What is the indication for metoclopramide/reglan? - ✅✅✅Prevention of chemotherapy-induced
emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan - ✅✅✅Drowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/reglan - ✅✅✅Tremors
What is the indication xenical (orlistat, Alli) - ✅✅✅For PTs with BMI of 30+; LT weight control
SE of xenical (orlistat or alli) - ✅✅✅Oily stool and flatulence
Nursing implications for a pt on xenical (orlistat or alli) - ✅✅✅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) - ✅✅✅Fiber laxatives like Metamucil help
decrease SE by binding to the fat.
Which type of fluids need plenty of water? - ✅✅✅Bulk forming laxatives
Why do you need plenty of fluids when taking bulk forming laxatives - ✅✅✅Because they can
produce esophageal and or intestinal obstruction
Laxative use assessment - ✅✅✅Last BM and characteristics, abdominal pain, fever and obstruction.
Assess dietary and fluid intake.
With laxative use the nurse should - ✅✅✅Encourage fluids, fiber and exercise as tolerated/indicated
If a female pt has trichomonas (any STI) and is asymptomatic does the male need to be tested? -
✅✅✅Yes!
azithromycin/zithromax can cause what? - ✅✅✅Hepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? - ✅✅✅An antibiotic for UTI
nitrofurantoin/cipro side effect - ✅✅✅Hepatotoxicity, skin reactions, neuropathy
nitrofurantoin/cipro nursing considerations - ✅✅✅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? - ✅✅✅Metronidazole/flagyl
When is metronidazole/flagyl to be taken? - ✅✅✅With food and around the clock
What should be avoided when taking metronidazole/flagyl and why? - ✅✅✅Alcohol; can cause a
disulfiram-like reaction
how are aminoglycosides ,(-mycin, -micin), administered? - ✅✅✅given IV for several days
what is an adverse effect of aminoglycosides (-mycin, -micin) - ✅✅✅decreased hearing/ototoxicity
and nephrotoxicity
what labs need to be evaluated when given aminoglycosides (-mycin, -micin)? - ✅✅✅BUN and
creatinine
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