USE

CERVICAL RIPENING AGENT

48
Q

MISOPROSTOL

Drug Names( suffix or prefix)

A

MISOPROSTOL

49
Q

MISOPROSTOL

Side Effects

A

DIARRHEA
ABDOMINAL PAIN / CRAMPING

50
Q

MISOPROSTOL

Nclex Tips / Memory Tricks

A

MISOPROSTOL CAN CAUSE MISCARRIAGE

ONLY TAKE WHILE IN LABOR TO RIPEN CERVIX OTHERWISE NOT SAFE DURING PREGNANCY

51
Q

MISOPROSTOL

Patient Education

A

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

52
Q

MISOPROSTOL

Nursing Admin

A

ONLY TAKE WHILE IN LABOR TO RIPEN CERVIX OTHERWISE NOT SAFE DURING PREGNANCY.

53
Q

DOCUSATE SODIUM

Med Class

A

STOOL SOFTENER

54
Q

DOCUSATE SODIUM

Therapeutic Uses

A

RELIEVE CONSTIPATION

PREVENTS STRAINING DURING BOWEL MOVEMENT

55
Q

DOCUSATE SODIUM

Drug Names( suffix or prefix)

A

DOCUSATE SODIUM

56
Q

DOCUSATE SODIUM

Patient Education

A

DO NOT TAKE W/IN 1 HR OF OTHER MEDS / MILK / ANTACIDS

DO NOT TAKE > 1 WEEK

FLUID / FIBER / FRUIT FILL UP TOILET (CONSTIPATION)

57
Q

DOCUSATE SODIUM

Nursing Admin

A

CONTRAINDICATED - IF HAVE BOWEL OBSTRUCTION

MUST BE TAKEN WITH FULL GLASS OF H20 FOR MAX RESULTS

58
Q

PANCRELIPASE

Med Class

A

PANCREATIC ENZYME

59
Q

PANCRELIPASE

Therapeutic Uses

A

PANCREATIC INSUFFICIENCY (COMMONLY SEEN IN CYSTIC FIBROSIS)

TREATS DUCTAL OBSTRUCTION

60
Q

PANCRELIPASE

Drug Names( suffix or prefix)

A

ENDS IN ASE - ITS AN ENZYME

PANCRELIPASE

61
Q

PANCRELIPASE

Side Effects

A

ABDOMINAL PAIN / CRAMPS
NAUSEA / VOMITING
DIARRHEA

62
Q

PANCRELIPASE

Nclex Tips / Memory Tricks

A

IN CYSTIC FIBROSIS - PANCREAS SECRETES THICK MUCUS - CAUSES A DEFICIENCY IN PANCREATIC ENZYME SECRETION (PROTEASE / LIPASE / AMYLASE)

63
Q

PANCRELIPASE

Patient Education

A

MUST BE TAKEN WITH EVERY MEAL

CAN BE SWALLOWED OR SPRINKLED ON FOOD THAT IS ACIDIC - EX APPLE SAUCE

64
Q

PANCRELIPASE

Nursing Admin

A

PROTEASE - BREAKS DOWN PROTEIN
AMYLASE - BREAKS DOWN CARBS
LIPASE - BREAKS DOWN FATSX

THERAPEUTIC EFFECT
IMPROVED NUTRITIONAL STATUS
REDUCTION IN # OF FATTY STOOLS

NUR 221 (16 decks)

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