Revised week 9

Question 1

Side effects of ondansteron (Zofran)

Answer 1

headache, dizzy, diarrhea, drowsiness, can prolong QT interval causing dysrthmias

Question 2

GERD precautions for patient teaching

Answer 2

Weight loss, elevated HOB, avoid fatty and acidic foods, no eating 3 hours before bed, no ETOH, no smoking

Question 3

how patients with peptic ulcer disease that stems from Helicobacter Pylori are treated

Answer 3

Treated with triple or quadruple therapy with antibitotics and PPIS

Question 4

MOA of Sucralafate (Carafate)

Answer 4

Creates a protective barrier against acid and pepsin

Question 5

purpose of patients taking Alosteron

Answer 5

Blocks 5-HT3 receptors with innervate the viscera and increases firmness of stool

Question 6

relationship between calcium and Vitamin D

Answer 6

-Works together to protect bones
-Calcium helps build and maintain bones while vitamin D helps body absorb calcium

Question 7

the purpose of taking Diphenoxylate with Atropine (Lomotil)

Answer 7

Activates opioid receptors in GI trat to slow peristalsis and increase absorption of fluid in the intestine

Question 8

how to reverse an overdose of Diphenoxylate with Atropine (Lomotil)

Answer 8

Naloxone

Question 9

how to tell patients how to take Psyllium (Metamucil) with water

Answer 9

Mix with 8oz water and follow with 8oz of water

Question 10

the need for and purpose of Probiotics

Answer 10

-Restore the normal flora of the intenstine following diarrhea, particularly from antibiotic therapy
-Inhibit the growth of potentially pathogenic species

Question 11

side effects of loperamide

Answer 11

Constipation, abdominal pain, dry mouth, nausea, vomiting, drowsiness, dizziness

Question 12

herbal remedies for nausea

Answer 12

ginger

Question 13

amount of time a patient should wait between taking prescription GERD meds and OTC antacids

Answer 13

2 hours

Question 14

lifestyle changes can help patients to avoid GERD

Answer 14

• Weight loss
• Elevate HOB
• Avoid fatty and acidic foods
• Do not eat 3 hours before bed
• No ETOH
• No smoking

Question 15

lifestyle changes can help patients to avoid constipation

Answer 15

• Fluids
• Ambulation
• Fiber intake
• Avoid dairy, chocolate, refined white flour

Question 16

the purpose of patients with cardiovascular problems taking docusate

Answer 16

Docusate is used when straining to have a bowel movement should be avoided (such as after having a heart attack or surgery) MOA: increases amount of water the stool absorbs in the gut, making the stool softer and easier to pass

Question 17

signs and symptoms of an ulcer

Answer 17

• Burning stomach pain
• Bloating
• Beltching
• Heartburn

Question 18

the outcome of a patient taking Pancrealipase.

Answer 18

*decreased absorption of iron; antacids may decrease effect of pancrelipase
do not crush or open enteric coated tablets; may sprinkle on food; give with meals and snacks
*contra-indication (allergy to pork)
*MOA- contains lipases, protease & amylase for patients with insufficient pancreatic secretions; improves nutritional status and reduces fatty stools

Question 19

which type of laxatives a patient with heart failure should avoid

Answer 19

antiemetic/serotonin antagonist
prototype: ondansetron: (zofran), granisetron, dolasetron (???)

Question 20

dangers of taking too many fat soluble vitamins

Answer 20

• drying and scaling of the skin, alopecia, fatigue
• pregnancy (Category X)

Question 21

the purpose of taking psyllium and other ways to treat constipation

Answer 21

*psyllium swells and increases size of fecal mass; allowing for easy passage of stool