ATI Gastrointestinal Questions with CORRECT
Answers
Question:
Proton pump inhibitor: omeprazole, pantoprazole, lansoprazole, rabeprazole sodium,
esomeprazole - reduce gastric acid secretion, insignificant side effects, low incidence of
headache, diarrhea and nausea/vomiting, all category B except omeprazole (C).
cautiously w/ pneumonia and COPD, monitor digoxin carefully, don't use w/ itraconazole,
ketoconazole, atazanavir,
Answer:
don't crush, chew or break sustained release capsules, active ulcers treated
4-w6wksnotify if coffee ground emesis
Question:
mucosal protectant: sucralfate
Answer:
protective layer for up to 6hr, used w/ acute duodenal ulcers and GERD, need fiber and
water to prevent constipation, no systemic effects, use cautiously w/ renal failure.
antacids decrease absorption. sucralfate decreases phenytoin, digoxin, warfarin,
ciprofloxacintake 4x day, 1hr before meal and at night
Question:
antiemetic med list
Answer:
dexamethasone, aprepitant, granisetron, prochlorperazine, metoclopramide,
promethazine, dronabinol, scopolamine, dimenhydrinate, hydroxyzine, lorazepam
Question:
glucocorticoid: dexamethasone
Answer:
used in combo w/ other antiemetic, PO/IV,
Question:
should be used in combo w/ glucocorticoid to prevent CINV, nausea, vomiting, PO or IV,
adverse: headache, liver damage, diarrhea, dizziness
Answer:
aprepitant
, Question:
ondansetron
Answer:
chemo, radiation, postop emesis. PO and IV adverse: headache, dizziness, diarrhea
Question:
prochlorperazine
Answer:
prevents emesis related to chemo, opioids, post op, PO and IV adverse: EPS,
hypotension, sedation, anticholinergic effects,
Question:
cannabinoids: dronabinol
Answer:
used for CINV and appetite increase in AIDS, PO adverse: avoid in mental health and
cardio patients
Question:
scopolamine
Answer:
anitcholinergic; motion sickness. PO, topical , subQ
Question:
dimenhydrinate
Answer:
antihistamine: treats motion sickness, PO, IM IV
Question:
lorazepam
Answer:
used in combo for CINV
Question:
laxatives:
Answer:
psyllium, docusate sodium, bisacodyl, magnesium hydroxide, senna, lactulose
Answers
Question:
Proton pump inhibitor: omeprazole, pantoprazole, lansoprazole, rabeprazole sodium,
esomeprazole - reduce gastric acid secretion, insignificant side effects, low incidence of
headache, diarrhea and nausea/vomiting, all category B except omeprazole (C).
cautiously w/ pneumonia and COPD, monitor digoxin carefully, don't use w/ itraconazole,
ketoconazole, atazanavir,
Answer:
don't crush, chew or break sustained release capsules, active ulcers treated
4-w6wksnotify if coffee ground emesis
Question:
mucosal protectant: sucralfate
Answer:
protective layer for up to 6hr, used w/ acute duodenal ulcers and GERD, need fiber and
water to prevent constipation, no systemic effects, use cautiously w/ renal failure.
antacids decrease absorption. sucralfate decreases phenytoin, digoxin, warfarin,
ciprofloxacintake 4x day, 1hr before meal and at night
Question:
antiemetic med list
Answer:
dexamethasone, aprepitant, granisetron, prochlorperazine, metoclopramide,
promethazine, dronabinol, scopolamine, dimenhydrinate, hydroxyzine, lorazepam
Question:
glucocorticoid: dexamethasone
Answer:
used in combo w/ other antiemetic, PO/IV,
Question:
should be used in combo w/ glucocorticoid to prevent CINV, nausea, vomiting, PO or IV,
adverse: headache, liver damage, diarrhea, dizziness
Answer:
aprepitant
, Question:
ondansetron
Answer:
chemo, radiation, postop emesis. PO and IV adverse: headache, dizziness, diarrhea
Question:
prochlorperazine
Answer:
prevents emesis related to chemo, opioids, post op, PO and IV adverse: EPS,
hypotension, sedation, anticholinergic effects,
Question:
cannabinoids: dronabinol
Answer:
used for CINV and appetite increase in AIDS, PO adverse: avoid in mental health and
cardio patients
Question:
scopolamine
Answer:
anitcholinergic; motion sickness. PO, topical , subQ
Question:
dimenhydrinate
Answer:
antihistamine: treats motion sickness, PO, IM IV
Question:
lorazepam
Answer:
used in combo for CINV
Question:
laxatives:
Answer:
psyllium, docusate sodium, bisacodyl, magnesium hydroxide, senna, lactulose
