GI medications Flashcards

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1
Q

TPN is nutrition that is delivered ________.

A

intravenously

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2
Q

Which line is preferred for TPN?

A

Central line (to decrease phlebitis)

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3
Q

TPN is a big infection risk so you need to ____ ____ ____ , wash hands, and wear gloves.

A

scrub the hub

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4
Q

The TPN bag is and tubing is changed every _____ hours.

A

24 hours

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5
Q

Since patients on TPN can get FO its go to do _____ _____ and check _______.

A

daily weight and check electrolytes

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6
Q

If you run out of TPN give _____ _____ at the SAME _____ the TPN was running.

A

dextrose 10% at the SAME rate

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7
Q

For TPN titrate ____ when turning on and _____ when turning off.

A

up / down

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8
Q

Another name for polyethylene glycol is _______.

A

Miralax

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9
Q

Lactulose, Bisacodyl, Milk of Magnesia and Senna are all?

A

Laxatives

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10
Q

Docusate is a ____ _____.

A

stool softener

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11
Q

Loperamide, Diphenoxylate, and Bismuth subsalicylate are all anti______.

A

antidiarrheals

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12
Q

Ondansetron, Promethazine, and Meclizine are _____.

A

antiemetics

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13
Q

Antiemetics don’t treat the _____ just the symptoms.

A

cause

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14
Q

Ondansetron is administered _____.

A

slowly

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15
Q

A fast push of Ondansetron can cause _____ prolongation and ______.

A

QT / VT

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16
Q

Drugs ending in dine are _____.

A

H2 blockers (Antiulcers)

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17
Q

drugs ending in prazole are _____.

A

PPI’s (anti-ulcers)

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18
Q

Sucralfate is a ______ ______.

A

GI protectant

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19
Q

Calcium carbonate, magnesium hydroxide, and Bismuth subsalicylate are all _______.

A

Antacids

20
Q

H2 receptors block ____ _____.

A

acid secretion

21
Q

Famotidine can be given with _____. Peak absorption of famotidine is within ____ to _____ hours.

A

meals / 2 to 3 hours

22
Q

Famotidine is available ______.

A

OTC

23
Q

Why is Famotidine the drug of choice?

A

Because it is less likely to interact wit other drugs.

24
Q

The top nursing consideration for omeprazole is?

A

Report black, tarry stools

25
Q

Omeprazole is indicated for _____ and _____.

A

GERD and Ulcers

26
Q

Admin Omeprazole 30 minutes _______ a meal.

A

Before

27
Q

You should take sucralfate on an ____ stomach, 1 hour before meals or 2 hours after a meal.

A

empty

28
Q

_____ can _____ the bioavailability of warfarin, digoxin, and phenytoin, etc…. as well as several classes of ABX. Separate these drugs for at least ____ hours.

A

Sucralfate can decrease / 2 hours

29
Q

You measure an NGT from the clients ____, to ______, then to the _____ ______.

A

nose, to earlobe, then to the xiphoid process.

30
Q

If NGT is greater than ____ mL the feed should be held.

A

500 mL

31
Q

Blakemore tubes stop ____ ______.

A

esophageal varices

32
Q

A client with a Blake more should always have _______ at he bedside in case of an emergency.

A

scissors

33
Q

Cut the gastric ballon at the _____.

A

port

34
Q

Which two medications treat GERD?

A

H2 blockers and PPIs

35
Q

A client with gastritis should not have anymore ______.

A

NSAIDs

36
Q

What are the three treatments of a gastric ulcer?

A
  1. ATB if H Pylori
  2. H2 - receptor blockers
  3. PPI’s
37
Q

The intended action of omeprazole is to increase ____ _____.

A

stomach pH

38
Q

Name 3 treatments of D. Disease?

A
  1. low fiber diet
  2. avoid hot or cold food
  3. ostomy
39
Q

What the is preop tx of appendicitis? (2)

A
  1. NO HEAT - can aggravate inflamed appendix and cause a rupture.
  2. Position right side, low fowlers for comfort
40
Q

Post-op of an appendectomy make sure the patient is ____ until bowel sounds return.

A

NPO

41
Q

The tx for hepatic encephalopathy is to decrease ammonia using ____, ______, and decreased _____.

A

Lactulose, ATB, and decreased protein in the diet.

42
Q

to decrease fluid retention in Heptic Enc. patients we use ______ ______ diuretics.

A

K sparing diuretics (spironolactone)

43
Q

Clients with hepatic encephalopathy should avoid _______ + ______ because it can worsen encephalopathy.

A

benzodiazepines + opioids

44
Q

Some key treatments of cirrhosis patients are _____, strict ____ & ____’s, daily _____.

A

paracentesis, strict I&O’s, daily weights, be very careful with drug doses.

45
Q

When treating cirrhosis patients be very careful with ____ _____ since the liver cannot metabolize well.

A

drug doses