A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). What intervention by the nurse will determine the effectiveness of treatment?
Checking the frequency and consistency of bowel movements
The client has a PRN precription for loperamide hyderochloride (Imodium). For which condition should the nurse plan to administer this medication?
An episode of diarrhea
The client has a PRN prescription for ondansetron (Zofran). For which condition should the nurse administer this medication to the postoperative client?
Nausea and vomiting
The client has begun medication therapy with pancrelipase (Pancrease). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?
Reduction of steatorrhea
An older client recently has been taking cimetidine (Tagamet)j. The nurse monitors the client for which most frequent central nervous system side effect of this medication?
The client with a gastric ulcer has a precription for sucralfate (Carafate), 1g by mouth 4 times daily. The nurse schedules the medication for which times?
One hour before meals and at bedtime
The client who chronically uses nonsteroidal anti-inflammatory drugs (NSAIDs) has been taking misoprostol (Cytotec). The nurse determines that the medication is having the intended therapeutic effect if which of the following is noted?
Relief of epigastric pain
The client has been taking omeprazole (Prilosec) for 4 weeks. The ambulatory care nurse evaluates tha the client is receiving optimal intended effect of the medication if the client reports the absence of which symptom?
A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromycin (Biaxin), esomeprazole (nexium), and amoxicillin (Amoxil). Which statement by the client indicates the best understanding of the medication regimen?
"The medications will kill the bacteria and stop the acid production."
The client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition?
Vomiting following cancer chemotherapy
The nurse has given instructions to a client who has just been prescribed cholestyramine (Questran). Which statement by the client indicates a need for further instructions?
This medication should only be taken with water.
A histamine (h2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists?
*Inactivate pepsin/nrutralize gastric acid/ and enhance mucosal protection
Antacids (systemic side effects)
Antacids (nonsystemic side effects)
Al &Ca+: constipation
Al hydroxide (Amphojel)
Mg hydroxide/ AL hydroxide (Maalox)
Ca carbonate (Tums)
Na bicarbonate (Alka-Seltzer) *systemic
Antacids (watch which labs?)
Antiulcer Drugs (Types)
Proton Pump inhibitors
Prostaglandin E1 analog
Antiulcer drug- Tranquilizers names
Chlordiazepoxide & clidinium (Librax)= combo fo anxiolytic/anticholinergic
Glycopyrrolate (Robinul)= reduces fagal stimulation; decreases anxiety
Antiulcer drug- Tranquilizers- special thoughts
*Do not use often
*used for stress related ulcers
Antiulcer drug- Anticholinergics (type)
Antiulcer drug- Anticholinergic (action)
*inhibits release of HCl by blocking acetycholine and histamine
*take with meals to decrease acid secretion
Antiulcer drug- H2 blocker (types)
Antiulcer drug- H2 blockers (actions)
*reduce gastric acid by blocking H2 receptors of parietacl cells in stomach
*promotes healing of ulcer by ELIMINATING THE CAUSE
Antiulcer drug- H2 blockers (side effects)
Headaches, dizziness, diarrhea, constipation, reversible imporence, gynecomastia
Antiulcer drug- H2 blockers (thoughts)
*Do not take with antacids
*with Cimetidine= watch BUN/ Cr/ Alkaline/ Phosphotase
*may give false reading of renal Fx
Antiulcer drug- antacids (thoughts)
*not with meals
*not with other meds
*1 hour before or 2 hours after meals
Antiulcer drugs- Proton Pump Inhibitors (types)
Antiulcer drug- Proton Pump Inhibitors (actions)
*reduce gastric acid by inhibiting hydrogen/potassium ATPase
Antiulcer drug- Proton Pump Inhibitors (Side effects)
*headache, insomnia, dizziness, drymouth, flatulence, abdominal pain
Antiulcer drug- Proton Pump Inhibitors (thoughts)
*good for profilactive effect
*Do not crush or chew
*may push IV
*for GERD, H.pylori, ulcers
Antiulcer drug- Pepsin Inhibitors (types)
Sucralfate (Carafate) thick*
Antiulcer drug- Pepsin Inhibitors (action)
*combines with protein to form thick past govering ulcer
*protects ulcer from acid and pepsin
Antiulcer drug- Pepsin Inhibitors (side effects)
Antiulcer drug- Pepsin Inhibitors (thoughts)
*give 30 minutes before meals and bedtime
Antiulcer drug- Prostaglandin E1 analog (types)
Antiulcer drug- Prostaglandin E1 analog (action)
inhibits gastric acid secretion and protects mucosa
Antiulcer drug- Prostaglandin E1 analog (side effects)
GI distress, constipation
Antiulcer drug- Prostaglandin E1 analog (thoughts)
Do not give to pregnant EVER **causes spontaneous abortion**