Terms in this set (19)
Vitamin K (Aquamephyton)
Rationale: to help with deficiencies of clotting factors and decrease excess bleeding. Due to a decrease absorption in the intestines
Action: Required for hepatic synthesis of blood coagulation factors II (prothrombin), VII, IX, and X.
Rationale: Treatment of severe diarrhea and bleeding varices
Action: Suppresses secretion of serotonin and gastroenterohepatic peptides.
Increases absorption of fluid and electrolytes from the GI tract and increases transit time.
Decreases levels of serotonin metabolites
Also suppresses growth hormone, insulin, and glucagon.
Ranitidine Hcl (Zantac)
Rationale: Prevention of acid inactivation of supplemental pancreatic enzymes
Action: Inhibits the action of histamine at the H2-receptor site located primarily in gastric parietal cells, resulting in inhibition of gastric acid secretion.
Rationale: Decrease esophageal varices
Action: Alters the permeability of the renal collecting ducts, allowing reabsorption of water.
Directly stimulates musculature of GI tract.
In high doses acts as a non-adrenergic peripheral vasoconstrictor
Rationale: Treatment of diarrhea and to decrease the number of ammonia-producing bacteria in the gut
Action: Inhibits protein synthesis in bacteria at level of 30S ribosome.
Rationale: Replacement due to loss of magnesium from n/v and diarrhea
Action: Essential for the activity of many enzymes.
Plays an important role in neurotransmission and muscular excitability
Rational: Treatment of peripheral edema due to impaired liver synthesis of albumin
Action: Acts on the ascending loop of Henle and distal renal tubules to prevent water and Na reabsorption back into the blood from the kidneys. Causes an ↑ in urine and a ↓ in circulating blood volume; ↑ renal excretion of water, Na+, Cl-, K+, Mg++, H+, and Ca+.
Rationale: Treatment of portal hypertension
Action: Blocks stimulation of beta1 (myocardial) and beta2 (pulmonary, vascular, and uterine)-adrenergic receptor sites.
Hepatitis B Vaccine
Hepatitis A Vaccine
Rational: Management of ascites to help in decreasing edema
Action: Increases excretion of sodium and water by inhibiting sodium reabsorption in the distal tubule.
Promotes excretion of chloride, potassium, magnesium, and bicarbonate
May produce arteriolar dilation
Rationale: Decrease bacterial flora in GI tract
Action: Increases water content and softens the stool.
Lowers the pH of the colon, which inhibits the diffusion of ammonia from the colon into the blood, thereby reducing blood ammonia levels
B Complex Vitamins
Rational: To replace loss of vitamins
Albumin 25% Solution