NUR 240 Exam 2 Drug Cards
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psyllium (Metamucil) - correct answerclass: bulk forming laxative
docusate - correct answerclass: emollient stool softener
Mechanism of action: lower surface tension and promote water accumulation in the intestine
and stool
Use these to prevent constipation when taking opioids, CAD, or Neuro.
CAD to prevent straining with stool and causing Vasovagal
Neuro to avoid increases in ICP
Mg (milk of magnesia) Ca ( Tums), Na &Mg (Maalox) - correct answerClass: Antacids
Uses: GERD/ulcer
Side effects: MG- diarrhea, Ca- constipation, rebound hyperacidity & kidney stones
nursing considerations: take 1-3 hours after meal and at bedtime, do not give Ca and Mg to pt
with renal disease, use Na cautiously in pt with heart disease
cimetidine (Tagamet), famotidine (Pepcid) - correct answer*class*: Histamine H2 antagonist,
antiulcer agent
*Indication*: treatment of duodenal ulcers, GERD, heartburn,
*Action*: inhibits action of histamine leading to inhibition of gastric acid secretion
Side effects: CNS symptoms are sometimes seen in older adults (confusion, disorientation
, Nursing considerations: if once a day, give at bedtime
be alert for mental status changes
Do not give antacid within an hour of H2 receptor
omeprazole (Prilosec), pantoprazole (Protonix) - correct answerclass: proton pump inhibitor
use: GERD/ ULCER
Nursing considerations: give 30-60 minutes before meals
sucralfate (Carafate) - correct answerUses: antiulcer drug
class: pepsin inhibitor
Mechanism of action: combines with protein to form viscous substance that covers the ulcer
and protects it from acid and pepsin
Does not neutralize acid or decrease acid secretions
Side effects:
Nursing considerations: give 1 hours before meals and at bedtime
meloxicam (Mobic) - correct answer1st gen NSAID, oxicam
Rx
ketorolac (Toradol) - correct answer*class*: 1st gen NSAID
*Indication* moderate to severe pain
*Action*: Pain relief due to prostaglandin inhibition
*Nursing Considerations*:
-may cause GI bleeding, Stevens-Johnson Syndrome, anaphylaxis, drowsiness, do not give longer
than 5 days
Exam Questions And Verified
Answers 100% Guaranteed
Pass
psyllium (Metamucil) - correct answerclass: bulk forming laxative
docusate - correct answerclass: emollient stool softener
Mechanism of action: lower surface tension and promote water accumulation in the intestine
and stool
Use these to prevent constipation when taking opioids, CAD, or Neuro.
CAD to prevent straining with stool and causing Vasovagal
Neuro to avoid increases in ICP
Mg (milk of magnesia) Ca ( Tums), Na &Mg (Maalox) - correct answerClass: Antacids
Uses: GERD/ulcer
Side effects: MG- diarrhea, Ca- constipation, rebound hyperacidity & kidney stones
nursing considerations: take 1-3 hours after meal and at bedtime, do not give Ca and Mg to pt
with renal disease, use Na cautiously in pt with heart disease
cimetidine (Tagamet), famotidine (Pepcid) - correct answer*class*: Histamine H2 antagonist,
antiulcer agent
*Indication*: treatment of duodenal ulcers, GERD, heartburn,
*Action*: inhibits action of histamine leading to inhibition of gastric acid secretion
Side effects: CNS symptoms are sometimes seen in older adults (confusion, disorientation
, Nursing considerations: if once a day, give at bedtime
be alert for mental status changes
Do not give antacid within an hour of H2 receptor
omeprazole (Prilosec), pantoprazole (Protonix) - correct answerclass: proton pump inhibitor
use: GERD/ ULCER
Nursing considerations: give 30-60 minutes before meals
sucralfate (Carafate) - correct answerUses: antiulcer drug
class: pepsin inhibitor
Mechanism of action: combines with protein to form viscous substance that covers the ulcer
and protects it from acid and pepsin
Does not neutralize acid or decrease acid secretions
Side effects:
Nursing considerations: give 1 hours before meals and at bedtime
meloxicam (Mobic) - correct answer1st gen NSAID, oxicam
Rx
ketorolac (Toradol) - correct answer*class*: 1st gen NSAID
*Indication* moderate to severe pain
*Action*: Pain relief due to prostaglandin inhibition
*Nursing Considerations*:
-may cause GI bleeding, Stevens-Johnson Syndrome, anaphylaxis, drowsiness, do not give longer
than 5 days
