Proton pump inhibits that reduces gastric acid and stops it from irritating the ulcer more
Pantoprazole IV
Alternative to pantoprazole
Ranitidine
How does Ranitide work?
H2 antagonist, decreased production of gastric acid
Medication used for those taking long term NSAIDs (to prevent ulcers)
Mistoprostal
Pantoprazole considerations
-long term chronic use can lead to osteoporosis and fractures
-no alcohol and no nsaids
-don't open them and sprinkle them
Mistoprostol considerations
#NAME?
Ranitidine considerations
Generally safe
Avoid alcohol and nsaids
Can cause confusion in the elderly
When used in combination what is clarithromycin used to treat
H pylori infection
What does GERD do in regards to ulcers
Makes you more prone to them
Medications that neutralizes stomach acid so there is not as much acid irritating the ulcer (pain)
Magnesium hydroxide
Magnesium hydroxide considerations
Magnesium causes diarrhea
Kidney stones due to increased circulating calcium
Who cannot take magnesium hydroxide
People with renal disease (nsaids increase risk)
Magnesium hydroxide contains sodium so who shouldn't take it
Causes fluid retention so those with heart failure and renal failure
What are ondansetron and promethazk e and dronabinol used for
Antiemetics
Ondansetron can cause
Further issues with heart rhythm
Side effects of promethazine
Extreme sedation
Hypotension
Extrapyramidal symptoms(spastic movement)
Dronabinol is a
Cannabinoid
What to watch for when taking dronabinol
Dissociation
Dysphoria
Tachycardia
Increases appetite
What is given for opioid constipation that isn't severe
Docusate sodium
Which laxative induces a bowel movement via peristalsis
Bisacodyl and mg
What is diphenoxylate used for
Anti diarrheal
Diphenoxylate can have what side effects if given in high doses
NARCS U
Don't give an antidiarrheal to someone with
C diff
What is ferrous sulfate used to treat
Iron deficiency anemia
Treatment for iron related anaphylaxis
Deferoxamine
Side effects with iron
Cause cause skin staining when given IM so use the z track method
Oral teeth staining
Can cause gi upset and BLACK STOOLS
Beefy red tongue can indicate what?
Pernicious anemia
What is pernicious anemia?
B12 deficiency
Folic acid deficiency anemia looks like
Numb and tingling extremities and is treated with folic avid
Antidote for high mg
Calcium Gluconate
Low mg side effects
Muscle weakness
Sedation
Decreased deep tendon reflexes
Hypotension
Respiratory depression
Should you take antacids with anything
No
Mistoprostal induces
Labor
Psyllium is a what forming laxative
Bulk
From sudden discontinuance of TPN what is the pt at risk for
Hypoglycemia
Change all TPN tubings every
24 hours
Prior to admin TPN
2 RN check
Assess for cracking don't infuse a solid
What is the superior route of nutrition
Enteral route
How to reduce risk of aspirating feedings
Semi Fowler's
If laying a pt down turn off the feeding
Rapid feeding causes
Hyperglycemia
Diarrhea
Dumping syndrome
Never admin feeding that is
Cold or warm
Peripheral nutrition has a what concentration of what
Lower
dextrose
Long term admin of PPN can cause
Phlebitis and limb loss
PPN is for pt that do not have
Large nutritional needs
TPN is for how long of has
Long term greater than 7-10 days
Where is TPN admin
Central line either subclavian or internal jugular
Assess for what when giving TPN
Egg allergy and lipid formations
Proton pump inhibits that reduces gastric acid and stops it from irritating the ulcer more
Pantoprazole IV
Alternative to pantoprazole
Ranitidine
How does Ranitide work?
H2 antagonist, decreased production of gastric acid
Medication used for those taking long term NSAIDs (to prevent ulcers)
Mistoprostal
Pantoprazole considerations
-long term chronic use can lead to osteoporosis and fractures
-no alcohol and no nsaids
-don't open them and sprinkle them
Mistoprostol considerations
#NAME?
Ranitidine considerations
Generally safe
Avoid alcohol and nsaids
Can cause confusion in the elderly
When used in combination what is clarithromycin used to treat
H pylori infection
What does GERD do in regards to ulcers
Makes you more prone to them
Medications that neutralizes stomach acid so there is not as much acid irritating the ulcer (pain)
Magnesium hydroxide
Magnesium hydroxide considerations
Magnesium causes diarrhea
Kidney stones due to increased circulating calcium
Who cannot take magnesium hydroxide
People with renal disease (nsaids increase risk)
Magnesium hydroxide contains sodium so who shouldn't take it
Causes fluid retention so those with heart failure and renal failure
What are ondansetron and promethazk e and dronabinol used for
Antiemetics
Ondansetron can cause
Further issues with heart rhythm
Side effects of promethazine
Extreme sedation
Hypotension
Extrapyramidal symptoms(spastic movement)
Dronabinol is a
Cannabinoid
What to watch for when taking dronabinol
Dissociation
Dysphoria
Tachycardia
Increases appetite
What is given for opioid constipation that isn't severe
Docusate sodium
Which laxative induces a bowel movement via peristalsis
Bisacodyl and mg
What is diphenoxylate used for
Anti diarrheal
Diphenoxylate can have what side effects if given in high doses
NARCS U
Don't give an antidiarrheal to someone with
C diff
What is ferrous sulfate used to treat
Iron deficiency anemia
Treatment for iron related anaphylaxis
Deferoxamine
Side effects with iron
Cause cause skin staining when given IM so use the z track method
Oral teeth staining
Can cause gi upset and BLACK STOOLS
Beefy red tongue can indicate what?
Pernicious anemia
What is pernicious anemia?
B12 deficiency
Folic acid deficiency anemia looks like
Numb and tingling extremities and is treated with folic avid
Antidote for high mg
Calcium Gluconate
Low mg side effects
Muscle weakness
Sedation
Decreased deep tendon reflexes
Hypotension
Respiratory depression
Should you take antacids with anything
No
Mistoprostal induces
Labor
Psyllium is a what forming laxative
Bulk
From sudden discontinuance of TPN what is the pt at risk for
Hypoglycemia
Change all TPN tubings every
24 hours
Prior to admin TPN
2 RN check
Assess for cracking don't infuse a solid
What is the superior route of nutrition
Enteral route
How to reduce risk of aspirating feedings
Semi Fowler's
If laying a pt down turn off the feeding
Rapid feeding causes
Hyperglycemia
Diarrhea
Dumping syndrome
Never admin feeding that is
Cold or warm
Peripheral nutrition has a what concentration of what
Lower
dextrose
Long term admin of PPN can cause
Phlebitis and limb loss
PPN is for pt that do not have
Large nutritional needs
TPN is for how long of has
Long term greater than 7-10 days
Where is TPN admin
Central line either subclavian or internal jugular
Assess for what when giving TPN
Egg allergy and lipid formations