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NURS 6521 / NURS6521 Advanced Pharmacology Midterm Exam | Question and Answers | Latest 2023 / 2024 $13.49   Add to cart

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NURS 6521 / NURS6521 Advanced Pharmacology Midterm Exam | Question and Answers | Latest 2023 / 2024

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NURS 6521 / NURS6521 Advanced Pharmacology Midterm Exam | Question and Answers | Latest 2023 / 2024NURS 6521 / NURS6521 Advanced Pharmacology Midterm Exam | Question and Answers | Latest 2023 / 2024

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  • February 6, 2023
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Advanced Pharmacology 6521 Mid Term

Study online at https://quizlet.com/_762s1i

Advanced Pharmacology 6521 Mid Term

1. Anti-diarrheals: Stops further occurrence of diarrhea. Notable medicines are

Loperamide "Immodium", Diphenoxylate Hcl with Atropine "Lomotil", Bismuth

subsalicylate "Pepto bismul"

Pepto s/e: black stools and tongue


2. Laxatives: Used to ease or stimulate defecation

Soften the stool

Increase stool volume

Hasten fecal passage through the intestine

Facilitate evacuation from the rectum

*Misuse comes from misconceptions of what constitutes normal bowel function


3. Fiber Laxatives: absorbs water, softening feces and increasing their mass.

Can be digested by colonic bacteria, whose subsequent growth increases

fecal mass. ex. Bran, veggies and fruits.





, Advanced Pharmacology 6521 Mid Term

Study online at https://quizlet.com/_762s1i
Meds: mehylcellulose, psyllium, polycarbophil


4. Surfactant Laxatives: Meds: Docusate sodium (Colace) Docusate calcium

(Surfak)

temporary treatment of constipation

* avoid if narrowing of intestines

Give with a full glass of water or juice


5. Stimulant Laxatives: bisacodyl: (tablets: give at night to have BM in am , no

crushing or chewing, no milk or antacids;Suppositories: BM within 15-60 min,

may cause proctitis); senna: BM 6-12 hours after. May cause pink or brown

urine.

castor oil: acts on small intestine 2-6 hour BM. Limit to only when prep for

radiology procedures. Chill and mix in juice.

* easily abused,

Give with a full glass of water.






, Advanced Pharmacology 6521 Mid Term

Study online at https://quizlet.com/_762s1i
6. Osmotic Laxatives: Salts draw water into the intestine causing fecal mass to

soften and swell stimulating peristalsis. Low dose 6-12 hours, high dose 2-6

hours.

magnesium hydroxide,

magnesium citrate,

polyethylene glycol,

lactulose (can be used to lower blood ammonia in liver disease)

* Increase fluid intake. Not good for kidney disease. Sodium phosphate

exacerbates cardiac disease.


7. Miscellaneous Laxatives: Lubiprostone, mineral oil, glycerin suppository,

polyethylene glycol- electrolyte solution, Sodium picosulfate / magnesium

oxide/anhydrous citric acid


8. antiemetic: a medication that is administered to prevent or relieve nausea

and vomiting


9. Ondesetron


, Advanced Pharmacology 6521 Mid Term

Study online at https://quizlet.com/_762s1i
Class: 5HT3 receptor antagonist: Zofran

Indication: Chemotherapy N/V, postoperative N/V, radiation induced N/V

Oral or Parental

* Prolonges QT interval (leading to torsades de pointes)


10. Glucocorticoids used as antiemetic: Not approved by FDA. Solumedrol

and dexamethasone. Given IV.


11. Metoclopramide (Reglan): controls post-op NV suppresses emesis and

increases upper GI mobility


12. Cannabinoids: Dronabinol (marinol) and Nabilone (cesamet). Suppresses

CINV.


13. Alosetron (Lotronex): Used for IBS-D in women that has lasted > 6 months

Blocks 5-HT3 receptors resulting in firm stool and decrease in urgency and

frequency of defecation Can cause constipation

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