Dronabinol
what is the common use?
antiemetic
what are 2 side effects?
diarrhea and loss of appetite
what is the most common use?
peptic ulcer disease
what do we need to adminster with this medications?
IV fluids 20-100
what is the contraindication?
pregnancy
what are 4 side effects?
euphoria, anxiety, drowiness, visual disturbances
what is the one contraindication?
renal failure
what medication do they have interactions with?
ranitdine, cimetidine
how many hours do we take this before an antacid?
1 hour
what are 3 adverse effects?
increases ALT AND AST
Pancreatitis
Rhabdomyolsis
what are 3 adverse effects?
Orthostatic hypotension, Seizures, Paranoia
what are nursing interventions?
Give either 30 minutes before or 1 hour after other medications to prevent decreased absorption and effectiveness of medications
what are 3 side effects?
nausea
constipation
dry mouth
what kind of toxicity can this med cause?
hepatotoxicity
what studies do you need to monitor?
liver function and glucose
what are 4 nursing interventions?
Monitor hydration, nutritional status. I&O
Monitor BP and heart rate throughout therapy.
Monitor closely for side effects.
Capsules should be refrigerated.
what do you need to teach pt?
Take with or without food. Follow with a full glass (240 mL) water or other liquid
what do you need to teach?
Do not break, crush or chew tablets
Take on empty stomach 1 hour before meals and at bedtime
Avoid antacids 30 minutes before or 1 hour after taking this product
Store at room temperature.
Avoid smoking
what are 2 contraindications?
severe renal disease and severe liver disease
Pts need to report what with the med?
black, tarry stools
ABD pain
Severe diarrhea
what is client education?
Rise slowly from a sitting or lying position.
Do not use alcohol or drive while taking this medication.
Capsules should be refrigerated, not frozen.
Call for assistance when ambulating
what are some adverse effects?
Hives, Itching, Dyspnea, Tightness in chest, Edema of face, mouth, tongue
what are 3 nursing interventions?
Assess for abdominal pain or blood in stools.
Don’t administer with antacids.
Watch for constipation.
what is the action of H2 blockers?
decreases gastric acid secretions and concentrations
what may decrease peak levels?
food