Adult Health Nursing Word Scramble
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Question | Action | Side effect | NI |
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/skin.black 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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