Nausea meds

Question 1

Zofran (ondansetron)
watch for?

Answer 1

Blocks serotonin that can be responsible with N/V. can give to preg.
-expensive
-reduce dose in hepatic issues
- watch go QT syndrome and ECG every so often.

Question 2

Stemetil (prochlorperazine)
what side effects do you decrease or stop dose?

Answer 2

blocks dopamine aviods N/V
anticholergic affects
extrapyramidal reactions (dose decrease or stopped)

Question 3

promethazine (Phergen)
black box warning?

Answer 3

blocks antihistamine
sedating in IV form
(do not give to those less than 2 years b/c resp depression)

Question 4

docusate (Colace)

Answer 4

1st line
softens stool
can be used long term

Question 5

Bulk fibers

Answer 5

1st line
Metamucil
take with a full glass of water otherwise you will an obstruction

Question 6

Lactulose

Answer 6

Osmotic (moves water into the colon)
-cirrhosis (buildup of ammonia–> hepatic enchaph
Affective (consciousness improves and ammonia decreases)

Question 7

Imodium

Answer 7

diarrhea for more than 3 days or blood in stool needs to be evaluated.
slow down GI
start taking 2x the normal dose then take a dose after an episode of diarrhea.

Question 8

Diphenoxylate / Atropine (Lomotil)

How does this medication work?

Answer 8

Scheduled 5 -atropine and opioid (diphenoxylate)
- has pain and symptom relief
-anticholenergic drug
Used for IBS