GI medications

Question 1

TPN is nutrition that is delivered ________.

Answer 1

intravenously

Question 2

Which line is preferred for TPN?

Answer 2

Central line (to decrease phlebitis)

Question 3

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

Answer 3

scrub the hub

Question 4

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

Answer 4

24 hours

Question 5

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

Answer 5

daily weight and check electrolytes

Question 6

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

Answer 6

dextrose 10% at the SAME rate

Question 7

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

Answer 7

up / down

Question 8

Another name for polyethylene glycol is _______.

Answer 8

Miralax

Question 9

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

Answer 9

Laxatives

Question 10

Docusate is a ____ _____.

Answer 10

stool softener

Question 11

Loperamide, Diphenoxylate, and Bismuth subsalicylate are all anti______.

Answer 11

antidiarrheals

Question 12

Ondansetron, Promethazine, and Meclizine are _____.

Answer 12

antiemetics

Question 13

Antiemetics don’t treat the _____ just the symptoms.

Answer 13

cause

Question 14

Ondansetron is administered _____.

Answer 14

slowly

Question 15

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

Answer 15

QT / VT

Question 16

Drugs ending in dine are _____.

Answer 16

H2 blockers (Antiulcers)

Question 17

drugs ending in prazole are _____.

Answer 17

PPI’s (anti-ulcers)

Question 18

Sucralfate is a ______ ______.

Answer 18

GI protectant

Question 19

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

Answer 19

Antacids

Question 20

H2 receptors block ____ _____.

Answer 20

acid secretion

Question 21

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

Answer 21

meals / 2 to 3 hours

Question 22

Famotidine is available ______.

Answer 22

OTC

Question 23

Why is Famotidine the drug of choice?

Answer 23

Because it is less likely to interact wit other drugs.

Question 24

The top nursing consideration for omeprazole is?

Answer 24

Report black, tarry stools

Question 25

Omeprazole is indicated for _____ and _____.

Answer 25

GERD and Ulcers

Question 26

Admin Omeprazole 30 minutes _______ a meal.

Answer 26

Before

Question 27

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

Answer 27

empty

Question 28

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

Answer 28

Sucralfate can decrease / 2 hours

Question 29

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

Answer 29

nose, to earlobe, then to the xiphoid process.

Question 30

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

Answer 30

500 mL

Question 31

Blakemore tubes stop ____ ______.

Answer 31

esophageal varices

Question 32

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

Answer 32

scissors

Question 33

Cut the gastric ballon at the _____.

Answer 33

port

Question 34

Which two medications treat GERD?

Answer 34

H2 blockers and PPIs

Question 35

A client with gastritis should not have anymore ______.

Answer 35

NSAIDs

Question 36

What are the three treatments of a gastric ulcer?

Answer 36

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

Question 37

The intended action of omeprazole is to increase ____ _____.

Answer 37

stomach pH

Question 38

Name 3 treatments of D. Disease?

Answer 38

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

Question 39

What the is preop tx of appendicitis? (2)

Answer 39

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

Question 40

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

Answer 40

NPO

Question 41

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

Answer 41

Lactulose, ATB, and decreased protein in the diet.

Question 42

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

Answer 42

K sparing diuretics (spironolactone)

Question 43

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

Answer 43

benzodiazepines + opioids

Question 44

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

Answer 44

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

Question 45

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

Answer 45

drug doses