Question

Chapter 57,58,59 GI Drugs Name Matching. Use only once 1. scopolamine (Transderm Scop) 3. metoclopramide (Reglan) A. Increases gastric and intestinal emptying B. Anticholinergic side effects C. Common antiemetic with minimal SE D. Often used pre op to increase sedation promethazine (Phenergan) ondansetron (Zofran) 5. Dimenhydrinate (Dramamine) is primarily used to treat 6. Meclizine (Antivert) is primarily used to treat 7. The 2 types of anti- diarrheal medications with an example of each patient call the clinic and is complaining of loose watery stools. Which interventions should the RN implement? (Select al) A. Instruct the patient to take the antidiarrheal exactly as recommended B. Recommend the patient drink clear liquids only, such as tea or broth. C. Determine how long the patient has been having the loose, watery, stools D. Tell the patient to go to the ER as soon as possible E. Tell the patient to start an antibiotic The patient is taking diphenoxylate (Lomotil), Which intervention should the RN discuss with the patient? A. This medication could cause sedation B. If you run out, buy more at the drug store C. It is fine to have one alcoholic drink a day with this medication D. This may increase your urine output 9. Matching use more than once A. Osmotic (saline) B. Stimulant C. Lubricant D. Bulk forming E. Stool softeners (emollient) 10. Must mix with water Mineral Ol 12. Does not cause laxative dependence 13. Docusate sodium (Colace) 14. 15.- - . ( 16. 1 -Avoid inhalation of dust Given routinely in surgical and MI patients Senna (Senakot) 7Most commonly used and abused laxative 18. Irritates the colon 19. Used for bowel prep 20. 21. Lactulose Use cautiously in renal patients , polyethylene glycol (PEG) 22.-

Answer 1

1.Scopolamine are drugs indicated in motion sickness and post operative nausea and vomiting. Patches are also available. Action starts within 20minutes and lasting for 8 hours.It is used to decrease salive if administered pre operatively. It belongs to antimuscuranic action by blocking effects of acetylcholine

Ans.B.anticholinergic side effects

2.Promethazine is used to treat nausea,sleeping difficulty ,allergies,anxiety before surgery

Ans.D.Often used pre op to increase sedation

3.Metoclopromide is a drug used to treat nausea and vomiting ,GERD,Migraine headache.It also enhance stomach emptying

Ans.A.increases gastric and intestinal emptying

4.Ondasetron is the commonly used drug for nausea and vomiting, post op. cases

Ans.C.common antiemetic with minimal side effects

5.Dimenhydrinate is used to treat nausea ,vomiting, dizziness in motion sickness and in ear congestion.

6.Meclizine is indicated for motion sickness (nausea,vomiting during travel) ,dizziness, vertigo

7.The two types of anti D iarrhoeal used are loperamide and bismuth subsalicylate

8.The nurse can recommend the following like taking medication as per prescribed order,encourage total plenty of liquids so that dehydration can be prevented,collect history about the duration,frequencies and any adverse actions ,and if very serious encourage the patient to visit a nearby ER to prevent any major adverse events An antibiotic cannot be prescribed without a physician order

Ans.A,B,C,D can be implemented in this patient

9.The major side effects are fatigue, CNS issues (confusion,dizziness, drowsy,euphoria)nausea,vomiting, anorexia, restlessness, skin rash

Ans.A.This medication could cause sedation