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pharmacology 2
Sucralfate, Misoprostol, And Metoclopramide Drug Therapy
| Question | Answer |
|---|---|
| Which patient has an indication to safely receive misoprostol? | A patient with rheumatoid arthritis who is taking NSAIDs |
| Which phrase describes the mechanism of action of sucralfate? | Inhibition of pepsin |
| Which time frame would a patient expect the effects of oral metoclopramide to last? | 3-4 hours |
| Which statement is accurate regarding the pharmacokinetics of sucralfate? | The drug is excreted in the urine |
| Which time frame describes misoprostol’s elimination half-life? | 20-40 minutes |
| Which patients can safely receive misoprostol? | A patient with epilepsy A patient with alcoholism A patient with Parkinson disease A patient with pheochromocytoma |
| Which patient parameters would a nurse ensure are documented before administration of sucralfate? | Urine output GI pain |
| Which patient parameter would a nurse ensure has been determined in a 25-year-old female patient receiving misoprostol for prevention of nonsteroidal antiinflammatory drug (NSAID)–induced ulcers? | Pregnancy test |
| A nurse is caring for patient who is taking levothyroxine and has been prescribed sucralfate. Which outcome would the nurse anticipate will occur from this drug interaction? | Increased dosage of levothyroxine |
| Which patient parameters would a nurse ensure are monitored in a patient receiving metoclopramide? | Heart rate Temperature Blood pressure (BP) Unusual facial or tongue movements |
| Which statement made by a lactating female patient regarding misoprostol therapy requires further intervention? | "I should take magnesium-containing antacids to help with any stomach issues from misoprostol." |
| Which teaching points would be shared by a nurse with a patient who is receiving metoclopramide as orally disintegrating tablets? | Continue taking metoclopramide, even upon feeling better. Avoid driving or other hazardous activities until stabilized on the medication. |
| Place the medication on the tongue, allowing it to dissolve before swallowing. Avoid alcohol when receiving metoclopramide because this can increase sedation. |