GastroIntestinal Meds Flashcards Preview

NCLEX-RN (4) Pharmacology > GastroIntestinal Meds > Flashcards

Flashcards in GastroIntestinal Meds Deck (23)
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1
Indication:

Antiemetics

To treat nausea and vomiting especially post-operative or with chemotherapy.

2
Generic names:

Antiemetics

  • ondansetron
  • metoclopramide
  • promethazine

3
Most common side effects:

Antiemetics

  • sedation
  • anticholinergic

4
Nursing considerations:

Antiemetics: sedation

Assess for falls and implement fall and safety precautions.

5
Side effects and Nursing considerations:

Antiemetics: anticholinergic side effects

  1. causes blurry vision - implement safety / fall precautions
  2. causes urinary retention - monitor intake and output
  3. causes dry mouth - give candy or ice chips
  4. causes constipation - encourage fluids/fiber/walking

"can't see, can't pee, can't spit, can't shit"

6
Indication:

Antidiarrheal

To treat:

  • diarrhea
  • ulcerative colitis
  • irritable bowel syndrome

7
Generic names:

Antidiarrheal

  • diphenoxylate/atropine
  • loperamide
  • bismuth subsalicylate

8
Most common side effects:

Antidiarrheal

  • sedation or drowsiness: take safety and falls precautions

9

When should a client with diarrhea not take an antidiarrheal medication?

Do not give a client with an active gastrointestinal infection an antidiarrheal.

The client will be unable to get rid of the infection if they can't excrete it. 

10

With what type of medication is there a cross-sensitivity with bismuth subsalicylate? 

Cross-sensitivity with aspirin and NSAIDs.

Do not give if there is an allergy.

11
Indication:

Laxatives / Stool softeners

To prevent or treat constipation.

12
Generic names:

Laxatives / Stool softeners

  • polycarbophil, psyllium
  • lactulose
  • milk of magnesia
  • bisacodyl
  • senna glycoside
  • docusate sodium

13
Nursing considerations:

Laxatives / Stool softeners

  • drink with a full glass of water to help pass stool
  • teach that daily use is not necessary because daily movements are not needed

14
Indication:

Antilipidemic

To decrease cholesterol for those at risk for stroke and myocardial infarction.

15
Generic names:

Antilipidemic

  • atorvastatin, lovastatin, pravastatin, rosuvastatin, simvastatin
  • ezetimibe

16
Most common adverse reactions and nursing considerations:

Antilipidemic: -statin

  • rhabdomyolysis (muscle breakdown)
    • assess for severe muscle pain, spasms, and dark-colored urine
    • hold medication and notify HCP

Medication may cause muscle cells to break down.

17

What is the food-med interaction with Antilipidemic (-statin)

Avoid grapefruit juice

Will increase drug level and cause toxicity.

18

What labs should be checked for a client taking antilipidemics?

Before meds are started and every 6 - 12 months for a client on antilipidemics check:

  • liver function tests such as ALT and AST

This is to assess if the medications are affecting the liver adversely and to evaluate if the medicine is working.

19
Indication:

Proton pump inhibitor

  • Decreases acid secretion and treats:
    • GERD
    • heartburn
    • ulcers

20
Generic names:

Proton pump inhibitor

  • dexlansoprazole, esomeprazole, lansoprazole, omeprazole, pantoprazole

21
Nursing considerations:

Proton pump inhibitor

Give 30 - 60 minutes before meals

To protect stomach before eating.

22
Indication:

H-2 receptor blocker

To heal and prevent ulcers by limiting gastric acid secretion.

23
Generic names:

H-2 receptor blocker

  • famotidine
  • ranitidine