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R.J is being seen in the clinic today for follow up. The nurse is taking a...

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?

Solutions

Expert Solution

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

Nightingale answered 2 years ago
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