Final Exam: NR565 / NR 565 (Latest
) Advanced Pharmacology
Fundamentals | Exam Review |
100% Correct | Grade A -
Chamberlain
Question:
How would you go about discontinuing bisacodyl laxative for a patient that
has taken it for years?
Answer:
Stop immediately and expect no BM for several days
Question:
Lifespan considerations for constipation drugs
Answer:
Infants -docusate or lactulose ok
Children - docusate, Senna or MOM
**Pregnancy - caution d/t GI stimulation can induce labor
**Lactation - Senna ok
Older adults - monitor for dehydration and lax overuse
,Question:
If someone has an elevated creatinine, what would you give for a bowel
cleanse instead of sodium phosphate?
Answer:
Polyethylene glycol and electrolytes
Question:
What would you give a child with constipation?
Answer:
Polyethylene glycol (Miralax)
Question:
What would you give someone postop on an opioid?
Answer:
Docusate
Question:
What would you tell a patient who reports yellow-brown urine after taking
Senna for a few days?
Answer:
This is normal and harmless
,Question:
What should be considered with a bulk laxative like Psyllium (Metamucil)?
Answer:
Can cause fecal impaction or obstruction - assess for abdominal pain
Question:
Diarrhea treatment goals
Answer:
Treat underlying cause and provide symptom relief
Question:
Bismuth subsalicylate contraindications
Answer:
Salicylate allergy
Child/teenager recovering from viral infection (e.g., chicken pox, flu) — risk
of Reye's Syndrome
Nursing
Pregnancy > 20 weeks
, Question:
Bismuth subsalicylate adverse effects
Answer:
black tongue and black stools (expected and NOT a sign of a GI bleed)
Question:
If emesis is due to gastroparesis, which drug is best?
Answer:
Metoproclamide (Reglan)
Question:
Black box warning for Reglan
Answer:
tardive dyskinesia - increased risk with length of treatment. Discontinue if
symptoms of movement disorder appear. Limit treatment to 12 weeks.
Question:
Drug classes for diarrhea
Answer:
Absorbant = bismuth subsalicylate (Pepto)
Opiates = loperamide (Immodium)
Anticholinergics (for dumping) = dicyclomine (Bentyl)
) Advanced Pharmacology
Fundamentals | Exam Review |
100% Correct | Grade A -
Chamberlain
Question:
How would you go about discontinuing bisacodyl laxative for a patient that
has taken it for years?
Answer:
Stop immediately and expect no BM for several days
Question:
Lifespan considerations for constipation drugs
Answer:
Infants -docusate or lactulose ok
Children - docusate, Senna or MOM
**Pregnancy - caution d/t GI stimulation can induce labor
**Lactation - Senna ok
Older adults - monitor for dehydration and lax overuse
,Question:
If someone has an elevated creatinine, what would you give for a bowel
cleanse instead of sodium phosphate?
Answer:
Polyethylene glycol and electrolytes
Question:
What would you give a child with constipation?
Answer:
Polyethylene glycol (Miralax)
Question:
What would you give someone postop on an opioid?
Answer:
Docusate
Question:
What would you tell a patient who reports yellow-brown urine after taking
Senna for a few days?
Answer:
This is normal and harmless
,Question:
What should be considered with a bulk laxative like Psyllium (Metamucil)?
Answer:
Can cause fecal impaction or obstruction - assess for abdominal pain
Question:
Diarrhea treatment goals
Answer:
Treat underlying cause and provide symptom relief
Question:
Bismuth subsalicylate contraindications
Answer:
Salicylate allergy
Child/teenager recovering from viral infection (e.g., chicken pox, flu) — risk
of Reye's Syndrome
Nursing
Pregnancy > 20 weeks
, Question:
Bismuth subsalicylate adverse effects
Answer:
black tongue and black stools (expected and NOT a sign of a GI bleed)
Question:
If emesis is due to gastroparesis, which drug is best?
Answer:
Metoproclamide (Reglan)
Question:
Black box warning for Reglan
Answer:
tardive dyskinesia - increased risk with length of treatment. Discontinue if
symptoms of movement disorder appear. Limit treatment to 12 weeks.
Question:
Drug classes for diarrhea
Answer:
Absorbant = bismuth subsalicylate (Pepto)
Opiates = loperamide (Immodium)
Anticholinergics (for dumping) = dicyclomine (Bentyl)
