Revised week 9 Flashcards
Side effects of ondansteron (Zofran)
headache, dizzy, diarrhea, drowsiness, can prolong QT interval causing dysrthmias
GERD precautions for patient teaching
Weight loss, elevated HOB, avoid fatty and acidic foods, no eating 3 hours before bed, no ETOH, no smoking
how patients with peptic ulcer disease that stems from Helicobacter Pylori are treated
Treated with triple or quadruple therapy with antibitotics and PPIS
MOA of Sucralafate (Carafate)
Creates a protective barrier against acid and pepsin
purpose of patients taking Alosteron
Blocks 5-HT3 receptors with innervate the viscera and increases firmness of stool
relationship between calcium and Vitamin D
-Works together to protect bones
-Calcium helps build and maintain bones while vitamin D helps body absorb calcium
the purpose of taking Diphenoxylate with Atropine (Lomotil)
Activates opioid receptors in GI trat to slow peristalsis and increase absorption of fluid in the intestine
how to reverse an overdose of Diphenoxylate with Atropine (Lomotil)
Naloxone
how to tell patients how to take Psyllium (Metamucil) with water
Mix with 8oz water and follow with 8oz of water
the need for and purpose of Probiotics
-Restore the normal flora of the intenstine following diarrhea, particularly from antibiotic therapy
-Inhibit the growth of potentially pathogenic species
side effects of loperamide
Constipation, abdominal pain, dry mouth, nausea, vomiting, drowsiness, dizziness
herbal remedies for nausea
ginger
amount of time a patient should wait between taking prescription GERD meds and OTC antacids
2 hours
lifestyle changes can help patients to avoid GERD
- Weight loss
- Elevate HOB
- Avoid fatty and acidic foods
- Do not eat 3 hours before bed
- No ETOH
- No smoking
lifestyle changes can help patients to avoid constipation
- Fluids
- Ambulation
- Fiber intake
- Avoid dairy, chocolate, refined white flour
the purpose of patients with cardiovascular problems taking docusate
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
signs and symptoms of an ulcer
- Burning stomach pain
- Bloating
- Beltching
- Heartburn
the outcome of a patient taking Pancrealipase.
*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
which type of laxatives a patient with heart failure should avoid
antiemetic/serotonin antagonist
prototype: ondansetron: (zofran), granisetron, dolasetron (???)
dangers of taking too many fat soluble vitamins
- drying and scaling of the skin, alopecia, fatigue
- pregnancy (Category X)
the purpose of taking psyllium and other ways to treat constipation
*psyllium swells and increases size of fecal mass; allowing for easy passage of stool
