what is diphenoxylate and atropine used for? - ✔️✔️slowing peristalsis to alleviate
diarrhea
why is diphenoxylate atropine for short term use? - ✔️✔️b/c schedule V drug so
preventing dependency
priority nursing assessment for vomiting? - ✔️✔️symptoms that precipitate it and
electrolyte status
what needs to be taken with psyllium and how much? - ✔️✔️8 oz of water to prevent
obstruction of esophagus
how long till psyllium to take effect? - ✔️✔️24 hours
what needs to be increased in pt taking psyllium? - ✔️✔️fluids
docusate sodium side effects? - ✔️✔️diarrhea, nausea, cramps, dizziness,
PALPITATIONS, syncope (sign of dehydration)
what should pt report when using docusate sodium? - ✔️✔️unrelieved constipation
with pancreatitis when does it hurt most and where is the pain located? - ✔️✔️after a
meal, pain in the epigastric area that radiates to the back
what do you give pancrelipase with? - ✔️✔️food
nursing assessments for pancrelipase? - ✔️✔️pork allergy/ religious beliefs
what should you see with effective pancrelipase treatment? - ✔️✔️decrease in
steatorrhea
omeprazole is used for what and how long is therapy? - ✔️✔️for peptic ulcers & GERD
short term use: 4-8 wks
with continued use of omeprazole what is the pt at risk for and what should you teach
them to prevent this? - ✔️✔️-osteoporosis
-increase calcium and vit. D
When should omeprazole be taken? - ✔️✔️30 mins before 1st meal of day
, side effects of ranitidine? - ✔️✔️HEADACHE
what can occur in men taking ranitidine? - ✔️✔️impotence, loss of libido
what should be avoided taking within an hour of ranitidine administration - ✔️✔️antacid
when should ranitidine be given? - ✔️✔️at bedtime with no regard to food
common side effect of aluminum hydroxide? - ✔️✔️constipation
what symptoms can indicate a more serious disease when on ranitidine therapy? -
✔️✔️epigastric pain, bloody tarry stools, heartburn
what does sucralafate do? - ✔️✔️coats ulcer and prevents erosion
can sucralafate be taken with antacids? - ✔️✔️no
when should sucralafate be administered? - ✔️✔️take on empty stomach before meals
and before bedtime
what should pt increase with sucralafate? - ✔️✔️fluids and fiber
misoprostol is dangerous for which individual? - ✔️✔️pregnant because category X
what is prochlorperazine used for? - ✔️✔️anti-emetic
what are does related side effects of prochlorperazine? - ✔️✔️anticholinergic effects--
>dry mouth, sedation, constipation
orthostatic hypotension, tachycardia
when should you discontinue use of prochlorperazine? - ✔️✔️extrapyramidal
symptoms occur including tremors, stoop slow gait, drooling, pill rolling
can you administer omeprazole at the same time as antacids? - ✔️✔️yes
what should you avoid with omeprazole? - ✔️✔️NSAIDs (gastric irritation)
Ondansetron side effects - ✔️✔️- Headache (common)
- electrolyte imbalance
- Sensation of warmth or flushing, pruritus
- Dysrhythmias
Lab values for hypothyroidism - ✔️✔️Decreased T3 and T4
Increased TSH