mod 4 pharm - E2

Question 1

ketorolac

Answer 1

for gallbladder pain
an non steroidal anti inflammatory medicine

Question 2

anticholinergics (specifically dicyclomine)

Answer 2

for gallbladder
reduces some of the smooth muscle spasms which aids in preventing dislodgment of more stones

Question 3

when would bile acids be used w/ gallstones

Answer 3

used to dissolve stones when pt cannot have surgery

Question 4

Pancrelipase class

Answer 4

Pancreatic enzyme replacement

Question 5

Pancrelipase MOA

Answer 5

replaces pancreatic enzymes

Question 6

Pancrelipase indication

Answer 6

Reduced secretion of pancreatic enzymes

Question 7

Pancrelipase nursing consideration

Answer 7

Take w/ every meal & snack

Question 8

Hep A vaccine series

Answer 8

-2 doses 6 months apart
-rec: all children @12mon & high risk

Question 9

Hep B vaccine series

Answer 9

-3 doses at least 4 months apart
-rec: all infants @birth

Question 10

what class is Lactulose

Answer 10

Hyperosmotic laxative

Question 11

Lactulose MOA

Answer 11

Reduces blood ammonia levels by converting ammonia to ammonium

Question 12

Lactulose indications

Answer 12

Reduction of ammonia absorption in hepatic encephalopathy

Question 13

Lactulose SE

Answer 13

Increased # of stools

Question 14

Lactulose nursing considerations

Answer 14

Do not give to pts who are hypokalemic

Must have high ammonia levels +changes in LOC

Question 15

Rifaximin MOA

Answer 15

Inhibits bacterial RNA synthesis by binding to bacterial DNA (initially used as an antibiotic for GI infections)

Question 16

Rifaximin indications

Answer 16

2nd line treatment for hepatic encephalopathy

Question 17

Rifaximin SE

Answer 17

Peripheral edema
Nausea
Ascites
Dizziness
Fatigue
Pruritis
Skin rash
Abdominal pain
Anemia

Question 18

Rifaximin nursing considerations

Answer 18

Can be given preventive

Increased risk of C.diff