NURS 306 Lecture Notes - Lecture 2: Peptic Ulcer, Antispasmodic, Antiemetic
Document Summary
Prevent/treat nausea and vomiting causes: gi disorders, infections, drug therapy, pain, emotions, radiation, motion, post op, pregnancy. Most effective agents in nausea/vomiting to chemo/radiation/anethesia. Pre-medicate 30-60 minutes prior to chemotherapy- more effective when used with dexamethasone side effects: diarrhea, ha, dizziness. *watch for respiratory depression in large doses contraindicated- in uner 2 yrs of age. No to iv- can cause necrosis supossitory, po, im. Due to blockade of dopamine receptos, amy cause extrapyraminal side effects (acute dystonia, akathisia) act like dopey . Lorazepam (ativan): benzodiazepine: used in combination regimens as an adjunct therapy, helps control eps, helps control nausea, anti anxiety. Dronabinoal (marinol: therapeutic use: n/v associated with chemotherapy, appitite stimulant for pt w/ aids, adverse effects: dissociation, dysphoria, caution: pts with cardiac disease, slow onset of action, **related to cannibas- synthetic form. Prokinetic agents: increase tone and motility of gi tract therapeutic uses: n/v related to gastroparesis, gerd, post op, chemotherapy.
