NURS pharm 180 Final WCU Q&A
what needs to be taken with psyllium and how much? - =8 oz of water to prevent obstruction of
esophagus
how long till psyllium to take effect? - =24 hours
what needs to be increased in pt taking psyllium? - =fluids
docusate sodium side effects? - =diarrhea, nausea, cramps, dizziness, PALPITATIONS, syncope
(sign of dehydration)
what should pt report when using docusate sodium? - =unrelieved constipation
what is diphenoxylate and atropine used for? - =slowing peristalsis to alleviate diarrhea
why is diphenoxylate atropine for short term use? - =b/c schedule V drug so preventing
dependency
priority nursing assessment for vomiting? - =symptoms that precipitate it and electrolyte status
with pancreatitis when does it hurt most and where is the pain located? - =after a meal, pain in
the epigastric area that radiates to the back
what do you give pancrelipase with? - =food
nursing assessments for pancrelipase? - =pork allergy/ religious beliefs
what should you see with effective pancrelipase treatment? - =decrease in steatorrhea
,omeprazole is used for what and how long is therapy? - =for peptic ulcers & GERD
short term use: 4-8 wks
with continued use of omeprazole what is the pt at risk for and what should you teach them to
prevent this? - =-osteoporosis
-increase calcium and vit. D
When should omeprazole be taken? - =30 mins before 1st meal of day
side effects of ranitidine? - =HEADACHE
what can occur in men taking ranitidine? - =impotence, loss of libido
what should be avoided taking within an hour of ranitidine administration - =antacid
when should ranitidine be given? - =at bedtime with no regard to food
common side effect of aluminum hydroxide? - =constipation
what symptoms can indicate a more serious disease when on ranitidine therapy? - =epigastric
pain, bloody tarry stools, heartburn
what does sucralafate do? - =coats ulcer and prevents erosion
can sucralafate be taken with antacids? - =no
when should sucralafate be administered? - =take on empty stomach before meals and before
bedtime
, what should pt increase with sucralafate? - =fluids and fiber
misoprostol is dangerous for which individual? - =pregnant because category X
what is prochlorperazine used for? - =anti-emetic
what are does related side effects of prochlorperazine? - =anticholinergic effects-->dry mouth,
sedation, constipation
orthostatic hypotension, tachycardia
when should you discontinue use of prochlorperazine? - =extrapyramidal symptoms occur
including tremors, stoop slow gait, drooling, pill rolling
can you administer omeprazole at the same time as antacids? - =yes
what should you avoid with omeprazole? - =NSAIDs (gastric irritation)
Ondansetron side effects - =- Headache (common)
- electrolyte imbalance
- Sensation of warmth or flushing, pruritus
- Dysrhythmias
Lab values for hypothyroidism - =Decreased T3 and T4
Increased TSH
therapeutic effect of levothyroxine? - =increased t3 and t4
decreased TSH
what needs to be taken with psyllium and how much? - =8 oz of water to prevent obstruction of
esophagus
how long till psyllium to take effect? - =24 hours
what needs to be increased in pt taking psyllium? - =fluids
docusate sodium side effects? - =diarrhea, nausea, cramps, dizziness, PALPITATIONS, syncope
(sign of dehydration)
what should pt report when using docusate sodium? - =unrelieved constipation
what is diphenoxylate and atropine used for? - =slowing peristalsis to alleviate diarrhea
why is diphenoxylate atropine for short term use? - =b/c schedule V drug so preventing
dependency
priority nursing assessment for vomiting? - =symptoms that precipitate it and electrolyte status
with pancreatitis when does it hurt most and where is the pain located? - =after a meal, pain in
the epigastric area that radiates to the back
what do you give pancrelipase with? - =food
nursing assessments for pancrelipase? - =pork allergy/ religious beliefs
what should you see with effective pancrelipase treatment? - =decrease in steatorrhea
,omeprazole is used for what and how long is therapy? - =for peptic ulcers & GERD
short term use: 4-8 wks
with continued use of omeprazole what is the pt at risk for and what should you teach them to
prevent this? - =-osteoporosis
-increase calcium and vit. D
When should omeprazole be taken? - =30 mins before 1st meal of day
side effects of ranitidine? - =HEADACHE
what can occur in men taking ranitidine? - =impotence, loss of libido
what should be avoided taking within an hour of ranitidine administration - =antacid
when should ranitidine be given? - =at bedtime with no regard to food
common side effect of aluminum hydroxide? - =constipation
what symptoms can indicate a more serious disease when on ranitidine therapy? - =epigastric
pain, bloody tarry stools, heartburn
what does sucralafate do? - =coats ulcer and prevents erosion
can sucralafate be taken with antacids? - =no
when should sucralafate be administered? - =take on empty stomach before meals and before
bedtime
, what should pt increase with sucralafate? - =fluids and fiber
misoprostol is dangerous for which individual? - =pregnant because category X
what is prochlorperazine used for? - =anti-emetic
what are does related side effects of prochlorperazine? - =anticholinergic effects-->dry mouth,
sedation, constipation
orthostatic hypotension, tachycardia
when should you discontinue use of prochlorperazine? - =extrapyramidal symptoms occur
including tremors, stoop slow gait, drooling, pill rolling
can you administer omeprazole at the same time as antacids? - =yes
what should you avoid with omeprazole? - =NSAIDs (gastric irritation)
Ondansetron side effects - =- Headache (common)
- electrolyte imbalance
- Sensation of warmth or flushing, pruritus
- Dysrhythmias
Lab values for hypothyroidism - =Decreased T3 and T4
Increased TSH
therapeutic effect of levothyroxine? - =increased t3 and t4
decreased TSH
