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Adult Health Nursing

Ch 5 & 6 Pharm MEL

QuestionActionSide effectNI
Ch 5- Olsalazine / Dipentum GI antiinflammatory agent Diarrhea, abdominal pain and cramps, nausea, allergic reactions, arthralgia,rash, anaphylaxis take with food; notify dr if severe diarrhea occurs
ch 5- Antacids(aluminum,calcium and magnesium salts, and sodium bicarbonate) Maalox, Mylanta, Titralac, Alternagel neutralizes gastric acid aluminum and calcium antacids also bind phosphates in renal failure pt's Alumium -constipation calcium- const and hypercalcemia magnesium-diarrhea,hypermagnesemia sodium Bicar- na+ and h2o retention, alkalosis, can change PH of the stomach and too much can cause metabolic alkalsis, monitor serum electrolytes w/ long term use
ch 5- Bismuth Subsalicylate / Pepto-Bismol Antidiarrheal, also used for peptic ulcer disease due to Helicobacter Pylori may cause toxicity if taken w/aspirin, fecal impaction, tinitus, grayish black stools Bismuth
ch 5- Bulk laxative / Metamucil increases volume of stool, softens stools, stimulates intestinal motility Metamucil Admin with full glass of water
ch 5- Emollient laxative / Mineral Oil retards absorption of water allowing water to enter stool Emollient Admin with full glass of water
ch 5- Stimulant laxative / Cascara & Dulcolax intestinal wall irritant which increases peristalsis Stimulant Admin with full glass of water
ch 5- Stool Softener / Colace holds water within stool and produces soft stool Stool Softener Admin with full glass of water
ch 5- Hyperosmotic laxative / Lactulose holds water within the intestines and increases peristalsis Hyperosmotic Admin with full glass of water
ch 5- Saline laxative / MOM attracts and holds water in intestine which increases peristalsis Saline Admin with full glass of water
ch 5- Laxitive med to loosen the bowel content and encourage evac Laxitive Admin with full glass of water
ch 5- Cathartic promotes rapid bowel evac Cathartic Cathartic
ch 5- Irritant/Stimulant cathartic / Cascara,Dulcolax,Caster Oil irritate the walls of the intestine increasing peristalsis Irritant/Stimulant Admin with full glass of water
ch 5- Saline/Osmotic cathartic / Phospho-Soda,MOM,MAGNESIUM CITRATE attract and hold water in the intestines and produce a watery stool. Bowel prep for a diagnostic testing Saline/Osmotic Admin with full glass of water
ch 5- Isoosmotic cathartic / GoLYTELY bowel prep for colonoscopy/barium enema Isoosmotic Admin with full glass of water
ch 6- Azulfidine / Sulfasalazine GI antiinflammatory agent nausea, vomiting,ab pain,photosensitivity, rash, renal failure, anaphylaxis adequate hydration,avoid sunlight,oral contraceptives need something else, monitor CBC and renal function take with meals
ch 6- Demerol / Meperidine binds w/opiate receptors in CNS, alters perception of & response to pain,ND depression sedation, confusion, rspiratory, depression, hypotension, bradycardia,nausea, vomiting, rinary retention assess type, location , intensity of pain before and 1 hour after admin, if resp rate is <10 breathes/min assess level of sedation,NEVER USE MORPHINE
ch 6- Lactulose / Chronulac, Cephulac acidifies colonic content, decreases absorbtion of ammonia from gut, primary use Hepatic Encephalopathy, cathartic laxitive properties neausea, vomiting, diarrhea titrate does 3-4 loose stools per day, monitor for dehydration, serum levels and improved mental status
ch 6- Neomycin / Mycifradin, Myciguent decreases # of ammonia producing bateria in the gut as part of management of Hepatic Encephalopathy Ototoxicity; local stinging, burnng, nephrotoxicity monitor neurologic status and renal function
Aspirin easy bruising/bleeding, difficulty hearing, ringing in the ears, change in the amount of urine, persistent or severe nausea/vomiting, unexplained tiredness, dizziness, dark urine, yellowing eyes/ tarry stools ulcers of the stomach and duodenum,abdominal pain,nausea,gastritis (inflammation of the stomach), and bleeding from ulcers.toxic to the liver. black tarry stools,weakness, and dizziness upon standing (orthostatic hypotension
ch 5- Famotidine/Pepcid H2 receptor antagonist, inhibits gastric acid secretion drowsiness,headache, dizziness, sweating, thrombocytopenia does not effect serum levels
ch 5- Nystatin / Mycostatin / Nilstat Antifungal agent, available as oral and topical Thrush(fungal infection of the mouth) oral; nausea,vomiting, diarrhea, topical; local irritation use entire course
Created by: diamondgirljaz
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