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Unit 3 2514
Accessory Organs of GI - Pharmacology
Question | Answer |
---|---|
This drug is used in patients with hepatic encephalopathy to remove _______________? | Lactulose removes the excessive ammonia that accumulates related to the cirrhotic liver's inability to produce urea |
A patient with a history of chronic alcohol abuse has been admitted to the unit with cirrhosis. Upon review of the patient’s laboratory test results, the nurse notes that the patient’s ammonia level is elevated at 218 mcg/dL. What medication should the nu | Lactulose |
When would the nurse expect an octapeptide such as octreotide (Sandostatin) to be ordered for a patient? | When variceal bleeding in esophageal or gastric varices occurs. This medication is given with vasopressin's and B-adrenergic blockers to attempt to stop the bleeding. |
This medication is used to reduce portal venous pressure in advanced cirrhosis. | Propranalol (inderal) a beta adrenergic blocker is given with vasopressin's to reduce bleeding in varices. |
A patient will begin taking propranolol [Inderal] for advanced cirrhosis. What will the nurse stress on as important when teaching this patient about the medication? | “Check your hands and feet for swelling and report that to your provider.” Propanolol reduces heart rate and decreases the force of ventricular contraction. This can result in herat failure in some patients so they need tobe iformed of early signs of h |