Session 5: Monitor/Do

Question 1

• Do not administer within 1 – 2 hours of other meds – inhibits absorption.
• Give with a full glass of H2O
• Assess for renal disease, heartburn relief, and electrolyte imbalances

Answer 1

Antacids

Question 2

• Give 15 – 60 minutes before eating or drinking anything that may cause heartburn.
• Assess renal and hepatic function & side effects
• Expect lower doses if renal or hepatic issues are present.

Answer 2

Histamine 2 Blockers

Question 3

• IV route used frequently for hospitalized patients
• Monitor Zinc and Magnesium
• Monitor renal & hepatic function

Answer 3

Proton Pump Inhbitors

Question 4

• Assess for relief of diarrhea
• Assess for dehydration
• Encourage intake of fluids and
electrolytes as tolerated

GENERAL CLASS

Answer 4

Antidiarrheal Drugs

Question 5

Assess for use of antidysrhythmic or antipsychotic drugs due to interaction risks

Answer 5

Opiate-like medications

Question 6

• Assess for therapeutic effect – bowel
pattern
o Most people have at least one BM every three days. Less than that is usually considered constipation.
• Perform an abdominal assessment

Answer 6

Laxatives

Question 7

• Mix powdered form with at least 8 oz H2O.
• Separate timing from other meds by 2 hours.

Answer 7

Fiber Supplements

Question 8

• Do not use for more than 7 consecutive days without medical supervision.

Answer 8

Osmotic Agents

Question 9

If ordered as a rectal suppository, administer using appropriate technique (hold 15-20 minutes)

Answer 9

Stimulant Laxatives

Question 10

Monitor for side effects
Hold if s/s serotonin syndrome,
request EKG if heart arrythmias

Answer 10

Serotonin antagonist