Which drugs are the most effective for treating severe ...

[rosent76]

Which drugs are the most effective for treating severe diarrhea?(Select all that apply.)
 
  1. Diphenoxylate (Lomotil)
  2. Bismuth salt (Pepto-Bismol)
  3. Loperamide (Imodium)
  4. Furazolidone (Furoxone)
  5. Diphenhydramine (Benadryl)

Question 2

A client has been diagnosed with pancreatic insufficiency. Which treatment option does the nurse anticipate for this client?
 
  1. Treatment with PPIs to decrease stomach acid
  2. Replacement therapy with pancreatic enzymes
  3. Decrease food intake
  4. Treatment with stimulant laxatives

[katheyjon]

Answer to Question 1

1, 3

Rationale 1: The most common opioid antidiarrheal is diphenoxylate (Lomotil), which is a Schedule V controlled substance. Loperamide (Imodium) is an opioid that carries no risk for dependence and is available OTC.
Rationale 2: Pepto-Bismol is an adsorbent.
Rationale 3: The most common opioid antidiarrheal is diphenoxylate (Lomotil), which is a Schedule V controlled substance. Loperamide (Imodium) is an opioid that carries no risk for dependence and is available OTC.
Rationale 4:Furazolidone (Furoxone) is used to treat GI infections.
Rationale 5: Diphenhydramine (Benadryl) is an antihistamine.

Global Rationale: The most common opioid antidiarrheal is diphenoxylate (Lomotil), which is a Schedule V controlled substance. Loperamide (Imodium) is an opioid that carries no risk for dependence and is available OTC.

Answer to Question 2

2

Rationale 1: Treatment with PPIs will not help with the loss of pancreatic enzymes to breakdown the food. PPIs block the enzymes for secreting hydrochloric acid in the stomach.
Rationale 2: The pancreas is responsible for the secretion of essential digestive enzymes. Lack of secretion, or pancreatic insufficiency, will result in malabsorption disorders. Replacement therapy with pancreatic enzymes is sometimes necessary.
Rationale 3: Decreasing food intake will not aid to breakdown the food.
Rationale 4:Stimulant laxatives promote peristalsis by irritating the bowel mucosa.

Global Rationale: The pancreas is responsible for the secretion of essential digestive enzymes. Lack of secretion, or pancreatic insufficiency, will result in malabsorption disorders. Replacement therapy with pancreatic enzymes is sometimes necessary.

[rosent76]

Both answers were spot on, thank you once again

[katheyjon]

Great! Please up vote