NURS 3119 GI Medications Exam 2
Questions With Correct Answers
In a ___ ulcer pain is exacerbated by food - answer✔Gastric
In a ___ ulcer pain is relieved by ingestion of food - answer✔Duodenal
In a ___ ulcer pain is more likely to be noted at night - answer✔Duodenal
The most common cause of PUD is ___ - answer✔H pylori
The second most common cause of PUD is ___ - answer✔NSAIDs
What are the Classifications for Treatment of PUD/GERD? - answer✔>Antibiotics
>Histamine2-receptor antagonists
>Protein pump inhibitors
>Mucosal protectant
>Antacids
>Prostaglandin E analog
What are Examples of Antibiotics? - answer✔>Amoxicillin
>Bismuth
>Clarithromycin
>Metronidazole
>Tetracycline
>Tinidazole
What is H. pylori? - answer✔A bacterium that can cause infection in the stomach
>Can lead to duodenal/gastric ulcers
What Type of Effects does Bismuth have? - answer✔>Antibacterial
>Antacid
>Antidiarrheal
What is the Therapeutic Use of Antibiotics? - answer✔PUD, GERDs caused by H. pylori infection
What is the Nursing Administration Tip for Antibiotics? - answer✔Should be a combo of 2-3
antibiotics and a PPI for 14 days
>Take it all until gone
What are Common Side Effects of Antibiotics? - answer✔>Nausea
>Diarrhea
What are MUST KNOWS for Antibiotics? - answer✔>May need to take with food (unless
otherwise containdicated)
>Contraindicated in clients hypersensitive to these medications
>Avoid alcohol while taking Metronidazole
>May have probiotic recommended
What are Examples of Antacids? - answer✔>Aluminum hydroxide
>Magnesium hydroxide
>Calcium carbonate
What is the Therapeutic Use of Antacids? - answer✔>Treat PUD
>Prevention of stress-induced ulcers
>Relief of the manifestations of GERD
Can Antacids be Used Daily for Long-Term? - answer✔No
How Long do Antacids Last? How Many can You Take in a Day? How Long does it Take for
Effects to Begin? - answer✔>Lasts 30-60 minutes--can be taken up to 7x in 24H
>Onset-within 5M
What are MUST KNOWS for Antacids? - answer✔>Chew thoroughly followed by 8oz of
milk/water
What can Aluminum/Calcium Antacids Induce? Magnesium? - answer✔>Aluminum/Calcium
can induce constipation
>Magnesium can induce diarrhea
What is the Therapeutic Use of Metoclopramide? - answer✔Treatment of GERD
How does Metoclopramide Work? - answer✔Increases GI emptying
What are Complications of Metoclopramide? - answer✔>EPS/TD
>Sedation
>Diarrhea
>Diabetic gastroparesis
>Postoperative and Chemo induced nausea (IV)
What are Examples of Histamine 2-Receptor Antagonists? Route of Administration? -
answer✔>Ranitidine
>Cimetidine
>Famotidine
>Nizatidine
Several can be given IV, all can be given PO
What is the Therapeutic Use of Histamine 2-Receptor Antagonists? - answer✔Prevent/treat
ulcers, GERD, heart burn, acid indigestion, Zollinger-Ellison (hypersecretory condition)
>Suppress the secretion of gastric acid by selectively blocking H2 receptors in parietal cells
lining the stomach
Does Histamine 2-Receptor Antagonist Have a Faster or Slower Effectiveness than PPI? -
answer✔Faster
What should be Avoided while on H2-Receptor Antagonists? - answer✔Smoking, it increases
acid production, delays healing, and can decrease the effectiveness of H2 receptor antagonists
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