Meds (GI/Endocrine)

Question 1

Long-term corticosteroids teaching

Answer 1

Engage in physical activity
Monitor BG levels
Perform frequent hand hygiene
Increase calcium and vitamin D

Question 2

What laxative type? Administered rectally and increase water absorption -> expanding and softening the stool

Answer 2

Osmotic (glycerin, lactulose, polyethylene glycol)

Question 3

Glycerin, lactulose, polyethylene glycol

What type of laxatives?

Answer 3

Osmotic

Question 4

What type of laxative is this? Directly stimulate intestinal mucosa to increase peristalsis

Answer 4

Stimulant (bisacodyl, senna)

Question 5

What laxative has high potential for misuse due to potency?

Answer 5

Stimulant

Question 6

Bisacodyl, senna
What type of laxative?

Answer 6

Stimulant

Question 7

What is this type of laxative? Soften stool, promote peristalsis, and produce bowel mvt in 1-3 days

Answer 7

Bulk-forming (psyllium, methylcellulose)

Question 8

Psyllium, methylcellulose
What type of laxative is this?

Answer 8

Bulk-forming

Question 9

What types of laxatives is this? Reduce surface tension of fluids and lubricate intestines to increase water absorption and make stool easier to pass

Answer 9

Surfactant (docusate salts) and emollient (mineral oil)

Question 10

Sodium-glucose cotransporter-2 inhibitors (-flozin) use and adverse SE

Answer 10

Treats DM 2, HF, CKD
Promotes glucose and water secretion (diuretic effect)
Adverse SE: urosepsis, kidney impairment, genital fungal infx

Question 11

Interventions of Sodium-glucose cotransporter-2 inhibitors

Answer 11

Increase fluid intake
Check BP
Routine monitoring of kidney fx

Question 12

Levothyroxine SE

Answer 12

Improved mood and energy levels
HR w/in normal limits
Report HR > 100, chest pain, tremors, nervousness

Question 13

For insulin, what electrolyte should you watch out for?

Answer 13

Hypokalemia

Question 14

Corticosteroids suffix

Answer 14

-asone

Question 15

Corticosteroids SE

Answer 15

Sugar (hyperglycemia)
Soft bones (osteoporosis)
Sick (immunosuppression)
Sad (depression)
Salt (HTN)
Sex (low libido)
Swollen (weight gain)
Sight (cataract)

Question 16

Pt teaching for corticosteroids

Answer 16

Report S+S of infx
Increase calcium
Yearly eye exam
In times of stress, increase dose

Question 17

-glitazone

Answer 17

Thiazolidinediones

Question 18

SE of thiazolidinediones

Answer 18

Fluid overload
Increased LDL
Hepatotoxicity

Question 19

CI of thiazlidinediones

Answer 19

HF

Question 20

Sulfonylureas use

Answer 20

Manages hyperglycemia in DM 2
Avoid sun

Question 21

PTU and methimazole is risk for

Answer 21

Agranulocytosis (watch for infx)
Drug-induced hepatitis

Question 22

Heat intolerance =
Cold intolerance =

Answer 22

Heat intol = hyperthyroidism
Cold intol = hypothyroidism

Question 23

Iodism adverse rxns

Answer 23

Metallic taste
Stomatitis
Sore-throat and gums

Question 24

Barium enema procedure

Answer 24

Goal: facilitate fluoroscopic images of large intestine
Prior to administration, use clear liquid diet/laxatives
After procedure, stool may be white for several days
Increase fluid intake and use laxatives to extract barium
Notify HCP if unable to have bowel mvt