Unit 4 Meds Flashcards

1
Q

Antiemetic Meds

A

Ondansetron

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2
Q

Ondansetron Indications

A

Nausea and vomiting

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3
Q

Ondansetron Routes

A

PO, IV

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4
Q

Ondansetron Side Effects

A

Headache
Constipation

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5
Q

Ondansetron Nursing Considerations

A

Give PO for nausea and IV if vomiting

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6
Q

Phenothiazines (antiemetics) “-azine” Meds

A

Prochlorperazine
Promethazine

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7
Q

Phenothiazines Indications

A

Nausea and vomiting

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8
Q

Phenothiazines Routes

A

PO, IV, IM

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9
Q

Phenothiazines Side Effects

A

Drowsiness
Hypotension
Dry mouth
Urinary retention
Constipation
Blurred vision

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10
Q

Phenothiazines Nursing Considerations

A

Monitor LFT
Must be diluted when given IV
Give deep IM injection into large muscle
Avoid alcohol due to CNS depression

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11
Q

Proton Pump Inhibitors “-prazole”

A

Pantoprazole
Omeprazole
Lansoprazole
Esomeprazole

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12
Q

Proton Pump Inhibitor Indications

A

Gastritis, H. pylori, and GERD
Inhibits H ion in the gastric parietal cells to decrease HCl

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13
Q

Proton Pump Inhibitor Routes

A

PO, IV

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14
Q

Proton Pump Inhibitor Side Effects

A

Headache
Dizziness
Diarrhea
Abdominal Pain

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15
Q

Proton Pump Inhibitor Nursing Considerations

A

Monitor liver function
Give before meals or early morning
May be given with antacids
Avoid gastric irritants

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16
Q

H2 Receptor Antagonists “-tidine” Meds

A

Cimetidine
Famotidine
Nizatidine
Ranitidine

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17
Q

H2 Receptor Antagonists Indications

A

GERD and PUD
Suppresses gastric acid secretion, blocks histamine

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18
Q

H2 Receptor Antagonists Routes

A

PO, IV

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19
Q

H2 Receptor Antagonists Side Effects

A

Hematological disorders
Confusion (elderly)

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20
Q

H2 Receptor Antagonists Nursing Considerations

A

Avoid antacid within 1 hour of taking
Avoid gastric irritants (ETOH, smoking, caffeine)
Smoking interferes with absorption

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21
Q

Anticholinergic/Antispasmodic Meds

A

Dicyclomine
Hyoscyamine

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22
Q

Anticholinergic/Antispasmodic Indications

A

Treats IBS and spams of GI tract
Relaxes smooth muscle of GI tract and decreases GI motility

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23
Q

Anticholinergic/Antispasmodic Routes

A

PO

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24
Q

Anticholinergic/Antispasmodic Side Effects

A

Dry mouth
Constipation
Blurred vision
Urinary retention
Confusion

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25
Anticholinergic/Antispasmodic Nursing Considerations
Administer 1 hour before meals for IBS Contraindicated if patient has glaucoma or BPH Helps manage urinary continence after prostate surgery
26
Prokinetic Agent Meds
Metoclopramide
27
Metoclopramide Indications
Treats gastric stasis Stimulates GI motility, accelerates gastric emptying
28
Metoclopramide Routes
PO, IV, IM
29
Metoclopramide Side Effects
Drowsiness Restlessness Diarrhea
30
Metoclopramide Nursing Considerations
Administer 1 hour before meals Avoid taking for more than 12 weeks due to increased risk of tardive dyskinesia
31
Antacid Meds
Aluminum hydroxide Calcium carbonate Magnesium hydroxide Sucralfate
32
Aluminum hydroxide, Calcium carbonate, and Magnesium hydroxide Indications
Acid indigestion Produces a neutral salt combined with gastric acid
33
Sucralfate Indications
Treatment of peptic ulcers Forms a paste to adhere to peptic ulcer to aid healing
34
Antacid Routes
PO
35
Antacid Side Effects
Constipation
36
Aluminum hydroxide, Calcium carbonate, and Magnesium hydroxide Nursing Considerations
Increase PO fluids to avoid constipation Allow 1 hour time between other meds
37
Sucralfate Nursing Considerations
Administer 1 hour before meals and at bedtime
38
Antidiarrheal Meds
Loperamide (non-opioid) Diphenoxylate/atropine (opioid)
39
Antidiarrheal Indications
Diarrhea Decreases GI motility, and decreases fluid and electrolyte loss
40
Antidiarrheal Routes
PO
41
Loperamide Side Effects
Dry mouth Constipation Blurred vision Urinary retention
42
Diphenoxylate/atropine Side Effects
Constipation Drowsiness
43
Antidiarrheal Nursing Considerations
Do not use if diarrhea last more than 2 days or abdominal pain of unknown origin Rule out food-borne illness BRAT diet
44
Laxative Meds
Psyllium Bisacodyl Lactulose
45
Psyllium Indications
Constipation Increases bulk of stool
46
Laxative Routes
PO
47
Psyllium Side Effects
Diarrhea
48
Psyllium Nursing Considerations
Take with full glass of water Monitor for fluid & electrolyte loss
49
Bisacodyl Indications
Constipation Stimulant laxative
50
Bisacodyl and Lactulose Side Effects
Cramps Diarrhea
51
Bisacodyl Nursing Considerations
Do not crush Must swallow whole
52
Lactulose Indications
Hepatic encephalopathy Decreases serum ammonia by using osmosis to pull water and ammonia into intestines
53
Lactulose Nursing Considerations
Monitor stools and LOC Assess ammonia levels, fluid & electrolyte loss
54
Hormone Meds
Octreotide Darbepoetin Epoetin alfa
55
Octreotide Indications
Treatment of esophageal bleed and acromegaly Suppresses growth hormone and causes vasoconstriction
56
Octreotide Routes
SC, IV, IM
57
Octreotide Side Effects
Dizziness Hypoglycemia Hyperglycemia Abdominal discomfort
58
Octreotide Nursing Considerations
Monitor FSBS Assess fluids and electrolytes Monitor bleeding
59
Darbepoetin and Epoetin alfa Indications
Anemia associated with renal failure Stimulates bone marrow to erythropoiesis
60
Darbepoetin and Epoetin alfa Routes
SC, IV
61
Darbepoetin and Epoetin alfa Side Effects
Allergic reactions Seizures Hypertension Dizziness Fever
62
Darbepoetin and Epoetin alfa Nursing Considerations
Monitor BP, hemoglobin, and F&E Contraindicated with uncontrolled HTN Teach about increased dietary iron and iron supplements
63
Cephalosporins "cef- or ceph-" Meds
Cephalexin Cefadroxil Cefazolin
64
Cephalosporin Indications
Antibiotic Skin, respiratory, ear and urinary infections
65
Cephalosporin Routes
PO, IV, IM
66
Cephalosporin Side Effects
Diarrhea N/V Pseudomembranous colitis
67
Cephalosporin Nursing Considerations
Contraindicated if patient has a penicillin allergy Avoid alcohol when taking
68
Aminoglycosides "-mycin or -micin" Meds
Vancomycin Gentamicin
69
Aminoglycoside Indications
Antibiotic Bowel, respiratory, heart, skin, and MRSA infections
70
Aminoglycoside Routes
IM, IV needs to be infused at least over 1 hour
71
Aminoglycoside Side Effects
N/V Nephrotoxicity Ototoxicity Anaphylaxis Red-man syndrome
72
Aminoglycoside Nursing Considerations
Monitor BUN, creatinine Vancomycin peak 25-50 mcg/mL, trough 10-20 mcg/mL Gentamicin peak 5-10 mcg/mL, trough 0.5-2 mcg/mL