1. toradol (ketorolac): toradol = NSAID: “inflam, swell, pain, fever
2. naproxen: naproxen = NSAID: “inflam, swell, pain, fever
3. prednisone
methylprednisolone (solu-medrol): prednisone = corticosteroid: “inflam
- for ulcerative colitis & hella inflammatory disorders
- also for cortisol replacement
methylpred = corticosteroid: “inflam
- admin within 8 hours of spinal cord inj. to promote neuro recovery
4. rocephin (ceftriaxone): antibiotic: stops bacteria growth
- osteomyelitis goes on long-term antibiotic IV midline PICC line
5. tylenol #3
oxycodone: - tylenol: acetaminophen + codeine for mild-mod pain
- oxy: mod-sev pain
6. lovenox: lovenox:
- anticoagulant: prevent thrombus (clot) formation
7. coumadin (warfarin): coumadin:
- anticoagulant: prevent thrombus (clot) formation
- “ MI risk
8. tPA: - fibrinolytic
- *admin w/in few hours after [ischemic] stroke sx
onset* [cardiac = 6hrs] [brain = 3hrs]
- breaks blood clot & restores brain bf
9. zofra
n reglan
phenergan: "-an" meds for n/v (?)
zofran:
- n/v
reglan:
- po: gerd
- iv: n/v
phenergan:
- antihistamine “ allergy sx
- n/v
- sedation
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10.cobalamin (b12): - forms rbcs, prevents anemia
- for ulcer diseases & bleeds
11.psyllium: laxative
- for constipation or chronic watery diarrhea
- (like liquid stools in ulcerative colitis or bowel obstructions)
12. 1) c. diff
sx
nc: - sx: diarrhea (tx = *flagyl*)
nc:
- *isolation precautions - same c.diff pts can go in same room*
- *maintain skin* - don't let immobile pt soak in diarrhea
13. 2) gi bleed
d/t
sx
labs
complix: - d/t: gi ulcer perforation, ulcerative colitis perforation, esoph varice
sx:
- *board-like abdomen*
- *vomit blood (coffee grounds) & poo blood (black tarry)*
labs:
- *“ H&H, BP, SpO2*
- *‘ HR, RR*
- *ALOC*
- complix: *hypovol shock ’ tx: load w/ bolus fluid*
14.3) general GI post-op care: - post-op pts most unstable, so take priority
- *mon for gi bleed sx/labs*
- trend VS q15 min 1st hr
- NPO until present bowel sounds & passing gas
- *want pt walking to get bowel moving*
15.4) ng tube care: - *X-ray verification, mark placement, check pH (want <5.0),*
or co2 monitoring - (don't rlly wanna auscultate air)
- clean feeding bags (risk: sugar build up ’ inf)
- flush q4 hrs w 30cc water: avoid obstruction
- *prev skin necrosis: gently flush nares & mucosa*
- maintain hydration
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16.5) tube feeding care: - aspiration precautions = HOB 90 degrees during & 30
min after eating (turn feeding off when reposition)
- flush before & after feedings w 30cc water: avoid obstruction
- want elixirs or crush meds
- assess lung & bowel sounds
- mon hyperglycemia (BG check + slide scale insulin)
17. 6) ulcerative colitis
what
sx
nc
complix: = chronic inflamed colon/rectum ’ scarring
sx:
- *10-20 liquid or bloody stools IN A DAY* (notif md if worsens)
nc:
- *NPO to rest bowel*
- *maintain nutrition - either IV or TPN/ileostomy*
- avoid perforate: *low residue diet (no nut/seed/grain/fruit/veg), avoid
exacerbating foods*
complix:
- *bowel obstruction*
- *hemorrhage/perforate*
- colon Ca
18. 7) bowel obstruction
sx
nc: sx:
- liquid stool
- vomit fecal matter
- ‘ then “ sound above obstruction
- “ sound below obstruction
- distention
- “ BP ‘ HR + fever @ exacerbation
nc:
- NPO & NG tube to suction bowel
19.8) post-op stoma care: - want nice beefy red (dusky blue = inadeq blood flow)
- expect a lil blood <100ml (100+ ml = excessive bleeding = trend vs & labs
closely)
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