GI medications Flashcards
TPN is nutrition that is delivered ________.
intravenously
Which line is preferred for TPN?
Central line (to decrease phlebitis)
TPN is a big infection risk so you need to ____ ____ ____ , wash hands, and wear gloves.
scrub the hub
The TPN bag is and tubing is changed every _____ hours.
24 hours
Since patients on TPN can get FO its go to do _____ _____ and check _______.
daily weight and check electrolytes
If you run out of TPN give _____ _____ at the SAME _____ the TPN was running.
dextrose 10% at the SAME rate
For TPN titrate ____ when turning on and _____ when turning off.
up / down
Another name for polyethylene glycol is _______.
Miralax
Lactulose, Bisacodyl, Milk of Magnesia and Senna are all?
Laxatives
Docusate is a ____ _____.
stool softener
Loperamide, Diphenoxylate, and Bismuth subsalicylate are all anti______.
antidiarrheals
Ondansetron, Promethazine, and Meclizine are _____.
antiemetics
Antiemetics don’t treat the _____ just the symptoms.
cause
Ondansetron is administered _____.
slowly
A fast push of Ondansetron can cause _____ prolongation and ______.
QT / VT
Drugs ending in dine are _____.
H2 blockers (Antiulcers)
drugs ending in prazole are _____.
PPI’s (anti-ulcers)
Sucralfate is a ______ ______.
GI protectant
Calcium carbonate, magnesium hydroxide, and Bismuth subsalicylate are all _______.
Antacids
H2 receptors block ____ _____.
acid secretion
Famotidine can be given with _____. Peak absorption of famotidine is within ____ to _____ hours.
meals / 2 to 3 hours
Famotidine is available ______.
OTC
Why is Famotidine the drug of choice?
Because it is less likely to interact wit other drugs.
The top nursing consideration for omeprazole is?
Report black, tarry stools
Omeprazole is indicated for _____ and _____.
GERD and Ulcers
Admin Omeprazole 30 minutes _______ a meal.
Before
You should take sucralfate on an ____ stomach, 1 hour before meals or 2 hours after a meal.
empty
_____ can _____ the bioavailability of warfarin, digoxin, and phenytoin, etc…. as well as several classes of ABX. Separate these drugs for at least ____ hours.
Sucralfate can decrease / 2 hours
You measure an NGT from the clients ____, to ______, then to the _____ ______.
nose, to earlobe, then to the xiphoid process.
If NGT is greater than ____ mL the feed should be held.
500 mL
Blakemore tubes stop ____ ______.
esophageal varices
A client with a Blake more should always have _______ at he bedside in case of an emergency.
scissors
Cut the gastric ballon at the _____.
port
Which two medications treat GERD?
H2 blockers and PPIs
A client with gastritis should not have anymore ______.
NSAIDs
What are the three treatments of a gastric ulcer?
- ATB if H Pylori
- H2 - receptor blockers
- PPI’s
The intended action of omeprazole is to increase ____ _____.
stomach pH
Name 3 treatments of D. Disease?
- low fiber diet
- avoid hot or cold food
- ostomy
What the is preop tx of appendicitis? (2)
- NO HEAT - can aggravate inflamed appendix and cause a rupture.
- Position right side, low fowlers for comfort
Post-op of an appendectomy make sure the patient is ____ until bowel sounds return.
NPO
The tx for hepatic encephalopathy is to decrease ammonia using ____, ______, and decreased _____.
Lactulose, ATB, and decreased protein in the diet.
to decrease fluid retention in Heptic Enc. patients we use ______ ______ diuretics.
K sparing diuretics (spironolactone)
Clients with hepatic encephalopathy should avoid _______ + ______ because it can worsen encephalopathy.
benzodiazepines + opioids
Some key treatments of cirrhosis patients are _____, strict ____ & ____’s, daily _____.
paracentesis, strict I&O’s, daily weights, be very careful with drug doses.
When treating cirrhosis patients be very careful with ____ _____ since the liver cannot metabolize well.
drug doses
