Pharmacology: Gastrointestinal Medications
24 Questions
104 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What should a nurse include when teaching a client prescribed loperamide?

  • Use sunscreen while taking the medication
  • Take the medication before meals
  • Increase fluid intake
  • Avoid driving or activities requiring alertness (correct)

Which condition contraindicates the use of misoprostol?

A positive pregnancy test

What information should the nurse provide about alosetron?

The drug is prescribed to female clients who have IBS-D lasting more than six months

Which drug requires monitoring of phosphorus levels in clients with peptic ulcer disease?

<p>Aluminum hydroxide</p> Signup and view all the answers

What should a nurse advise a client taking sulfasalazine?

<p>You should use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn (A)</p> Signup and view all the answers

What therapeutic effect does docusate sodium provide?

<p>Prevents straining</p> Signup and view all the answers

For which condition should diphenoxylate/atropine be used with caution?

<p>Inflammatory bowel disease</p> Signup and view all the answers

When should a client take ranitidine after antacids?

<p>At least one hour</p> Signup and view all the answers

To identify an adverse drug reaction when administering sulfasalazine, which data should the nurse collect?

<p>CBC (B), Skin integrity (C), Temperature (D)</p> Signup and view all the answers

Why should a nurse clarify prescriptions for allopurinol and azathioprine?

<p>Allopurinol delays the conversion of azathioprine and can lead to toxicity</p> Signup and view all the answers

What is a common adverse effect of ondansetron?

<p>Dizziness</p> Signup and view all the answers

What instructions should a nurse provide to a client starting psyllium for constipation?

<p>Take the drug with at least 8 oz (237 mL) of fluid (C)</p> Signup and view all the answers

When administering ondansetron to a chemotherapy patient, what should the nurse do?

<p>Infuse the drug 30 min prior to chemotherapy (B)</p> Signup and view all the answers

What manifestation should a client with renal impairment report when taking cimetidine?

<p>Lethargy</p> Signup and view all the answers

What indicates effective alosetron therapy?

<p>One formed stool per day</p> Signup and view all the answers

Which adverse effect should a client on alosetron report?

<p>Abdominal pain</p> Signup and view all the answers

What adverse reaction can lubiprostone cause?

<p>Nausea</p> Signup and view all the answers

What condition should a client starting methotrexate monitor for?

<p>Gout</p> Signup and view all the answers

For which condition is sulfasalazine contraindicated?

<p>Aspirin sensitivity</p> Signup and view all the answers

Which drug interacts with ranitidine?

<p>Ketoconazole</p> Signup and view all the answers

What should be included in the teaching for a client taking dimenhydrinate?

<p>Take the drug 30 to 60 min before activities that trigger nausea (C)</p> Signup and view all the answers

Which drug requires clients to meet specific risk management criteria before administration?

<p>Alosetron</p> Signup and view all the answers

Why should phenytoin and sucralfate be taken at least 2 hours apart?

<p>Sucralfate interferes with the absorption of phenytoin</p> Signup and view all the answers

What instruction should be given for taking omeprazole?

<p>Swallow the capsule whole</p> Signup and view all the answers

Flashcards

What is an important precaution for patients taking loperamide?

Loperamide is a medication used to treat diarrhea. Patients should be aware that it can cause drowsiness and they should avoid activities that require alertness, such as driving.

Who should avoid taking misoprostol?

Misoprostol is a medication that should not be taken by pregnant women.

Who is alosetron prescribed for, and under what circumstances?

Alosetron is prescribed for women with a specific type of irritable bowel syndrome called IBS-D, and only after the condition has persisted for at least six months.

Why is phosphorus monitoring important for peptic ulcer disease patients taking aluminum hydroxide?

Patients with peptic ulcer disease who are taking aluminum hydroxide need to have their phosphorus levels monitored regularly by a medical professional.

Signup and view all the flashcards

What is a side effect of sulfasalazine that requires sun protection?

Sulfasalazine can increase sensitivity to sunlight, so patients taking it should wear sunscreen and protective clothing to prevent sunburn.

Signup and view all the flashcards

What is the purpose of docusate sodium, especially after a heart attack?

Docusate sodium is a medication that helps soften stool and prevent straining during bowel movements. Doctors often prescribe it after a heart attack to reduce the risk of heart complications.

Signup and view all the flashcards

What condition requires caution when using diphenoxylate/atropine?

Diphenoxylate/atropine is a medication used for diarrhea, but caution is advised for patients with inflammatory bowel disease due to the potential for complications.

Signup and view all the flashcards

How long should patients with GERD wait after taking antacids before taking ranitidine?

Patients taking ranitidine for GERD should wait at least an hour after taking antacids before taking their ranitidine dose. This timing helps ensure the best absorption of ranitidine.

Signup and view all the flashcards

What is a potential side effect of ondansetron?

One possible side effect of ondansetron is dizziness. Patients should be aware of this and avoid activities that require alertness if they experience dizziness.

Signup and view all the flashcards

What is crucial for patients taking psyllium and why?

Patients taking psyllium need to drink enough fluids to help it work properly. They should consume at least 8 oz of fluid with each dose and increase their overall fluid and fiber intake.

Signup and view all the flashcards

How is ondansetron typically administered in relation to chemotherapy?

Ondansetron should be given slowly over 15 minutes, 30 minutes before chemotherapy. Consider giving another dose four hours after the chemotherapy treatment.

Signup and view all the flashcards

What side effect should patients with kidney problems taking cimetidine report to their doctor?

Patients with renal impairment who are taking cimetidine should report lethargy to their doctor. This can be a sign of a potential complication.

Signup and view all the flashcards

What indicates alosetron is working effectively?

Alosetron's effectiveness is judged by the patient having a regular bowel movement, typically one formed stool per day.

Signup and view all the flashcards

What should patients using alosetron report to their doctor?

Patients taking alosetron should report any abdominal pain they experience, as this could be a sign of a potential complication.

Signup and view all the flashcards

What is a potential side effect of lubiprostone?

Lubiprostone is a medication that can cause patients to feel nauseous. This side effect should be monitored.

Signup and view all the flashcards

Why should patients taking methotrexate monitor for gout?

Patients taking methotrexate should be aware of the risk of developing gout and should monitor for its symptoms.

Signup and view all the flashcards

Who should avoid taking sulfasalazine?

Sulfasalazine should not be given to patients who have a sensitivity to aspirin.

Signup and view all the flashcards

What is a possible drug interaction with ranitidine?

Ranitidine can interact with ketoconazole. This combination should be monitored by a medical professional.

Signup and view all the flashcards

What are some important points to remember when taking dimenhydrinate for motion sickness?

Dimenhydrinate is taken for motion sickness. Patients should take it 30-60 minutes before the activity that may induce nausea. They should also avoid activities that require alertness and increase their fluid and fiber intake.

Signup and view all the flashcards

Why are specific criteria and a treatment agreement needed for alosetron?

To receive alosetron, patients must meet certain criteria and sign a treatment agreement. These requirements are part of a risk management program for this medication.

Signup and view all the flashcards

What is an important administration guideline for phenytoin and sucralfate?

Patients should take phenytoin and sucralfate at least 2 hours apart. This is because sucralfate can interfere with the absorption of phenytoin.

Signup and view all the flashcards

What should patients taking omeprazole be told about how to take the medication?

Patients prescribed omeprazole should be instructed to swallow the capsule whole without chewing or breaking it.

Signup and view all the flashcards

Study Notes

Loperamide and Diarrhea

  • Loperamide is used to treat diarrhea; patients should avoid driving or activities that require alertness while taking it.

Misoprostol Contraindications

  • Misoprostol is contraindicated in patients with a positive pregnancy test.

Alosetron for IBS-D

  • Alosetron is prescribed for female patients with irritable bowel syndrome with diarrhea (IBS-D) lasting longer than six months.

Monitoring with Aluminum Hydroxide

  • Patients with peptic ulcer disease should have phosphorus levels monitored when receiving aluminum hydroxide.

Sulfasalazine Instructions

  • Patients taking sulfasalazine should use sunscreen and wear protective clothing to prevent sunburn.

Docusate Sodium Effects

  • Docusate sodium is prescribed to prevent straining during bowel movements, particularly after myocardial infarction.

Caution with Diphenoxylate/Atropine

  • Diphenoxylate/atropine should be used cautiously in patients with inflammatory bowel disease.

Ranitidine Administration

  • For GERD treatment, instruct patients to wait at least one hour after taking antacids before taking ranitidine.

Adverse Effects of Ondansetron

  • A potential adverse effect of ondansetron is dizziness.

Psyllium Administration

  • Advise patients to take psyllium with at least 8 oz (237 mL) of fluid and to increase fluid and fiber intake.

Ondansetron and Chemotherapy

  • Infuse ondansetron 30 minutes prior to chemotherapy, slowly over 15 minutes, and consider repeating the dose four hours after chemotherapy.

Cimetidine and Renal Impairment

  • Patients with renal impairment taking cimetidine should report lethargy as a potential side effect.

Evaluating Alosetron Effectiveness

  • Effectiveness of alosetron is indicated by the patient reporting one formed stool per day.

Reporting Alosetron Adverse Effects

  • Patients using alosetron should report abdominal pain as a possible adverse effect.

Lubiprostone and Nausea

  • Lubiprostone can cause nausea, which should be monitored by the patient.

Methotrexate and Gout Monitoring

  • Patients on methotrexate should monitor for manifestations of gout.

Sulfasalazine Contraindications

  • Sulfasalazine is contraindicated in individuals with aspirin sensitivity.

Ranitidine Drug Interactions

  • Ranitidine can interact with ketoconazole, which should be monitored.

Dimenhydrinate for Motion Sickness

  • Dimenhydrinate should be taken 30-60 minutes before activities that induce nausea; patients should also avoid activities requiring alertness and increase fluid and fiber intake.

Alosetron Risk Management

  • Administering alosetron requires clients to meet specific risk management criteria and sign a treatment agreement.

Phenytoin and Sucralfate Administration

  • Phenytoin and sucralfate should be taken at least 2 hours apart to prevent absorption interference of phenytoin by sucralfate.

Omeprazole Instructions

  • Patients prescribed omeprazole should be instructed to swallow the capsule whole without chewing or breaking.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Description

Test your knowledge on various gastrointestinal medications including loperamide, misoprostol, and others. This quiz covers important contraindications, monitoring requirements, and patient instructions for these drugs. Perfect for students in pharmacology or healthcare fields.

More Like This

Antacids and Their Pharmacology
9 questions
Pharmacology of Gastrointestinal Medications
8 questions
Pharmacology: Gastrointestinal Medications
45 questions
Use Quizgecko on...
Browser
Browser