Term
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Definition
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Term
| Aluminum- and calcium-containing antacids causes constipation or diarrhea? |
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Definition
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Term
| magnesium-containing antacids cause constipation or diarrhea? |
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Definition
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Term
| sodium-containing antacids cause sodium and fluid to do what? |
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Definition
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Term
| Which type of antacids will the nurse most likely question in an order for a patient with chronic renal failure? |
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Definition
A)Aluminum-containing antacids
B) Calcium-containing antacids
C) Magnesium-containing antacids
D) Sodium-containing antacids |
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Term
| Too much bi-carb can lead to ? |
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Definition
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Term
| A serious side effect of famotidine (Pepcid) is what? |
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Definition
| thrombocytopenia, which is manifested by a decrease in platelet count and an increased risk of bleeding. |
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Term
| Histamine2-receptor antagonists do what? |
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Definition
| Reduce acid secretion by Block histamine at the (H2) receptors of acid-producing parietal cells |
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Term
| Patients taking histamine2-receptor blocking drugs should increase in what? |
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Definition
| bulk and fluids in the diet to prevent constipation. |
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Term
| What irreversibly bind to H+/K+ATPase. |
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Definition
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Term
| How does Proton pump inhibitors works |
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Definition
| to block the final step in the acid-secreting mechanisms of the proton pump. They do this by irreversibly binding to H+/K+ATPase, the enzyme for this step. |
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Term
| What can PPI Lead inhibitors have the ability to almost totally inhibit gastric acid secretion |
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Definition
| leading to achlorhydria (without acid). |
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Term
| What is the first line therapy for H.Pylori usually 10-14 days course? |
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Definition
| PPI and antibiotic clarithyromycin and either amoxicillin or metronidazole |
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Term
T or F:
Aluminum & Sodium-based antaacids are often recommended for pt with renal compromise, b/c they are more easily excreted than other categories? |
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Definition
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Term
| Sodium bicarb are contraindicated for? |
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Definition
Heart Failure (HF), hypertension, or renal insufficiency
USE CAUTIOUSLY IN THESE PATIENTS |
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Term
t or f:
calcium carbonate neutrlization will produce gas and possibly blenching? |
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Definition
| true: usually used in combo w/ antifluants drugs like timethicone |
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Term
t or f?
Calcium carbonate does NOT cause constipation? |
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Definition
False
Constipation & kidney stones |
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Term
| Tums is (calcium carbonate)? |
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Definition
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Term
| Does Magnesium have a laxative effect? |
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Definition
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Term
t or f?
Both calcium & magnesium are toxic for renal pts? |
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Definition
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Term
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Definition
| h2 antagonist anything ending with " tidine" |
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Term
| When should H2 antagonist be taken for optimal results with antaacids? |
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Definition
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Term
| When should Proton Pump Inhibitors: PPIs be taking |
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Definition
| 30-60 min before meals, recommend on an empty stomache |
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Term
| what is Sucralfate (Carafate) for? |
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Definition
| used as a mucosal protectant in the tx of active stress ulcerations |
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Term
| For H2 antagonist what lab tests should you be checking? |
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Definition
| renal or liver function may warrant dosage adjustment |
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Term
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Definition
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Term
| what is the advantage of psyllium ( metamucil) ? |
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Definition
| Its a non-habit forming b/c it works like natural fiber from your body |
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Term
| How long does psyllium ( metamucil) ? work & how do you drink it? |
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Definition
| 48-72 hr drink with 6-8 ounces of water |
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Term
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Definition
| lub or oil that helps soften your stool DOES NOT MAKE U GO TO THE BATHROOM |
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Term
| DOES emollient cause or not cause a laxative effect? |
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Definition
| no it does not it just softens your stool |
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Term
| What is one stool softener "emollient" ? |
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Definition
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Term
| what is another name for colace, surfak |
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Definition
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Term
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Definition
| a hyperosmotic laxative they do not go lightly |
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Term
| another name for golytely? |
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Definition
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Term
| When you are going to have a diagnostic procedure, what 2 laxative they might give you? |
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Definition
| (polyethylene glycol ( golytely ) or Saline laxatives |
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Term
| If you can't drink : polyethylene glycol ( golytely ) or have a bad gag reflux what can they do? |
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Definition
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Term
| When a pt comes in with HIGH ammonia levels due to alcoholism, what med will they give them to bring it down ? |
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Definition
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Term
| What pt would you choose golytely (hyperosmotic) vs saline |
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Definition
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Term
| What are some uses for saline laxatives for? |
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Definition
| constipation / diagnostic or surgical prep |
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Term
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Definition
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