Medications
Labs/dx for medications
What medication?
Medical Term
Match MOA to the medication
100

A client reports using OTC aluminum hydroxide for relief of gastric upset. She is on a renal dialysis three times a week. What should the nurse teach this client?

  • Calcium, sodium and magnesium are absorbed and levels should be monitored for hyper effects.
  • Be mindful if a pt is on a low Na diet
  • Assess malnourished, alcoholics and CKD pts due to phosphate depletion.
  • Inhibit the absorption of dietary iron and B12.
100

A client is taking Famotidine, what priority labs would be monitored? 

  • Assess kidney & liver function
  • Vitamin B12 & iron should be assessed due to the block of the acid, and this is how B12 is absorbed.
  • It may lower RBC and WBCs and platelets
100

What medication treat PUD

Famotidine

Omeprazole

Pantoprazole

Sucralfate

Misoprostol

Metoclopramide - short term


100

What is tardive dyskinesia can what medication can cause this?

Metoclopramide -- It is a neurologic condition that includes involuntary neuro responses.

  • Grimacing and eye blinking
  • Tongue jetting out
  • Puckering and pursing of lips
  • Lip smacking
  • Jerking of arms and legs
100
  • These receptors are responsible for increasing acid secretion in the stomach. These drugs suppress the volume and acidity of the pariental cell secretions.
  • Short term use as OTCs

Famotidine

200

The nurse is assisting the older adult diagnosed with gastric ulcer to schedule her medication administration. What would be the most appropriate time for this pt to take her omeprazole? 

  • Administer orally one a day before the first meal of the day
  • Should be taken 20-30 minutes before the 1st major meal of the day
200

What labs should be monitored for OTC - Acetaminophen 

Liver labs - ALT, AST, LFT, Bili.

200

What medications treat GERD

famotidine

omeprazole

pantoprazole

aluminum hydroxide

metoclopramide


200

What is osteoporosis and what medications in this unit put a client at risk for this?

Your bones are usually dense and strong enough to support your weight and absorb most kinds of impacts. As you age, your bones naturally lose some of their density and their ability to regrow (remodel) themselves. If you have osteoporosis your bones are much more fragile than they should be, and are much weake 

PPIs

Antacids contain Ca+ and levels should be monitored for hyper effects

H. Pylori treatment


200
  • Consist of sucrose (sugar) and an aluminum hydroxide (antacid)
  • Produces a thick, gel like substance that coats the ulcer, protecting against further erosion and promoting healing. It does not affect the secretion of gastric acid.

Sucralfate

300

The nurse is caring for a client with GERD and would question an order for which of the following?

Amoxicillin, Ranitidine, Pantoprazole, or Calcium Carbonate

Amoxicillin

300

Do administer these medications to pts that have allergies to sulfa or lasix?

Sulfasalazine 

300

What medications treat H. Pylori

PPI's

Amoxicillin

Metronidazole

tetracycline 

300

What is dyspepsia? What medication has this as an adverse effect?

dyspepsia or an upset stomach — is discomfort in your upper abdomen. Indigestion describes certain symptoms, such as belly pain and a feeling of fullness soon after you start eating, rather than a specific disease. 

Sulfasalazine 

300

Inhibits gastric acid secretion and stimulates the production of protective mucus.

Misoprostol

400

A client has been prescribed omeprazole for GERD. Which assessment findings would assist the nurse to determine whether drug therapy has been effective?

Decreased upper gastric pain. Decreased belching. Decreased dysphagia. No further lump felt in throat. no cough at night. No asthma symptoms. 

400

What labs/dx tests should be monitored for azathioprine? 

VS

Platelets

neutrophils

WBC

Kidney

Liver

Glucose

400

What medications help with IBS/IBD?

Alosetron

Lubiprostone

Sulfasalazine


400

What is C. Diff? What medications put a client at risk for this?

Clostridioides difficile is a bacterium that causes an infection of the colon, the longest part of the large intestine. Symptoms can range from diarrhea to life-threatening damage to the colon. The bacterium is often called C. difficile or C. diff.

Illness from C. difficile often occurs after using antibiotic medicines. It mostly affects older adults in hospitals or in long-term care settings. People not in care settings or hospitals also can get C. difficile infection. Some strains of the bacterium that can cause serious infections are more likely to affect younger people.

H. Pylori treatment - PPIs and antibiotics

400
  • Manage and treat severe diarrhea.
  • 1st line treatment in conjunction with lifestyle modifications
  • Inhibits peristalsis and slowing colonic transit time to allow for more water reabsorption to allow for more formed stool.

Alosetron

500

In taking a client's history, the nurse notices that he has been taking omeprazole consistently over the past 6 months for treatment of epigastric pain. Which recommendations would be the best for this nurse to give to this client? 

  • Should be taken 20-30 minutes before the 1st major meal of the day
  • Adverse effects include: HA, abd. pian, n/v/d, and calcium absorption.
  • Assess for fractures
  • Assess for arrythmias
  • Assess for hypocalcemia
  • Report diarrhea due to risk for c-diff concerns
500

What labs must be monitored for metoclopramide? 

renal impairment may occur, monitor real labs

500

What medications might be ordered for Chrons?

Sulfasalazine 

Azathioprine


500

What is an ileus? What medication can cause this?

this is when the peristalsis stops in the intestines, causing the intestines to not work properly or become necrotic. 

Alosetron

High calcium levels

Any medication that stop the peristalsis 


500
  • Dampen the immune response.
  • Usually one or more immunosuppressants are administered at a time of transplantation.

Azathioprine

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