Nurs 621 Exam 2 with verified detailed answers ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Terms in this set (56) ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Original
Pregnancy and Nausea/Vomiting ||\\|//|| ||\\|//||
More than 70% of pregnant women experience nausea and vomiting in pregnancy.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
doxylamine/ pyridoxine (Dicclegis) FDA approved for N/V pregnancy. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Antihistamines- generally believed to be safe for the pregnant women and her fetus, ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
although there are incidental findings of malformations in fetuses. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
doxylamine/ pyridoxine (Dicclegis) ||\\|//|| ||\\|//||
Doxylamine is an antihistamine that reduces the effects of natural chemical histamine in ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
the body. Pyridoxine is a form of vitamin B (B6).
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Treats morning sickness ||\\|//|| ||\\|//||
This medicine will add to the effects of alcohol and other CNS depressants, avoid with
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
MAOI inhibitor. ||\\|//||
First line therapy constipation
||\\|//|| ||\\|//|| ||\\|//||
Bulk forming agents, Metamucil, Benefiber.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Linaclotide (Linzess) and lubiprostone (Amitiza) can be considered as first-line therapy for ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
constipation,
Pregnant constipation treatment ||\\|//|| ||\\|//||
Docusate
Bulk forming agents ||\\|//|| ||\\|//||
loperamide (Imodium) ||\\|//||
Diarrhea tx. ||\\|//||
Opioid receptor agonist that acts on the mu-opioid receptors of the myenteric plexus of the
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
large intestine, like the action of morphine without action on the CNS.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
, Caution with- fever, bloody stools, or fecal leukocytes. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Adverse effects of loperamide include abdominal discomfort, con stipation, and dry mouth.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Treatment or prevention of travelers diarrhea ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Bismuth sulfate (Pepto-Bismol) ||\\|//|| ||\\|//||
Pediatric Nausea/Vomiting ||\\|//||
dimenhydrinate (Dramamine) or oral or rectal trimethobenzamide (Tigan; IV not ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
recommended).
dexamethasone (Decadron) ||\\|//||
Corticosteroid.
Alternative antiemetic ||\\|//||
SE- mood swings, depression, hyperglycemia, hyperactivity, anxiety
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Caution in diabetes, ulcers, young male patients ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Ondansetron (Zofran) ||\\|//||
Antiemetic.
Serotonin antagonist ||\\|//||
Side effects: headache, diarrhea, EKG changes
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Caution in patients with severe cardiac dysfunction ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Least expensive in the class ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Adult male with pneumonia. Patient is allergic to azithromycin. What abx would you
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
prescribe?
Doxycycline
Reglan (metoclopramide) improves GERD by ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Increasing lower esophageal tone ||\\|//|| ||\\|//|| ||\\|//||
Intranasal corticosteroids for seasonal rhinitis in children. The NP should consider ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Impact on growth ||\\|//|| ||\\|//||
Reglan (metoclopramide) serious adverse reaction ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Extrapyramidal symptoms ||\\|//||
Risk factor for asthma exacerbation
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Hx intubation
||\\|//||
Terms in this set (56) ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Original
Pregnancy and Nausea/Vomiting ||\\|//|| ||\\|//||
More than 70% of pregnant women experience nausea and vomiting in pregnancy.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
doxylamine/ pyridoxine (Dicclegis) FDA approved for N/V pregnancy. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Antihistamines- generally believed to be safe for the pregnant women and her fetus, ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
although there are incidental findings of malformations in fetuses. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
doxylamine/ pyridoxine (Dicclegis) ||\\|//|| ||\\|//||
Doxylamine is an antihistamine that reduces the effects of natural chemical histamine in ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
the body. Pyridoxine is a form of vitamin B (B6).
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Treats morning sickness ||\\|//|| ||\\|//||
This medicine will add to the effects of alcohol and other CNS depressants, avoid with
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
MAOI inhibitor. ||\\|//||
First line therapy constipation
||\\|//|| ||\\|//|| ||\\|//||
Bulk forming agents, Metamucil, Benefiber.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Linaclotide (Linzess) and lubiprostone (Amitiza) can be considered as first-line therapy for ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
constipation,
Pregnant constipation treatment ||\\|//|| ||\\|//||
Docusate
Bulk forming agents ||\\|//|| ||\\|//||
loperamide (Imodium) ||\\|//||
Diarrhea tx. ||\\|//||
Opioid receptor agonist that acts on the mu-opioid receptors of the myenteric plexus of the
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
large intestine, like the action of morphine without action on the CNS.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
, Caution with- fever, bloody stools, or fecal leukocytes. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Adverse effects of loperamide include abdominal discomfort, con stipation, and dry mouth.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Treatment or prevention of travelers diarrhea ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Bismuth sulfate (Pepto-Bismol) ||\\|//|| ||\\|//||
Pediatric Nausea/Vomiting ||\\|//||
dimenhydrinate (Dramamine) or oral or rectal trimethobenzamide (Tigan; IV not ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
recommended).
dexamethasone (Decadron) ||\\|//||
Corticosteroid.
Alternative antiemetic ||\\|//||
SE- mood swings, depression, hyperglycemia, hyperactivity, anxiety
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Caution in diabetes, ulcers, young male patients ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Ondansetron (Zofran) ||\\|//||
Antiemetic.
Serotonin antagonist ||\\|//||
Side effects: headache, diarrhea, EKG changes
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Caution in patients with severe cardiac dysfunction ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Least expensive in the class ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Adult male with pneumonia. Patient is allergic to azithromycin. What abx would you
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
prescribe?
Doxycycline
Reglan (metoclopramide) improves GERD by ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Increasing lower esophageal tone ||\\|//|| ||\\|//|| ||\\|//||
Intranasal corticosteroids for seasonal rhinitis in children. The NP should consider ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Impact on growth ||\\|//|| ||\\|//||
Reglan (metoclopramide) serious adverse reaction ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Extrapyramidal symptoms ||\\|//||
Risk factor for asthma exacerbation
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Hx intubation
||\\|//||
