What is the indication for metoclopramide/reglan? -ANS Prevention of chemotherapy-induced emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan -ANS Drowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/reglan -ANS T...
What is the indication for metoclopramide/reglan? -ANS Prevention of
chemotherapy-induced emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan -ANS Drowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/reglan -ANS Tremors
What is the indication xenical (orlistat, Alli) -ANS For PTs with BMI of 30+; LT weight
control
SE of xenical (orlistat or alli) -ANS Oily stool and flatulence
Nursing implications for a pt on xenical (orlistat or alli) -ANS Ask pt to describe dietary
intake since SE are increased if greater than 30% of fat is in diet.
What can decrease side effects of xenical (orlistat or alli) -ANS Fiber laxatives like
Metamucil help decrease SE by binding to the fat.
Which type of fluids need plenty of water? -ANS Bulk forming laxatives
Why do you need plenty of fluids when taking bulk forming laxatives -ANS Because they
can produce esophageal and or intestinal obstruction
Laxative use assessment -ANS Last BM and characteristics, abdominal pain, fever and
obstruction. Assess dietary and fluid intake.
With laxative use the nurse should -ANS Encourage fluids, fiber and exercise as
tolerated/indicated
Laxative use and result in -ANS Lack of bowel tone which can lead to dependency
what is ondansetron (zofran) -ANS antiemetic
What is ondansetron (zofran)used for? -ANS Prevention of N/V associated with
chemotherapy and radiation therapy.
, Who should you use caution with when giving ondansetron/zofran? -ANS PTs with liver
failure
Drugs for ulcerative colitis and crohns -ANS 5 aminosalicylates; mesalamie, sulfasalazine.
How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? -ANS They decrease GI
inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) -ANS Nausea, rash,
arthralgia, hematological disorders
Which drug can cause colitis/c.diff -ANS Linezolid/zyvox
What kind of infection is c.diff -ANS Suprainfection
What is azithromycin/zithromax? -ANS An antibiotic
What does azithromycin/zithromax treat? -ANS STDs such as: gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? -ANS One dose of 1g or 2g.
If a female pt has trichomonas (any STI) and is asymptomatic does the male need to be tested?
-ANS Yes!
azithromycin/zithromax can cause what? -ANS Hepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? -ANS An antibiotic for UTI
nitrofurantoin/cipro side effect -ANS Hepatotoxicity, skin reactions, neuropathy
nitrofurantoin/cipro nursing considerations -ANS Give with milk or meals check LFTs.
Watch for numbness or tingling of extremities this can be an irreversible peripheral neuropathy
Drug of choice for treating c.diff? -ANS Metronidazole/flagyl
When is metronidazole/flagyl to be taken? -ANS With food and around the clock
What should be avoided when taking metronidazole/flagyl and why? -ANS Alcohol; can
cause a disulfiram-like reaction
how are aminoglycosides ,(-mycin, -micin), administered? -ANS given IV for several days
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