GI/GU Medications

Question 1

Antiemetics Nursing Consideration

Answer 1

monitor input and output

Question 2

Phenergan

Answer 2

antiemetic that causes severe drowsiness

Question 3

Zofran

Answer 3

antiemetic that causes no sedation

Question 4

Lomotil

Answer 4

antidiarrheal that has opioid and atropine in i,
monitor RR and HR
DO NOT GIVE IF PT HAS A GLUCOMA

Question 5

Pepto Bismol

Answer 5

antidiarrheal that makes stool and tounge black

Question 6

Osmotic Laxative

Answer 6

hyperosmolar, pulls water in, patient needs to increase fluids, exercise and fiber

Question 7

Stimulant Laxative

Answer 7

irritates lining of the intestines

Question 8

Bulk Forming Laxative

Answer 8

giving fiber, patient needs fluid or an obstruction can occur

Question 9

Emollient Laxative

Answer 9

stool softener; brings little water into stool

Question 10

Antacid MOA

Answer 10

neutralize HCL and reduce pepsin activity

Question 11

Antacid Nursing considerations

Answer 11

TAKE 1-3 HOURS AFTER A MEAL OR BEFORE BED; avoid spicy foods; magnesium containing antacids can cause diarrhea, do not use with impaired renal function

Question 12

Antacid Examples

Answer 12

tums (constipation)
mylanta
maglox

Question 13

H2 Blocker MOA

Answer 13

block histamine response to decrease acid production

Question 14

H2 Blockers Ending

Answer 14

“-dine”

Question 15

H2 Blocker Nursing Consideration

Answer 15

more severe side effects; watch for patients with renal and liver disease

Question 16

PPI MOA

Answer 16

blocks acid production in parietal cells

Question 17

PPI Ending

Answer 17

“-zole”

Question 18

PPI Nursing Considerations

Answer 18

TAKE BEFORE MEALS; can cause osteoporosis if taken for long time; less side effects

Question 19

Pepsin Inhibitor

Answer 19

mucosal protection, creates substance that covers ulcer; GIVE ON EMPTY STOMACH AND ALLOW 1-2 HOURS BETWEEN CARAFATE AND OTHER DRUGS

Question 20

Nitrofuratoin (macrobid) and Fosfomycin

Answer 20

supresses bacteria growth from chronic UTI’s; macrobid may turn urine brown; take with food

Question 21

Methenanmine

Answer 21

helps acidify urine, drink h2o and cranberry juice; Urine pH has to be less than 5.5 to work; avoid CITRUS, ANTACIDS AND BACTRIM

Question 22

Trimethoprim-Sulfamethoxazole (Bactrim)

Answer 22

kills gram + and - bacteria; cant take in 3rd trimester; can cause urine crystals; drink lots of fluids

Question 23

Ciproflaxcin

Answer 23

dont take with DAIRY, IORN or ANTACIDS; can cause tendon rupture and neuro side effects; check renal function

Question 24

What is interchangeable for ciproflaxcin

Answer 24

levaquin

Question 25

Pyridum/ AZO

Answer 25

can cause red/orange urine; dont give if pt has renal dysfunction; stop taking as soon as symptoms resolve