1. Jeopardy Final Jeopardy Antacids Antiemetics/ Emetics $100 $100 $100
Proton Pump
Inhibitors
Antiemetics/
Emetics
Laxatives/
Antidiarrheals
Safe
Nursing
Practice
$100
$100
$100
$100
$100
$200
$200
$200
$200
$200
$300
$300
$300
$300
$300
$400
$400
$400
$400
$400
$500
$500
$500
$500
$500
Final Jeopardy

2. 1 - $100
The primary goal of daily antacid therapy is the relief of what?
Pain

3. 1 - $200
The pain reducing effect of antacids is believed to be due to their what? (list at least 3)
Acid-neutralizing capability
Inhibition of the protein digesting ability of pepsin
Action to increase the resistance of the stomach lining to irritation
Ability to increase tone of the LES

4. 1 - $300 What are the three forms of antacids? Aluminum Magnesium
Calcium

5. 1 - $400
List the characteristics of both systemic and nonsystemic antacids
Systemic – useful in short term therapy, rapid onset, prolonged use causes overload on kidneys
Nonsystemic – useful in long term therapy, most of the dose remains in GI tract, will not alter acid base system

6. 1 - $500
List the commonly used antacids and whether they are systemic or nonsystemic
Aluminum hydroxide gel- nonsystemic
Magnesium hydroxide- nonsystemic
Calcium carbonate- nonsystemic
Magaldrate- nonsystemic
Sodium bicarbonate- systemic

7. 2 - $100
Proton pump inhibitors are indicated for patients with..? List 2 items
GERD
Gastric hypersecretory condition

8. 2 - $200
What medication do proton pump inhibitors interfere with and what are the possible implications of the interaction?
Increase the INR and prothrombin time in patients on Warfarin; could lead to increased risk for bleeding

9. 2 - $300 List the adverse effects of proton pump inhibitors
Risk of hip fractures, headaches, abdominal pain, diarrhea, decreased effectiveness of agents that require gastric acidity for absorption

10. 2 - $400
Type answer to appear with a mouse-click here

11. 2 - $500 When should IV dosing of a PPI be discontinued?
When the patient is able to take the agent orally

12. 3 - $100 List the 5 categories of antiemetics Anticholinergics
Antihistamines
Neuroleptic agents
Prokinetic agents
Serotonin blockers

13. 3 - $200 How do anticholinergics work and what do they prevent?
Bind to and block acetylcholine receptors; prevent nausea stimuli from being transmitted

14. 3 - $300
Explain how serotonin blockers work and give an example of one
Block serotonin receptors in the GI tract, and CNS (emetic center)
Ondansetron (Zofran)

15. 3 - $400 What is the most effective emetic agent available?
Activated charcoal

16. 3 - $500
Describe how neuroleptic agents work, list examples, and list adverse affects
Bind to dopamine receptors and block action, limit dopamine activity, limit emetic input in the medullary emetic center.
Chlorpromazine, droperidol
Orthostatic hypotension, sedation, tardive dyskinesia

17. 4 - $100 How do saline laxatives work? List an example of one
Increase osmotic pressure within the intestinal tract
Magnesium citrate

18. 4 - $200
What can happen if you do not follow bulk forming laxatives with an adequate amount of water?
Can cause esophageal obstruction and/ or fecal impaction

19. 4 - $300 Describe how stool softeners work and list examples
Permit mixing of fats and fluids with the fecal mass, stool becomes softer and is passed much easier, takes several days to work
Docusate salts, Colace, surfak

20. 4 - $400
What things should you encourage patients to do to avoid having constipation?
Increased fluid intake, high fiber healthy diet

21. 4 - $500
What two monosaccharides do lactulose laxatives contain? How do they work? What can these be used to treat?
Galactose & frusctose
Digested in colon by bacteria to form acid substances, cause water to be drawn into the colon
Portal systemic encephalopathy

22. 5 - $100
TyMonitor older adults taking H2 receptor antagonists for changes in what?
Mental status

23. 5 - $200
Clients taking ranitidine may develop what? What medications does it increase, and what should be monitored?
Headache
Glipizide, procainamide, theophylline, warfarin effects
Lab values should be monitored

24. 5 - $300
What should you monitor in patients taking PPI’s? What should patients taking a PPI avoid?
CBC, bone density, liver function
Avoid alcohol and OTC products

25. 5 - $400
If vomiting occurs, the nurse’s priority is to prevent aspiration by doing what?
Positioning patient in the side lying position

26. 5 - $500
While taking antidiarrheal agents, encourage patients to avoid what?
Caffeine, milk products, foods high in fat, fiber, or sugar content

27. Final Jeopardy Monitor patients receiving palonosetron HCL for what?
Changes in QT interval