hey guys nurse Mike here and welcome to simple nursing.com check out our brand new app and get access to our new pharmarmacology and med search mastery courses plus a massive quiz bank loaded with detailed ration to test your knowledge join for free click the link in our description below now for our nausea medications we have brand name is Zopran given for nausea and vomiting and it works by blocking serotonin receptors to decrease the nausea so the big key point here is that it can cause serotonin syndrome which is a high risk for injury now a big side effect is headache and dizziness and according to the hessi a priority side effect is torsadas deontentes basically a really deadly heart rhythm but to be honest that was the only question in all the quiz banks that ever touched on this side effect now a big key point we give it before going to chemo and before or with pain medications which can cause nausea guys we don't want to play catchup so the ATI question was odanzatron used to decrease nausea and vomiting caused by chemo and a hessi question asked about a chemotherapy scenario so during the infusion a child reports nausea and vomiting so the priority nursing action is to stop the chemo flush the line and administer on danzatron now metocopramide brand name is reglin given for nausea and vomiting but also for delayed gastric emptying called gastroparesis now guys it works by accelerating gastric emptying by increasing intestinal motility basically it gets food out of the stomach very quickly and according to the Hessie it's contraindicated for clients with a bleed in the GI for example a dadinal ulcer or a duod dentenal ulcer now the key point is the side effects the extra parameal side effects guys specifically tardive disynesia especially in older adults so key point is that we question a prescription or order and we report to the HCP immediately so guys keywords to write down lip smacking sucking lip motion guys this was mentioned multiple times on various quiz banks also puffing of the cheeks and excess blinking of the eyes even protruding and twisting of the tongue and chewing movement so the memory trick is M for metocopramide and M for major lip smacking and puffing of the cheeks we always report the funky face movements guys now some common side effects and some common distractors guys we do not need to report these so sedation fatigue and restlessness that's pretty normal headache was mentioned twice on different quiz banks guys it's okay we do not hold for this complication also sleeplessness and dry mouth and constipation and even diarrhea no you do not hold the dose because it's easily treated now for constipation we have laxatives and stool softeners and to be honest it's not a huge topic on the Enclelex review but the big key point here is safety so guys it's contraindicated for bowel obstruction huge risk for death so first on the list is psyllium husk which is a bulking fiber second is magnesium hydroxide brand name is milk of mag or milk of magnesia now this is considered a laxative and antiacid which we'll be covering in the ant acid section now third is sodium docusate brand name is choleace basically it's a stool softener so it increases water content in the stool to soften those hard bowels now this was the only one to come up on five quiz banks as a direct question so that's honestly all you'll need to know and lastly we always teach patients to increase their fluid their fiber and their walking to increase paristalysis basically to get the bowel tubes moving now lactolose we call lactoloose since it loosens the bowels to lower the ammonia levels so we use the acronym Lac for lactolose L for a laxative A for ammonia levels that should be decreasing and C for the cognition that returns so key word here is improved mental status now it's given to decrease ammonia levels in cerosis patients it treats hippatic encphylopathy fancy words for a cloudy brain that decreased mental status from those high levels of ammonia so guys lactolose helps the body poo out all that ammonia basically massive explosive diarrhea so just think lactose we lose that ammonia now some common distractors on the enclelex ammonia levels decrease via the bell guys not the urine since it's not a diuretic so no renal excretion of ammonia and no it does not decrease portal hypertension and no guys abdominal distension will not improve with lactolose again it helps us lose the ammonia in lactose via those loose bowels now how does a nurse evaluate the effectiveness guys write down these key points here number one two to three soft stools per day number two ammonia levels are decreasing but here is the key term write this down cognition must be improving so we must have improved mental status guys the biggest test tip I can give you here is don't let the enclelex trick you diarrhea and loose stools are not indicators that ammonia levels are decreasing the only indicator here is improved mental status that's how you know the drug is working now for sodium polyyrene sulfanate the brand name is kexalate given for hyperc calmia that high potassium so guys just think kxalate helps the K to exit the body from the body into the body now for administration PO is the most effective or we can also use an enema as well now the big key points here for patient teaching key words it helps the large intestine to remove excess potassium within the body most commonly chosen distractors here is guys no contrast is used during administration and it's not using for breadridden clients who are constipated that would be a fleet enema and no it does not decrease bacteria within the intestine that would be a neomyasin enema guys again it decreases the excess K so K exalate it exits the body now thanks for watching for our full video and new quiz bank click right up here to access your free trial and please consider subscribing to our YouTube channel last but not least a big thanks to our team of experts helping us make these great videos all right guys see you next time [Music]