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