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1. What is the indication for metoclo- Prevention of chemotherapy-induced emesis and di-
pramide/reglan? abetic gastroparesis
2. Side effects of metoclo- Drowsiness, EPS such as tremors
pramide/reglan
3. Notify MD if what occurs when us- Tremors
ing metoclopramide/reglan
4. What is the indication xenical (orlis- For PTs with BMI of 30+; LT weight control
tat, Alli)
5. SE of xenical (orlistat or alli) Oily stool and flatulence
6. Nursing implications for a pt on Ask pt to describe dietary intake since SE are increased
xenical (orlistat or alli) if greater than 30% of fat is in diet.
7. What can decrease side effects of Fiber laxatives like Metamucil help decrease SE by
xenical (orlistat or alli) binding to the fat.
8. Which type of fluids need plenty of Bulk forming laxatives
water?
9. Why do you need plenty of fluids Because they can produce esophageal and or intesti-
when taking bulk forming laxatives nal obstruction
10. Laxative use assessment Last BM and characteristics, abdominal pain, fever
and obstruction. Assess dietary and fluid intake.
11. With laxative use the nurse should Encourage fluids, fiber and exercise as tolerated/indi-
cated
12. Laxative use and result in Lack of bowel tone which can lead to dependency
13. what is ondansetron (zofran) antiemetic
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14. What is ondansetron (zofran)used Prevention of N/V associated with chemotherapy and
for? radiation therapy.
15. Who should you use caution with PTs with liver failure
when giving ondansetron/zofran?
16. Drugs for ulcerative colitis and 5 aminosalicylates; mesalamie, sulfasalazine.
crohns
17. How do 5 aminosalicylates; They decrease GI inflammation
(mesalamie, sulfasalazine) work?
18. Side effects of 5 aminosalicylates; Nausea, rash, arthralgia, hematological disorders
(mesalamie, sulfasalazine)
19. Which drug can cause colitis/c.diff Linezolid/zyvox
20. What kind of infection is c.diff Suprainfection
21. What is azithromycin/zithromax? An antibiotic
22. What does azithromycin/zithromax STDs such as: gonorrhea and chlamydia
treat?
23. How much azithromycin/zithromax One dose of 1g or 2g.
is usually required?
24. If a female pt has trichomonas (any Yes!
STI) and is asymptomatic does the
male need to be tested?
25. azithromycin/zithromax can cause Hepatotoxicity- elevated liver enzymes
what?
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26. What is nitrofurantoin/cipro used An antibiotic for UTI
for?
27. nitrofurantoin/cipro side effect Hepatotoxicity, skin reactions, neuropathy
28. nitrofurantoin/cipro nursing con- Give with milk or meals check LFTs. Watch for numb-
siderations ness or tingling of extremities this can be an irre-
versible peripheral neuropathy
29. Drug of choice for treating c.diff? Metronidazole/flagyl
30. When is metronidazole/flagyl to be With food and around the clock
taken?
31. What should be avoided when tak- Alcohol; can cause a disulfiram-like reaction
ing metronidazole/flagyl and why?
32. aminoglycosides examples gentamicin(garamycin), neomycin, to-
bramycin(nebcin)
33. how are aminoglycosides ,(-mycin, given IV for several days
-micin), administered?
34. what is an adverse effect of amino- decreased hearing/ototoxicity and nephrotoxicity
glycosides (-mycin, -micin)
35. what labs need to be evaluat- BUN and creatinine
ed when given aminoglycosides
(-mycin, -micin)?
36. DOC for MRSA vancomycin
37. what is MRSA severe staph infections that have become resistant to
most antibiotics