Nurs 180 Pharm Midterm Study Guide Week 5.

NURS 180 PHARM MIDTERM STUDY GUIDE WEEK 5.Week 1 Lecture Book CH. 1-10 ATI Book CH. 1-6 *Prep Work Packet Terms Week 2 Lecture Book CH. 13, 14, 42, 43, 46, 47 ATI Book CH. 28, 29, 39, 40 CH. 28 Peptic Ulcer Disease *Antibiotics (regarding H. Pylori) 1. continue till done --- because you feel better don’t stop 2. 2-3 ATB for 14 days. *Histamine2-Receptor Antagonists (Ranitidine, Cimetidine, Famotidine) 1. cimetidine – gynecomastia, decrease libido, 2. it promotes bacterial colonization 3. complications: N/C/D 4. *Proton Pump Inhibitors (Omeprazole, Pantoprazole, Lansoprazole) 1. rebound hyper secretions (PORHO: pneumonia, osteoporosis, rebound hyper secretions, hypo magnesia) 2. TAPPER OFF 3. 30 MIN BEFORE MEALS AND 4. 4-8 WEEKS *Mucosal protectant (Sucralfate) 1. take 3 times a day and bedtime. 2. constipations, 3. increase fiber and food intake 4. Contra- abdominal pain and obstruction. *Antacids (Aluminum Hydroxide, Magnesium Hydroxide, Calcium Carbonate) 1. 1-3 hours 2. magnesium- diarrhea 3. aluminum – calcium: constipation *Prostaglandin E Analog (Misoprostol) ory x 2. (cervical ripening) abortions, and induce labor 3. dysmenorria/ diarrhea (double DD) CH. 29 Gastrointestinal Disorders *Antiemetics (Ondansetron, Dronabinol, Scopolamine) Dexamethasone 1. Prolonged QT interval. 2. block serotonin- (DRYness) headaches and dizziness 3. Dexamethasone: before chemo for nausea and vomiting. 4. Scopolamine: 4 hours before travel, anticholinergic effects (dryness), sedation/drowsiness *Laxatives (Psyllium, Docusate Sodium, Bisacodyl, Magnesium Hydroxide, Senna, Lactulose) 1. Proctitis 2. Contra- abdominal pain and obstruction. 3. dehydrations Electrolyte imbalance: hyper 4. Colace give with water 8 oz 5. Senna, bisacodyl, LUBE finger, past sphincter Magnesium hydroxide: diarrhea hyper magnesia. Kidney TOXIXIY *Antidiarrheals (Diphenoxylate plus Atropine, Loperamide)