R.J is being seen in the clinic today for follow up. The nurse is taking a drug
ID: 240655 • Letter: R
Question
R.J is being seen in the clinic today for follow up. The nurse is taking a drug history and finds the patient has been taking sucralfate four times a day for the past 3 months, ondansetron as needed, and bisacodyl as needed. What are the classifications and uses for the three drugs R.J. is taking? What are the side effects/adverse reactions of sucralfate the nurse must know for sucralfate? How can the nurse minimize the side effects/adverse reactions of sucralfate? How does ondansetron work? How is it different from promethazine? How is it different from metoclopramide? What are common side effects/adverse reactions of ondansetron? What concerns would the nurse have with the patient taking bisacodyl too often? What assessment will the nurse make to determine if the drugs had a therapeutic effect?
Explanation / Answer
1. Classification of drugs
Sucralfate-Anti ulcer agent
Ondansetron-Serotonin 5-HT3 Anatagonist
Bisacodyl-stimulant laxative
2. Use
Sucralfate
Trreatment for duodenal ulcer, stress ulcer and gastro esophageal reflux disease
Create physical barrier and protect Gastro intestinal tract from stomach acid and prevent mucus degradation.
Ondansetron
It prevents nausea and vomiting caused by cancer treatment drugs.
It prevents nausea and vomiting after surgery
It acts by blocking the serotonin one of the body's natural substance that cause vomiting.
Bisacodyl
Clean out intestine before surgery/bowel examination
Treatment for constipation
Increase the intestinal movement by that helps the stool to come out
3. Side effects
Sucralfate
Constipation/diarrhoea
Nausea and vomiting
Stomach upset
Stomach pain
Dry mouth
Flatulence
Dizziness
Drowsiness
Dizziness
Pruritis
4. How can minimize side effects of sucralfate
Advice to,
Take small frequent diet
Avoid spices, coffee and carbonated beverages
Take fiber rich diet
Take laxatives and antiemetic as per doctor's advise
5. How ondansetron work
It block the action of serotonin a natural substance in the body which cause vomiting
6. How ondansetron differ from promethazine and metachlopromide
Promethazine will cause more sedation than ondansetron
The effect of ondansetron is more when compared with the metachlopromide
7. Side effects of ondansetron
Headache
Fatigue
Dizziness
Flushing
Constipation/diarrhoea
Rash
Hiccups
8. What concern nurse should take when patient takes bisacodyl
Advise the patient to,
Take plenty of oral fluids
Take simple diet
Do not stop medication suddenly
Explain the side effects of overuse of laxative Like laxative addiction.
9. Nursing assessment for therapeutic effects
Sucralfate
Pain assessment.patient will be free from ulcer pain
Ondansetron
The feeling of nauses and the episodes of vomiting will be reduced
Bisacodyl
Patient will be free constipation. His bowel pattern will be normal.
Ondansetron
Related Questions
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.