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Exam 2 (Part 2) Flashcards | StudBud
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Exam 2 (Part 2)
Exam 2 (Part 2)
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Answers
1
What are oral stimulant laxatives used for?
Treatment and prevention of acute and chronic constipation
Treatment of acute constipation
Pre-procedural emptying
Bowel evacuation
2
What is pyridoxine (B6) and doxylamine used for?
Vomiting
Morning sickness
Diarrhea
Nausea
3
Docusate should not be used for acute constipation
True
False
4
What is the age limit for meclizine?
18+
12+
6+
2+
5
What is the MOA of anti-emetics?
Competitvely blocks H1 receptors in the brain/nausea center
Antisecretory effects mediated by inhibition of PG synthesis
Hyperosmolar solution has direct action on GI tract decreasing contraction
Recolonizes intestinal flora with good bacteria
6
What are some examples of non-pharm options for nausea?
Ginger
Acupressure
Antacids
Pyrioxide and doxylamine
7
What is the max amount of days for usage of loperamide?
7 days
2 days
5 days
14 days
8
What is the onset of senna and bisacodyl oral tablet?
2-3 hours
8-10 hours
6-10 hours
15-30 mins
9
What is the onset of bisacodyl suppository?
2-3 hours
3-4 hours
15-60 mins
4-5 hours
10
What is an important counseling point for 1st gen antihistamines?
Take 30-60 mins before motion
Don't drive or perform tasks that require mental alertness
Avoid taking with alcohol
Don't take in lactating patients
11
What is the age limit for permethrin?
2 months
6 years
6 months
2 years
12
Which medication works for live and immature lice?
Dimethicone
Cetaphil
Permethrin
Pyretherin
13
What is the age limit for dimethicone?
2 months and older
6 months and older
2 years and older
6 years and older
14
What is the MOA of oral bulk forming laxative?
Stimulants irritate the GI mucosa, stimulating smooth contraction
Fiber absorbs water and as fiber expands pressure is increased on intestine
Poorly absorbed ions or molecules that draw water into the colon
Saline laxatives contain electrolytes that draw water into the intestine
15
What is the age limit for pyrethrins?
2 months
6 months
6 years
2 years
16
Oral saline laxatives are safe in pregnancy
True
False
17
Oral rehydration solution is for nausea
False
True
18
What are some counseling points for anti-emetics?
Patient's with uncontrolled diabetes need to monitor sugar
Frequent dosing
If it doesn't work in an hour, it isn't going to work
Don't dilute
19
What is the MOA of oral stimulant laxatives?
Saline laxatives contain electrolytes that draw water into the intestine
Fiber absorbs water and as fiber expands pressure is increased on intestine
Stimulants irritate the GI mucosa, stimulating smooth contraction
Poorly absorbed ions or molecules that draw water into the colon
20
Loperamide can have systemic opioid effects
False
True
21
What is the MOA of loperamide
Synthetic opioid agonist
Supplies electrolyte solutes that allow water reabsorption
Competitvely blocks H1 receptors in the brain/nausea center
Antisecretory effects mediated by inhibition of PG synthesis
22
How long is the onset of action for oral bulk laxatives?
72 hours
24 hours
48 hours
15-30 mins
23
Which of the 1st gen antihistamines has longest duration?
Doxylamine
Diphenhydramine
Meclizine
Dimenhydrinate
24
What is the onset of action for PEG?
6-12 hours
12-72 hours
30-60 mins
24 hours
25
What is the onset of enema?
24 hours
30 mins-3 hours
30 mins-6 hours
2-15 mins
26
What products should be recommended for ORS?
Fruit juice
Gingerale
Pedialyte
Gatorade G2
27
Which of all the lice medications do you apply to wet hair?
Cetaphil
Dimethicone
Pyrethrins
Permethrin
28
What is the MOA of dimethicone?
Block nerve impulse transmission to paralyze and kill lice
Binds selectively and with high affinity to glutamate-gated channels
Covers breathing holes to suffocate the lice via a shrink wrap film
Coats and irreversibly immobilizes nymphs and adult lice
29
What is referral criteria for diarrhea?
Visible blood, pus, or mucus
Less than 2 years old
Pregnant women with diarrhea lasting more than 24-48 hours
Less than 6 months
30
Permethrins are safe in pregnancy
True
False
31
Oral bulk laxatives is used for opioid induced constipation
False
True
32
What are hyperosmotic laxatives used for?
Prevention and treatment of opioid induced constipation
Bowel evacuation before procedure
Treatment of acute and chronic constipation
Pain from constipation
33
Which of these can you use for head
AND
pubic lice?
Dimethicone
Permethrin
Pyrethrins
Cetaphil cleansing lotion
34
Which of these are oral bulk forming laxatives?
Methylcellulose
Polycarbophil
Psyllium
Senna
35
You can use permethrins if you have a chrysanthemum allergy.
False
True
36
Meclizine, Dimenhydrinate, Diphenhydramine, and Doxylamine are 1st gen antihistamines
True
False
37
What are some examples of oral saline laxatives?
Magnesium citrate
Magnesium hydroxide
Magnesium sulfate
Docusate
38
What are some referral criteria for N/V?
Food poisioning that doesn't clear up in 72 hours
Signs of moderate/severe dehydration
Head injury
Yellowing of skin
39
What are some referral criteria for constipation?
History of inflammatory bowel disease
Patients under 2
Para or quadriplegic
Fever
40
Oral bulk laxatives are not recommended for acute constipation
True
False
41
What is Bismuth Subsalicylate used for?
Motion sickness
Dehydration
Traveler's diarrhea
Nausea involved with too much food
42
What is a side effect of mineral oil?
Abdominal cramping
Impaired absorption of fat-soluble vitamins A, D, E and K
Anal pruritis and leakage
Lipid pneumonia
43
How does docusate work?
Saline laxatives contain electrolytes that draw water into the intestine
Poorly absorbed ions or molecules that draw water into the colon or rectum
Surfactants that work in small and large intestine to iincrease wetting eff
Stimulants irritate the GI mucosa, stimulating secretion of water
44
What is loperamide used for?
Traveler's diarrhea
Chronic diarrhea
Nausea
Acute non-specific diarrhea
