NUR 114 - Medications of IBS EXAM IV

Question 1

For mild to moderate disease. for relapse.
Reduces inflammation of the intestinal mucosa and inhibits prostaglandin production.
NURSING CONSIDERATION:
• Contraindicated in client’s with sulfa allergies
• Monitor CBC (can cause blood dyscrasias like bleeding, fever
• Monitor hepatic and renal function
• Give orally with full glass of water; Suppositories at HS
• Advise client: avoid sun, can cause urine, skin, contacts to have yellow-orange color
• Notify doctor if N/V, anorexia, sore throat, rash, bruising, or fever

Answer 1

sulfasalazine

Question 2

For mild to moderate disease. for relapse. Reduces inflammation of the intestinal mucosa and inhibits prostaglandin production.
NURSING CONSIDERATIONS:
• Contraindicated in client’s with sulfa allergies
• Monitor for kidney toxicity
• Notify doctor with headache, abdominal discomfort, diarrhea

Answer 2

mesalamine

Question 3

steroid used to treat moderate to severe illness IBD.
To treat flares/induce remission. For short term use only. reduces inflammation and pain.
NURSING CONSIDERATIONS:
• Increased susceptibility to infection
• Monitor for hyperglycemia & electrolytes
• Monitor for edema
• Advise client: take with food, do not stop abruptly, report unexpected weight gain, avoid crowds, report evidence of infection

Answer 3

prednisone

methylpredonisolone

Question 4

immunosuppressants used for moderate to severe illness associated with IBS. and utilized for ongoing treatment. The action is unknown in the treatment of IBD.
NURSING CONSIDERATIONS:
• Monitor for neutropenia
• Can take 6 months to see improvement

Answer 4

azathioprine
methotrexate
cyclosporine

Question 5

immunomodulators used for clients who do not respond to other drugs in regards to IBS. Suppresses the immune response. Inhibits the Tumor Necrosis Factor- an inflammatory mediator.
NURSING CONSIDERATIONS:
• Monitor for adverse effects: chills, fever, hypo/hypertension, dysrhythmias, blood dyscrasias
• Monitor liver enzymes, CBC, coagulation studies
• Advise client: avoid crowds, monitor for evidence of infection, bleeding

Answer 5

infliximab
adalimumab (self-administered
SQ injections)

Question 6

antidiarrheals that suppresses the # of stools. slows GI mobility. decrease fluid volume loss and electrolyte imbalance.
NURSING CONSIDERATIONS:
• Monitor for toxic megacolon
Observe for hypotension, abdominal distention, decrease or absence of bowel sounds
• Monitor for respiratory depression in older adults
• Advise client to avoid hazardous activities until effect established

Answer 6

Diphenoxylate/atropine