simethicone Flashcards

1
Q

what is the classification of simethicone

A

Polydimethylsiloxanes (antiflatulent)

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2
Q

what is the trade name for simethicone

A

Mylicon

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3
Q

what is the pharmacotherapeutic (use) for simethicone

A

relieve the discomfort of excess gas caused from swallowing air, post-op gas, PUD, spastic or irritable bowel, or diverticulitis

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4
Q

how is simethicone administered

A

orally but not absorbed from GI track

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5
Q

what is the onset of simethicone

A

it begins to act immediately in the GI tract

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6
Q

what is the duration of simethicone

A

3 hours

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7
Q

what is the pharmacodynamics of simethicone

A

defoaming action that alters the surface tension of gas bubbles. as surface tension is changed, gas bubbles unite forming large bubbles that are excreted by belching

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8
Q

what are the contraindications and precautions of simethicone

A

simethicone has no contraindications or precautions

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9
Q

what are the A/E of simethicone

A

no substancial A/E

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10
Q

what are the D/I of simethicone

A

no drug interactions with simethicone are known

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11
Q

what health status would you assess with a pt taking simethicone

A

assess bowel sound and abdominal pain

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12
Q

what life style, diet and habit would you assess with a pt taking simethicone

A

assess dietary choices

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13
Q

what environment would you assess with a pt taking simethicone

A

assess environment where drug will be given. can be given anywhere and is usually OTC

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14
Q

what is the nursing Dx of simethicone

A

acute pain r/t the presence of flatus
- desire outcome: within 2 to 3 hours of using simethicone, the patient will experience a decrease in abdominal pain and distention

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15
Q

how would you maximize the therapeutic effects of simethicone

A
  • simethicone s/b given after meals and at bedtime to increase its effectiveness
  • the suspension form of the drug must be shaken to ensure that the active ingredients are well dispersed
  • tablets should be chewed thoroughly
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16
Q

what are the patient and family education of simethicone

A
  • teach pts to take simethicone after each meal and at bedtime
  • caution pts not to increase the dosage
17
Q

what are the ongoing assessment and evaluation of simethicone

A
  • assess abdominal pain and distention periodically throughout simethicone therapy to monitor the effectiveness of the drug
  • if pain or gas or N/V increase, need to review whether another alternative is appropriate