N/V
This 5-HT3 Receptor blocker (serotonin blocker) is helpful for n/v for patients receiving chemo, radiation, and post operative. Give prophylactically for best results. Can be given orally (dissolve in mouth) or IV
ondanseton (Zofran)
Name one thing that can cause inc. production of HCL
fatty meals, stress, excessive alcohol, zollinger-Ellison syndrome
name a risk factor for PUD (lesion in stomach - gastric ulcer; small intestine - duodenal ulcer)
NSAIDS, H. Pylori, Family hx, type O blood, tobacco use, caffeine, glucocorticoids, stress
What does GERD stand for?
Gastroesophageal Reflux Disease
Green leafy vegetables are good source of this vitamin. Watch it if you are on warfarin!
Vitamin K
For n/v associated with motion sickness and inner ear problems. This can be worn as a patch behind the ear
Scopalamine
Blocks the release of HCL in response to gastrin (cimetidine, famotidine, ranitidine)
Histamine-2 Antagonists (H2 Blocker)
Most common type of ulcer, gnawing or burning upper abd pain. Worse on empty stomach, can occur 1 to 3 hrs after eating.
Duodenal ulcer. (Gastric ulcers often relieved after food, more commonly assoc w/cancer)
Diarrhea may be a side effect of which antacids products
magnesium and aluminum
Black cohosh used for:
Menopause
Meclizine (Antivert) is an anticholinergic/antihistamine frequently prescribed for motion sickness and inner ear problems. A common side effect is:
Interacts with acids at the chmical level to neutralize them (aluminum hydroxide,calcium carbonate)
Antacids
Long term use of PPIs and H2 blockers can lead to what deficiency?
Vitamin B12
How do calcium antacides affect elimination?
constipation
Kava helps decrease anxiety and promotes sleep. What is a potential serious adverse effect?
Liver injury
Phenothiazines, such as prochloperazine (Compazine), promethazine (Phenergan) and chlorpromazine (Thorazine) blocks dopamine receptors in the CTZ of the brain. What else is this class of meds used for?
Treating positive symptoms in schizophrenia and intractable hiccups
Suppresses the secretion of HCL into the lumen of the stomach. (omeprazole, pantoprazole)
Proton Pump Inhibitors (PPI)
How do you elimate H. Pylori?
antibiotics
Misoprostol inhibits acid and stimulates production of mucous. It is a synthetic form of a _______________
Prostaglandin. Also used in obstetrics and gynecology for various applications, including labor induction, management of miscarriage, and prevention of postpartum hemorrhage.
Aloe vera used for burns and skin. What is an effect on GI taken orally?
Laxative. Teach pts s/s of fluid and electrolyte imbalance
name three patient teachings when giving antiemetic therapy
Report vomiting blood, may cause drowsiness (no driving), avoid alcohol (may cause severe CNS depression), change positions slowly (hypotension), do not use for long periods of time.
Sucralfate (Carafate) coats the stomach to protect ulcerated areas from further damage. When is it given?
1 hour before meals. Other medications should be given 2 hours before or after carfafate is given
NSAIDs contribute to PUD by inhibiting this natural substance
Prostaglandins inhibits the secretion of gastrin and inc the secretion of the mucous lining of the stomach
What is simethicone OTC used for?
Gas
What is echinacea used for?
Boost immune system