GI drugs
List 4 non-pharmacological ways to help decrease vomiting
ØWeak tea
ØFlat soda
What is?
ØGelatin
ØPedialyte (for use in children)
ØGatorade
ØCrackers
ØDry toast
The organism that is most likely to cause an ulcer
What is
Helicobacter Pylori (H Pylori)
How long does it take proparacaine to work and how do you know it is working?
What is
1 minute and lasts 15 minutes - blocks link reflex
You client has contact dermatitis, your first action is..
What is
remove the offending agent and wash area
Your client just had his/her hemoglobin A1C checked this tells you....
What is....
Average glucose level for up to 3 months
List 3 side effects of non prescription anti-emetics
What is...
Drowsiness
Mouth dryness
Constipation
List 4 non pharmacological measures to help decrease chance of GERD
ØWhat is...
Avoid tobacco & alcohol
ØWeight loss if obese
ØAvoid hot, spicy, greasy foods
ØTake NSAIDs with food
ØSit upright during & after meals & raise HOB for sleep
ØDo not eat before bedtime
ØWear loose-fitting clothing
With ophthalmic decongestants such as phenylephrine, it does what to blood vessels?
what is...
narrowing blood vessels and decreasing congestion
The name of the systemic anti-acne med
what is..
isotretinoin (Accutane)
You gave your client 2mLs of insulin, how many units did you give?
What is....
200 units
List 3 prescription anti-emetics
What is....
hydroxyzine- (Vistaril),
Scopalamine
promethazine (Phenergan)
Phenothiazines (prochloperazine- Compazine), butyrophenones – droperidol- similar to Haldol
ngrainisetron (Sustol), ondansetron (Zofran)
nCannabinoids- dronabinol (Marinol)
nDiphenidol, trimethobenzamide (Tigan), metoclopramide (Reglan)
Antacids work by.....
Give one example of an antacid....
what is ...
Neutralize HCL and reduce pepsin activity
aluminum hydroxide (Amophogel) sodium bicarbonate
Calcium carbonate, magnesium hydroxide
The side effects of latanoprost (Xalatan)?
The following herbal supplement should never be taken when a client has glaucoma?
What is
Change iris color, darkened eyelids, stinging
Eyelash hypertrichosis, macular edema, itching
Blurred vision, redness of conjunctiva
Goldenseal- herbal supplement
Nursing interventions for acne and psoriasis (list 3-4)
what is...
ØApply & teach how to apply topical medications to skin lesions using aseptic technique.
ØMonitor vital signs & perform required diagnostic tests.
ØDuring drug therapy, check lesion sites for improvement & monitor for adverse reactions.
ØListen to the client’s body image concerns & provide community resources if applicable.
ØAdvise client not to use harsh cleansers.
ØReport abnormal findings state & alert HCP if pregnant
Insulin not given orally, why?
what is
GI secretions destroy insulin structure
To prevent travelers diarrhea a person should
Wha
Drink bottled water.
Wash fruit.
Eat cooked vegetables.
Eat meats that are cooked until well don
t is...
An example of a a histamine 2 blocker is...
It is given when....
What is
famotidine (Pepcid)
bid or at bedtime
Side effects of pilocarpine (list 3-5)
What is...
Headache, eye pain, decreased vision due to excess water in eyes, brow pain,
Øhyperemia of conjunctiva, N/V, diarrhea, frequent urination, precipitation of asthmatic attack, increase salivation, diaphoresis, muscle weakness, respiratory difficulty, bradycardia
Is frequently used with hair loss
what is minoxidil (Rogaine)
Your client has an accucheck (blood suger) level of 48mg/dL and is angry. Your first action is.....
What is...
Follow protocol and give orange juice, or sugar sweetened beverage, or hard candy, or glass of milk with sandwich
Examples of prescription anti-diarrheals include
What is...
opium
paregoric
codeine
diphenoxlate with atropine (Lomiotil)
octreotide (Sandostatin)
A pepsin inhibitor forms a thick paste to cover an ulcer is....
It is given.....
What is...
sucralfate (Carafate)
30 minutes before meals and bedtime
Ceruminolytics include.. (list name)
Their action....
What is
Debrox, cerumenex
what is
soften or break up cerumen so that it can be removed
Your client has 2nd and 3rd degree burns. Nursing interventions include....(list 2-3)
What is....
ØAdminister prescribed analgesia before treatment
ØCleanse burned tissue sites using aseptic technique
ØApply topical antibacterial drugs & dressings with sterile technique
ØMaintain client’s fluid balance & renal function
ØMonitor client for side effects of topical drugs - especially potassium
ØMonitor client’s vital signs; be alert for signs of infection or hypovolemic shock
Your client is on metformin. You are on alert for....
Dizziness, headache, flushing, metallic taste, hyperhidrosis, weakness, dyspepsia, N/V, flatulence, diarrhea, weight loss, lactic acidosis