MEDS,
103
review,
HESI
mid
curricular
SCC
Bulk
forming
laxatives
-
ANS
Psyllium
(Metamucil)
action:
mix
with
intestinal
fluids,
swell,
and
stimulate
peristalsis.
ed:Take
with
8-oz
water
and
follow
with
8-oz
water;
do
not
take
it
dry.
Report
abdominal
distention
or
unusual
amount
of
flatulence.
Lubricant
laxatives
-
ANS
Mineral
oil
(6-8
hrs)/Glycerin
suppository
(30
min)
-->
facilitates
passage
by
LUBRICATING
the
intestinal
MUCOSA
ed:
don't
take
with
meals
Stimulant
laxatives
-
ANS
bisacodyl
(Dulcolax),
senna
(Senokot)
NO
LONG
TERM
USE
Action:
decreases
large
intestinal
water
absorption
H-2
blockers
-
ANS
-famotidine*,
ranitidine,
cimetidine,
nizatidine-
**end
in
"tidine"**
action:
reduce
gastric
acid
secretion
Tx:
heartburn,
esophagitis,
GERD,
benign
duodenal/gastric
ulcers.
S/E
=
drowsiness/dizziness
proton
pump
inhibitors
(PPI)
-
ANS
-omeprazole**,
lansoprazole,
esomeprazole,
pantoprazole,
rabeprazole-
**end
in
"prazole"**
Action:
blocks
gastric
acid
production
Tx's:
erosive
esophagitis,
GERD
sx,
H.
pylori
eradication
S/E
=
HA,
N/D,
abd
pain
antibiotics
for
GI
tract
infections
-
ANS
metronidazole
&
vancomycin
Tx:
GI
infection
(c.diff/parasites)
S/E:
GI
upset,
diarrhea
immunosuppression
for
autoimmune
disorders
-
ANS
azathioprine
Tx's:
crohns,
ulcerative
colitis,
autoimmune
hepatitis.
S/E:
hepatotoxicity,
bone
marrow
suppression
bowel
stimulants
-
ANS
senna
and
docusate
sodium
-->
Tx
constipation
by
stimulating
peristalsis laxatives
-
ANS
-polyethylene
glycol,
lactulose,
milk
of
magnesia-
-->Tx
constipation
by
softening
stool
antidiarrheals
-
ANS
loperamide
(anticholinergic),
diphenoxylate
-->tx
diarrhea
by
decreasing
peristalsis
corticosteroids
for
GI
issues
-
ANS
prednisone
-->
reduces
inflammation
and
suppresses
immune
response
Tx:
IBD
and
autoimmune
disorders
short
term
use
lots
of
S/E
Antiemetics
-
ANS
promethazine
and
metoclopramide
-->
tx
N/V
Anti-inflammatories
for
GI
issues
-
ANS
mesalamine,
sulfasalazine,
hydrocortisone
enemas
-->
reduce
inflammation
tx:
ulcerative
colitis
NSAIDs
-
ANS
Glimepiride
-
ANS
Glipizide
-
ANS
glyburide
-
ANS
metformin
calcium
carbonate
(tums)
-
ANS
antacid/calcium
supplement
Phenazopyridine
HCL
-
ANS
urinary
analgesic
used
to
tx
UTI
ed
pt
urine
will
be
bright
orange/red
hepatotoxic
Alprazolam
-
ANS
antianxiety
q4-6h
can
be
habit
forming
buspirone
-
ANS
anti-anxiety
effect
can
take
3-4
weeks
diazepam
-
ANS
anti-anxiety
SSRI
antidepressants
-
ANS
Fluoxetine TCA's
-
ANS
Amitriptyline
doxepin
imipramine
Nortriptyline
Bupropion
-
ANS
antidepressant
tx:
depression/smoking
cessation
Trazodone
-
ANS
antidepressant
tx
major
depression
take
with
food
nursing
process
-
ANS
assess
diagnose
outcome/planning
implement
evaluate
techniques
of
physical
assessment
-
ANS
inspection
palpation
percussion
auscultation
start
physical
assessment
with
-
ANS
general
survey
assess
for
-appearance
-behavior
-height/weight/BMI
-nutritional
status
-waist
circumference
which
can
indicate
obesity
when
assessing
the
integumentary
system
you
are
looking
for
-
ANS
erythema
-
indicating
fever/inflammation
cyanosis
-
indicating
O2
loss
jaundice
-
^
billiruben
pallor
-
low
on
blood
ecchymosis
petechiae
lesions
integumentary
assessment
-
ANS
palpate
for
temperature,
moisture,
turgor,
edema
and
inspect
adventitious
breath
sounds
-
ANS
wheeze
-
high
pitch
indicating
airway
obstruction
crackles
-
bubbling
on
in/ex
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