Metoclopramide (Reglan), an antiemetic, increases gastric motility by:
blocking dopamine and serotonin receptors and enhancing the action of
... [Show More] acetylcholine
The class of medications most useful in the tx of chemo induced nausea and vomiting is the:
Serotonin receptor antagonists-5-HT3 receptors antagonists ending in -setron
The length of tx for oral metoclopramide should not exceed:
12 weeks, for adult use only, risk the development of tardive dyskinesia
For pts who didn't respond to an initial course of triple therapy for H. pylori, an alternate regimen should be prescribed. It would include a PPI &:
Metronidazole & tetracycline
The following medication should not be administered concomitantly with clopidogrel (Plavix):
Omeprazole (Prilosec)-reduces the effect of Plavix by blocking the conversion to its active form
The most commonly reported side effect of metronidazole and clarithromycin combination therapy for H. pylori is:
metallic taste
H. pylori is naturally resistant to:
Trimethoprim/sulfamethoxazole (Bactrim)
Which of the following medications is classified as n antihistamine and a phenothiazine?
Promethazine (Phenergan)
In addition to metoclopramide (Reglan), another prokinetic drug used to improve gastric motility is:
Erythromycin base (Ery-tab)-enhance emptying the stomach and/or gut and enhance the contractions of the gut
The plasma elimination half-life of esomeprazole (Nexium) is:
1-1.5 hours
Promethazine (Phenergan) should not be used in children younger than 2 years due to:
respiratory depression-1st gen antihistamine
A pt who has failed 2 courses of therapy for H. pylori should:
Receive reinforced education about compliance with meds-often times the cause of tx failure
Rabeprazole (Aciphex), used in the tx of reflux, is classified as a(n):
PPI
The brand name for famotidine is:
Pepcid
Pts should be advised to remove the scopolamine patch if an adverse reaction occurs, such as:
Confusion
Which therapy should be initiated in a pt with moderate C. dif infection who has failed to respond to tx with metronidazole (Flagyl)?
Oral vancomycin-indicated for the tx of initial episode of mild to mod infection
Scopolamine (Transderm-Scop) is indicated for the tx of nausea and vomiting associated with:
Motion sickness
Promethazine (Phenergan), a 1st gen antihistamine, is contraindicated in the presence of:
Asthma
Oral promethazine used for the tx of nausea and vomiting should be administered as needed every:
4 hours
The scopolamine patch should be applied:
Behind the ear
Corticosteroids, used in the tx of ulcerative colitis, usually do NOT:
Increase the effectiveness of antibiotics-decreases effectiveness
The brand name for esomeprazole is:
Nexium
The antibiotics in triple therapy for the tx of H. pylori should be administered:
Twice daily
Corticosteroids, used in the tx of ulcerative colitis, are produced by the:
Adrenal glands
Ondansetron (Zofran) dosage should be adjusted in pts:
With hepatic impairment-5-HT3 receptor antagonists dose limited in hepatic impairment
Anticholinergic agents reduce nausea and vomiting by antagonizing the:
Muscarinic receptors
The brand name for prochlorperazine maleate is:
Compazine
Infliximab (Remicade), a tumor necrosis factor inhibitor, is:
Used to tx Crohn's disease in children
Lubiprostone (Amitiza), used in the tx of chronic constipation, is contraindicated in pts who have:
Suspected mechanical bowel obstruction
The brand name for metoclopramide, an antiemetic, is:
Reglan
Which of the following medications used for the tx of GERD works by neutralizing hydrochloric (HCl) acid in the stomach to rapidly increase gastric pH?
Calcium carbonate (Tums)
The medication class indicated for the intermittent (on-demand) relief of mild gastroesophageal reflux is:
antacids
Side effects related to transdermal scopolamine may include:
Urinary retention
Oral metoclopramide is contraindicated in the patient diagnosed with:
Epilepsy
Which of the following is NOT a 5-HT3 receptor antagonist?
Prochlorperazine (Compazine)
The brand name of pantoprazole is:
Protonix
The medication that suppresses vestibular end-organ receptors and inhibits activation of central cholinergic pathways is:
Meclizine (Antivert)-1st gen antihistamine
The 1st line regimen for the tx of H. pylori is a PPI plus:
Amoxicillin & clarithromycin
Histamine receptor antagonists (H2RA), such as famotidine (Pepcid), inhibit acid secretions by:
Blocking the parietal cells (acid-producers) from responding to histamine
Prior to the initiation of long-term tx with a PPI and periodically during therapy, the NP should monitor serum:
Mag-reduced intestinal absorption has led to hypomagnesemia
The recommended duration of therapy for eradication of H. pylori is:
14 days-most effective
Hyperosmotic agents and saline laxatives should be avoided or used with caution in pts who have:
Heart failure-may seriously alter fluid and electrolyte balance
In the pt with an allergy to penicillin, tx of H. pylori would include a PPI plus:
Metronidazole & clarithromycin
The dose of prochlorperazine should be initiated at the lowest dose and titrated slowly in:
A 70-year old man [Show Less]