qma Indiana Exam 100% Correct!!
6 rights of medication administration - ANSWER RIGHT MEDICATION
RIGHT DOSE
RIGHT PATIENT
RIGHT ROUTE
RIGHT TIME
RIGHT DOCUMENTATION
Antacids - ANSWER Tums
Amphojel, Rolaids
Milk of Magnesia, Alternagel
Maalox, Mylanta, Gelusil, Riopan
Mylicon
Antacids Action - ANSWER Neutralizes stomach acid. decreases the rate of gastric emptying, treats
hyperacidity
Antacids Use - ANSWER Peptic ulcer, used to treat heartburn; reflux esophagitis, gastritis, hiatal
hernia.
Anti-Ulcer side effects - ANSWER Side effects are minor.
High doses can cause confusion
Anti-Ulcer Nursing Considerations - ANSWER Dissolve Carafate tablet in water.
Encourage resident not to smoke, which increases gastric secretion.
encourage resident to avoid: spicy food, caffeine, nicotine, alcohol, and carbonated beverages.
Antiemetics - ANSWER dimenhydrinate (Dramamine)
trimethobenzamide (Tigan)
,meclizine (Antivert)
prochlorperazine (Compazine)
promethazine hydrochloride (Phenergan)
Antiemetics Action - ANSWER supress N/V by acting on the brain control center
Antiemetics Use - ANSWER to treat nausea and prevent vomiting
Antiemetics Side effects - ANSWER drowsiness
Antiemetics Nursing Considerations - ANSWER monitor B/P for hypotension
Emetics - ANSWER Syrup of Ipecac
Emetics Action - ANSWER induce vomiting
Emetics Use - ANSWER used when poison has been ingested
Emetics Side effects - ANSWER do not use when corrosive product ingested; such as, acids or
alkalies, or if resident is drowsy or unconscious. The licensed nurse should contact the physician
and/or poison control center before administering.
Antacids Nursing Considerations - ANSWER antacids may interfere with medication absorption thus
should not be given with other meds- wait 1-2 hours.
antacid effect is prolonged when medication is taken with food.
chart amount and consistency of stools.
Anti- Ulcer - ANSWER Pepcid
Axid
Zantac
Tagamet
Cytotec
Protonix
,Other meds given before meals:
Prilosec
Carafate
Prevacid
Nexium
Anti-Ulcer Action - ANSWER prevents the release of gastric acid to treat or prevent stomach and
duodenal ulcers.
Emetics Nursing considerations - ANSWER usually induces vomiting 20-30 minutes after
adminstered.
Antidiarrheals (absorbents) - ANSWER kaolin
bismuth (Pepto-Bismol)
pectin(from apples)
Kaopectate
Absorbents Action - ANSWER absorb (soak up) excess fluids and bacteria
Absorbents Use - ANSWER to treat diarrhea
Absorbents Side Effects - ANSWER minimal constipation
nausea
dry mouth
abdominal pain
Absorbents N.C. - ANSWER monitor patient for constipation
, Antidiarrheals (OPIATES- meds that slow down intestinal motility) - ANSWER opiates (Paregoric)
Opiates Action - ANSWER reduces peristalsis by action on CNS and diminishes secretions
Enhance motility:
metoclopramide (Reglan)=(give before meals rather than with food)
Gastrointestinal meds that alter motility Action - ANSWER acts on autonomic nervous system to
alter peristalsis
Gastrointestinal meds that alter motility Use - ANSWER spastic colon: diarrhea: GERD
Gastrointestinal meds that alter motility Side effects - ANSWER blurred vision
dry mouth
heart palpitations
urine retention
constipation
Gastrointestinal meds that alter motility N.C. - ANSWER monitor V/S and Urinary output
Cathartics (laxatives) - ANSWER castor oil
senna (Senekot)
bisacodyl (Dulcolax)
phenolphthalein (Ex-Lax, Doxidan)
Cathartics (laxtives) Action - ANSWER stimulate intestinal peristalsis; usually acts in 6-8 hours when
given in oral form. Suppositories act faster.
Opiates Use - ANSWER to treat diarrhea
Opiates Side effects - ANSWER drowsiness
may be ADDICTING
6 rights of medication administration - ANSWER RIGHT MEDICATION
RIGHT DOSE
RIGHT PATIENT
RIGHT ROUTE
RIGHT TIME
RIGHT DOCUMENTATION
Antacids - ANSWER Tums
Amphojel, Rolaids
Milk of Magnesia, Alternagel
Maalox, Mylanta, Gelusil, Riopan
Mylicon
Antacids Action - ANSWER Neutralizes stomach acid. decreases the rate of gastric emptying, treats
hyperacidity
Antacids Use - ANSWER Peptic ulcer, used to treat heartburn; reflux esophagitis, gastritis, hiatal
hernia.
Anti-Ulcer side effects - ANSWER Side effects are minor.
High doses can cause confusion
Anti-Ulcer Nursing Considerations - ANSWER Dissolve Carafate tablet in water.
Encourage resident not to smoke, which increases gastric secretion.
encourage resident to avoid: spicy food, caffeine, nicotine, alcohol, and carbonated beverages.
Antiemetics - ANSWER dimenhydrinate (Dramamine)
trimethobenzamide (Tigan)
,meclizine (Antivert)
prochlorperazine (Compazine)
promethazine hydrochloride (Phenergan)
Antiemetics Action - ANSWER supress N/V by acting on the brain control center
Antiemetics Use - ANSWER to treat nausea and prevent vomiting
Antiemetics Side effects - ANSWER drowsiness
Antiemetics Nursing Considerations - ANSWER monitor B/P for hypotension
Emetics - ANSWER Syrup of Ipecac
Emetics Action - ANSWER induce vomiting
Emetics Use - ANSWER used when poison has been ingested
Emetics Side effects - ANSWER do not use when corrosive product ingested; such as, acids or
alkalies, or if resident is drowsy or unconscious. The licensed nurse should contact the physician
and/or poison control center before administering.
Antacids Nursing Considerations - ANSWER antacids may interfere with medication absorption thus
should not be given with other meds- wait 1-2 hours.
antacid effect is prolonged when medication is taken with food.
chart amount and consistency of stools.
Anti- Ulcer - ANSWER Pepcid
Axid
Zantac
Tagamet
Cytotec
Protonix
,Other meds given before meals:
Prilosec
Carafate
Prevacid
Nexium
Anti-Ulcer Action - ANSWER prevents the release of gastric acid to treat or prevent stomach and
duodenal ulcers.
Emetics Nursing considerations - ANSWER usually induces vomiting 20-30 minutes after
adminstered.
Antidiarrheals (absorbents) - ANSWER kaolin
bismuth (Pepto-Bismol)
pectin(from apples)
Kaopectate
Absorbents Action - ANSWER absorb (soak up) excess fluids and bacteria
Absorbents Use - ANSWER to treat diarrhea
Absorbents Side Effects - ANSWER minimal constipation
nausea
dry mouth
abdominal pain
Absorbents N.C. - ANSWER monitor patient for constipation
, Antidiarrheals (OPIATES- meds that slow down intestinal motility) - ANSWER opiates (Paregoric)
Opiates Action - ANSWER reduces peristalsis by action on CNS and diminishes secretions
Enhance motility:
metoclopramide (Reglan)=(give before meals rather than with food)
Gastrointestinal meds that alter motility Action - ANSWER acts on autonomic nervous system to
alter peristalsis
Gastrointestinal meds that alter motility Use - ANSWER spastic colon: diarrhea: GERD
Gastrointestinal meds that alter motility Side effects - ANSWER blurred vision
dry mouth
heart palpitations
urine retention
constipation
Gastrointestinal meds that alter motility N.C. - ANSWER monitor V/S and Urinary output
Cathartics (laxatives) - ANSWER castor oil
senna (Senekot)
bisacodyl (Dulcolax)
phenolphthalein (Ex-Lax, Doxidan)
Cathartics (laxtives) Action - ANSWER stimulate intestinal peristalsis; usually acts in 6-8 hours when
given in oral form. Suppositories act faster.
Opiates Use - ANSWER to treat diarrhea
Opiates Side effects - ANSWER drowsiness
may be ADDICTING
