NR 293 Pharmacology Study Guide Questions
with Verified Correct Answers
Antacids
Moa: neutralize acid
Use: GERD, PUD
H. Pylori
tx: histamine receptor blocker and PPI (prophylactic)
Nc: maks other issues
pt edu: dont take w other meds
Aluminum
Causes constipation
hypercalcemia
Best for kidney pt
Calcium
renal calcium->calculi
Hypercalcemia=rebound hyperacidity
milk-alkali syndrome
Magnesium
Causes diarrhea
exacerbation of renal failure
H2 receptor antagonist
,famotidine: pepcid. IV. Push slow or HPN
se: decrease gastrin sensitivity, thrombocytopenia
pt edu: no smoking, take 2h b4 antacid w meal
nc: petechiae
PPI
Se: achlorhydric state -> bacteria overgrowth, osteoporosis, C Diff
Pt edu: empty stomach
interactions: increase serum diazepam and phenytoin levels
Cytoprotective drug
Moa: bind to ulcer surface
nc: constipation.dry mouth
pt edu: other meds 2h b4, empty stomach
Antiflatulence
moa: combine bubbles
good for infant
antidiarrheal
moa: slow peristalsis and gi contraction
nc: drying effect
Nc: obstruction
pt edu: no aspirin/NSAID/antipatelet
Antimotility-anticholinergics
, moa: decrease gi motility/secretions
nc: drying effect, tachycardia, no pregnancy
pt edu: drink fluids
paralytic ileus
Probiotics
moa:decrease diarrhea
nc: monitor bloating
pt edu" take on ABX
opiates-anti motility
diphenoxylate w atropine: helps w diarrhea
loperamide: immodium
moa: -> constipation
nc: cns depressant
pt edu: increase fluids
bulk laxative
psyllium: long term
moa: absorb H20, distend bowel
nc: rebound tenderness
pt edu: incrwase fluids
emollient laxative
moa: decrease surface tension of gi fluid. lubricate and expand stool
nc: L sims
pt edu: enema insertion
with Verified Correct Answers
Antacids
Moa: neutralize acid
Use: GERD, PUD
H. Pylori
tx: histamine receptor blocker and PPI (prophylactic)
Nc: maks other issues
pt edu: dont take w other meds
Aluminum
Causes constipation
hypercalcemia
Best for kidney pt
Calcium
renal calcium->calculi
Hypercalcemia=rebound hyperacidity
milk-alkali syndrome
Magnesium
Causes diarrhea
exacerbation of renal failure
H2 receptor antagonist
,famotidine: pepcid. IV. Push slow or HPN
se: decrease gastrin sensitivity, thrombocytopenia
pt edu: no smoking, take 2h b4 antacid w meal
nc: petechiae
PPI
Se: achlorhydric state -> bacteria overgrowth, osteoporosis, C Diff
Pt edu: empty stomach
interactions: increase serum diazepam and phenytoin levels
Cytoprotective drug
Moa: bind to ulcer surface
nc: constipation.dry mouth
pt edu: other meds 2h b4, empty stomach
Antiflatulence
moa: combine bubbles
good for infant
antidiarrheal
moa: slow peristalsis and gi contraction
nc: drying effect
Nc: obstruction
pt edu: no aspirin/NSAID/antipatelet
Antimotility-anticholinergics
, moa: decrease gi motility/secretions
nc: drying effect, tachycardia, no pregnancy
pt edu: drink fluids
paralytic ileus
Probiotics
moa:decrease diarrhea
nc: monitor bloating
pt edu" take on ABX
opiates-anti motility
diphenoxylate w atropine: helps w diarrhea
loperamide: immodium
moa: -> constipation
nc: cns depressant
pt edu: increase fluids
bulk laxative
psyllium: long term
moa: absorb H20, distend bowel
nc: rebound tenderness
pt edu: incrwase fluids
emollient laxative
moa: decrease surface tension of gi fluid. lubricate and expand stool
nc: L sims
pt edu: enema insertion
