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Exam (elaborations)

NURS 1141 Pharm Exam 1 Study Questions and Correct Answers

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  • NUR 1141
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  • NUR 1141

Antacids -neutralizes the acids in the stomach DRUG: Milk of Magnesia Indication: relieve discomfort of conditions such as heartburn in GERD or to help peptic ulcers ,excessive eating and drinking. Side effects: Chalky taste Serious adverse effects: Diarrhea, constipation Histamine 2 Receptor ...

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  • September 5, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 1141
  • NUR 1141
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NURS 1141 Pharm Exam 1 Study
Questions and Correct Answers
Antacids ✅-neutralizes the acids in the stomach

DRUG: Milk of Magnesia

Indication: relieve discomfort of conditions such as heartburn in GERD or to help peptic
ulcers ,excessive eating and drinking.

Side effects: Chalky taste

Serious adverse effects: Diarrhea, constipation

Histamine 2 Receptor Antagonists ✅DRUG : Pepcid (no antiandrogenic effects )

uses: treat GERD, duodenal ulcers, and pathologic hypersecretory conditions, such as
Zollinger-Ellison syndrome, and for preventing gastric ulcers in critically ill patients.

Side effects: Dizziness, headache, somnolence (a state of drowsiness or strong desire
to fall asleep), Diarrhea, constipation, Confusion, disorientation, hallucinations,
Gynecomastia, Hepatotoxicity, Vitamin B12 deficiency

Proton Pump Inhibitors ✅DRUGS: Omeprazole (Prilosec), Pantoprazole (Protonix)

use: decrease the amount of acid produced by the stomach

indications: severe esophagitis, GERD, gastric and duodenal ulcers, and hypersecretory
disorders, such as Zollinger-Ellison syndrome

side effects: RISK OF FRACTURES, fatigue, headache, muscle pain, rash, and
gastrointestinal symptoms including nausea, abdominal pain, and diarrhea

adverse: c-diff, risk for fractures

Premedication assessment: Check pattern of bowel elimination; the PPIs may induce
diarrhea.

miscellaneous acid controlling drugs/coating agents ✅Sucralfate (Carafate)

-provides a protective covering over the ulcer crater.

Indication: management of GI ulcers, GI injury prevention from high dose aspirin and
NSAID treatment, used to treat duodenal ulcers

, side effects: constipation, dry mouth, Dizziness

- administer on empty stomach 1 hour before meals

Prokinetic Agents ✅DRUG: Metoclopramide (Reglan)

Used for nausea and vomiting as well as GERD and gastroparesis by accelerating
gastric emptying and blocks dopamine and serotonin receptor in CTZ, also given as an
antiemetic to patients undergoing cancer chemotherapy.

Side effects: may develop extrapyramidal symptoms manifested by restlessness,
involuntary movements, facial grimacing, and possibly oculogyric crisis, torticollis, or
rhythmic tongue protrusion. may cause sudden, intense anxiety and restlessness,
followed by drowsiness

adverse effects: Drowsiness, fatigue, lethargy, dizziness, Nausea, Extrapyramidal
symptoms

-don't give to patients with history of epilepsy

laxatives ✅-psyllium (bulk-forming)
-docusate sodium, (stool softener)
-mineral oil (lubricant laxative)
-bisacodyl, (stimulant laxative)
-senna, (stimulant laxative)
-magnesium hydroxide, (saline)
-miralax (Osmotic laxative)

-Do not administer laxatives to patients with undiagnosed abdominal pain or
inflammation of the GI tract, such as gastritis, appendicitis, or colitis.

common effects: Abdominal spasms, abdominal discomfort with flatulence, nausea,
Abdominal tenderness, pain, bleeding, vomiting, diarrhea, increasing abdominal girth

antidiarrheals ✅-Pepto Bismol (absorbent)
- diphenoxylate with atropine: lomotil (Opioids)
-lactinex (Probiotic)
-imodium A-D (Opiates)

effects:Abdominal distention, nausea, constipation, Stool and tongue discoloration
(grayish black)

serious adverse effects: Prolonged or worsened diarrhea

Carbonic Anhydrase Inhibitors ✅Dorzolamide (Trusopt)

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