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Emulsions:Suspension of oil, water and other substances. - ANSWER ✓ used as
the base for other preparations, such as cosmetics and dermatologics (Ex: cod liver
oil)
Liniments: for external application only. - ANSWER ✓ Topical analgesics: can be
used in a liniment. Heat effect is caused by menthol (Ex: Icy hot and Ben Gay)
Sprays: Used mostly to treat the nose throat and skin membranes (Ex: Granules
spray,
Neo-synephrine nasal spray - ANSWER ✓ Solution: saline solution
Tablets, including caplets 1) Compressed Ex: aspirin. Coated: improves taste (Ex:
Darvocet) - ANSWER ✓ Enteric coated: to prevent irritation or absorption in the
stomach (Ex: ASA, Ecotrin). Capsules: Regular tasteless, dissolve rapidly (Ex:
Dilantin, Achromycin)
The alimentary canal (GI tract) aids in the digestion of food- - ANSWER ✓ the
passageway for food and is a continuous tract from the mouth to the anus'
GI tract is divided into two parts. 1st part; Alimentary canal mouth, esophagus,
stomach, small intestines, rectum and large intestine. - ANSWER ✓ The Accessory
organs of the Digestive System is the 2nd part: Teeth, tongue, salivary glands,
pancreas, liver, gall bladder.
Alimentary Canal: Mouth (oral Cavity), Esophagus -connects mouth and stomach,
Stomach c-shaped in the upper left side of the abdomen below the diaphragm,
(Small intestine- duodenum, jejunum and the ileum.) Large intestine- absorbs
water from the contents. - ANSWER ✓ Accessory organs of the Digestive system:
,Teeth, salivary glands, (pancreas -small gland located behind the stomach upper
left side-secretes insulin a hormone that is necessary to metabolize (use) sugar)
(liver- highly vascular organ located in the upper right of the abdomen- secretes
digestive substances,) (gallbladder-located behind the liver- stores bile from the
liver until it is needed for digestion of fat- it is green)
Many medications are metabolized in the liver, - ANSWER ✓ The digestive
System is a system that works to break down the chemical components of food
through the of digestive juices.
The digestive process begins in the mouth with the teeth that grind the food int
small particles. - ANSWER ✓
Disorders of the GI system-Cirrhosis- scar tissue replaces normal tissue,
constipation, Diarrhea, Dyspepsia- indigestion, GERD, fecal impaction, Hepatitis-
inflammation of the liver, Parasites, Pyorrhea inflammation of the gums and tooth
sockets, and ulcers. - ANSWER ✓
elderly effects on the GI Liver decrease in wt. there is a decline in the hepatic
enzymes involved in oxidation and reduction, causing less efficient metabolism in
med's and detoxification in substances. - ANSWER ✓
Antacids: action- neutralizes stomach acids; decreases the rate of gastric
emptying; treats hyperacidity. Nursing considerations: They may interfere w/ other
med's absorption should wait 1-2 hrs before giving other med's. - ANSWER ✓
Use: peptic ulcers, heartburn, reflux esophagitis, gastritis, hiatal hernia, Med's
calcium salts(Tums), aluminum salts(Amphojel, Rolaids) magnesium salts(Milk of
Magnesium, Alternajel- usually causes diarrhea), combo- magnesium and
aluminum(Malox, Milanta, Gelusil, Riopan)- used to balance out the constipating
effect.
Anti-ulcer: Action: prevents the release of gastric acid to treat or prevent stomach
or duodenal ulcers. Nursing consideration- dissolve Carafate in water. Encourage
resident to avoid- spicy foods, caffeine, nicotine, alcohol, and carbonated
beverages. - ANSWER ✓ Ex: of med's: famotidine (Pepcid), nizatidine (Axid),
ranitidine( Zantac), cimtidine(Tagamet), misoprostol( Cytotec),
pantoprazole(Prevacid).
Med's to be given before meals include- omeprazole(Prilosec),
sulcrofate(Carafate), lansoprazole (Prevacid), esomeprazole magnesium ( Nexium)
, Antiemetics: Action- suppresses nausea/vomiting by acting on the brain control
center. USE- to treat nausea/vomiting. Side effects- drowsiness. monitor blood
pressure for hypertension. - ANSWER ✓ Ex: of med's-dimenhydrinate
(Dramamine), trimethobenzamide (Tigan), meclizine(, prochlorerazine
(Compazine), promethazine hydrochloride (Phenergan.)
Emetics: action- induce vomiting by acting on the brains control center. Use-
when poison has been ingested. Side effects- do not use if metals have been
ingested (acids or alkalies) - ANSWER ✓ Ex: Syrup of Ipecac, induces vomiting in
usually 20 to 30 minutes.
Antidiarrheals: med's that relieve diarrhea. Absorbents: action-absorbs(soaks up)
excess fluids and bacteria. USE: to treat diarrhea. Side effects- constipation,
nausea, dry mouth, abdominal pain. - ANSWER ✓ Ex: of med's- kaolin, bismuth (
Pepto-Bismol), pectin( from apples), kaolin and pectin(Kaopectate.)
Opiates: med's that slow down intestinal mobility. Action- reduces peristalisis by
action on central nervous system and diminishes secretions. USE: to treat diarrhea.
Side effects- drowsiness, may be addictive - ANSWER ✓ Ex" of med-
opiates(Paregoric0
Cathartic (laxatives). Laxatives which stimulate intestinal peristalsis; usually act in
6-8 hrs when given in oral form. Suppositories act faster. Side effect nausea,
cramping, - ANSWER ✓ Ex: of laxatives- castor oil, senna ( Senokot), bisacodyl
(Dulcolax), phenolphthalein (Ex-Lax , Doxidan)
GI med's that alter motility. Action- acts on autonomic nervous system to alter
peristalsis. Use spastic colon, diarrhea, GERD. Side effects- blurred vision, dry
mouth, heart palpitations, urine retention, constipation. Monitor v/s (vital signs)
and urinary output - ANSWER ✓ Ex: of med's for decreased motility- atropine
sulfate, diphenoxylate/atropine (Lomotil), Atropine, scopolamine, phenobarbital
(Donnatal), kaolin, pectin, ,loperamide (Imodium), diclomine (Bentyl) Examples
of med's that enhance intestinal motility metoclopramide(Reglan give before
meals),
Saline laxatives pull fluid into the large intestine. Action- acts within 8hrs. Side
effects- cramping and diarrhea. - ANSWER ✓ Ex: Milk of Magnesia. Nursing
consideration shake suspension well, monitor for good fluid intake.