a nurse is caring for a client who has nausea and a prescription for promethazine

How do you position a client for a vaginal exam?

The patient should lie on her back, with her legs flexed and knees apart. Do not expose the patient until you are ready to examine her. It is sometimes necessary to examine the patient in the lithotomy position.

Which antiemetic is contraindicated for a patient with glaucoma?

Antihistamines. Meclizine is an example of an antihistamine that is often used to treat motion sickness. Antihistamines block H1 receptors in the vestibular center and may also block acetylcholine (ACh). Antihistamines are contraindicated in patients with glaucoma or an enlarged prostate gland.

Which are the clinical uses of meclizine select all that apply?

Meclizine is used to treat or prevent nausea, vomiting, and dizziness caused by motion sickness. Meclizine is also used to treat symptoms of vertigo (dizziness or spinning sensation) caused by disease that affects your inner ear.

In which position would the nurse position the female patient for a pelvic examination?

The patient’s hips should be well back on the table with the back of her knees touching the table’s end. The woman will readily assume this position without direction or assistance, as it provides her with stability and relative comfort.

Can nurses do cervical exams?

Sterile vaginal examinations will be done by a qualified RN, CNM or MD to determine progress and status of labor as evidenced by dilation and effacement of cervix, station of presenting part and presentation of fetus. 2.

What medications should be avoided with glaucoma?

Closed-Angle Glaucoma: Medicines to Avoid
  • Antihistamines and decongestants.
  • Asthma medicines.
  • Motion sickness medicines.
  • Some medicines used to treat depression (tricyclic antidepressants)

What medications treat nausea and vomiting work by affecting the Chemoreceptor trigger zone?

Serotonin antagonists block serotonin in the intestines and chemoreceptor trigger zone, and are most effective for treating gastrointestinal irritation and postoperative nausea and vomiting.

What route of administration of medications is contraindicated for a vomiting patient?

An oral medication route is contraindicated for patients who cannot tolerate oral drugs, such as those who have altered mental status or have nausea or vomiting that hinder them from safely ingesting the drug orally.

What is ondansetron used for?

What is ondansetron? Ondansetron blocks the actions of chemicals in the body that can trigger nausea and vomiting. Ondansetron is used to prevent nausea and vomiting that may be caused by surgery, cancer chemotherapy, or radiation treatment. Ondansetron may be used for purposes not listed in this medication guide.

Can you take meclizine as needed?

Since meclizine is sometimes taken only when needed, you may not be on a dosing schedule. Skip any missed dose if it’s almost time for your next dose. Do not use two doses at one time. Avoid driving or hazardous activity until you know how this medicine will affect you.

Is meclizine safe to take?

If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include: extreme drowsiness. sedation.

Which of the following positions is most appropriate for a patient having a breast examination?

The breasts are best examined while lying down because it spreads the breast tissue evenly over the chest. Lie flat on your back, with one arm over your head and a pillow or folded towel under the shoulder. This position flattens the breast and makes it easier to check.

When preparing a patient for a breast examination which of the following is the most appropriate position?

The breasts are best examined while lying down because it spreads the breast tissue evenly over the chest. Lie flat on your back, with one arm over your head and a pillow or folded towel under the shoulder. This position flattens the breast and makes it easier to check.

Which of the following positions is commonly used for a pelvic examination?

The lithotomy position is a common position for surgical procedures and medical examinations involving the pelvis and lower abdomen, as well as a common position for childbirth in Western nations.

How do nurses check for dilation?

In most cases, they will check dilation manually. Wearing gloves, they will insert two fingers into the vaginal canal to feel for effacement (thinning or stretching of the cervix) and dilation (the actual measurement of the opening).

What is a sterile vaginal examination?

SVE. A bimanual examination of the vagina, cervix, adnexa, and fetus during labor. It is used to determine the progress of labor, e.g., the position of the fetus, its engagement, and the dilation of the cervix, while minimizing the risk of introducing harmful bacteria.

What does SVE mean in labor and delivery?

SVE & SSE. Sterile vaginal exam & Sterile speculum exam.

What is the most effective treatment for glaucoma?

The only current approved treatment for glaucoma is to lower intraocular pressure (IOP), which can be achieved with eyedrops, laser, or through surgical intervention.

What is the drug of choice for glaucoma?

The first-line treatment of glaucoma usually begins with the use of a topical selective or nonselective blocker or a prostaglandin analog. Second-line drugs of choice include alpha-agonists and topical carbonic anhydrase inhibitors. Cholinergic agonists are considered third-line treatment options.

What medications can raise eye pressure?

Sulfa-based agents such as topiramate, acetazolamide and hydrochlorothiazide are among the few drugs that can induce “non-pupillary block” acute angle closure glaucoma. Lee et al.,25 have reported that sulfa-based drugs can cause shallowing of the anterior chamber, choroidal effusion, increased intraocular pressure, …

What is droperidol used to treat?

Droperidol injection is used to prevent the nausea and vomiting that may occur after surgery or diagnostic procedures. This medicine is to be given only by or under the direct supervision of your doctor. This product is available in the following dosage forms: Solution.

What medication classification works best for anticipatory nausea?

Benzodiazepines. These agents are anxiolytics that are used in patients receiving chemotherapy. Benzodiazepines are appropriate adjunct therapies to decrease treatment-related anxiety, and they are the preferred agents to treat and prevent anticipatory nausea and vomiting.

Which receptors is involved in nausea and vomiting?

It is also called the area postrema. When the CTZ is stimulated, vomiting may occur. The CTZ contains receptors for dopamine, serotonin, opioids, acetylcholine and the neurotransmitter substance P. When stimulated, each of these receptors gives rise to pathways leading to vomiting and nausea.

When should a nurse administer antiemetics?

The first dose of antiemetics should be given prior to commencing chemotherapy as per the following; Oral – 30 to 60 minutes prior to first dose of chemotherapy (optimal time is 60 minutes prior to commencing chemotherapy)

When should you take nausea medicine?

Anti-nausea medicines usually start working 30 to 60 minutes after you take them. When you come home after being treated with cancer drugs, you may want to use these medicines regularly for 1 or more days. Use them when nausea first starts. Do not wait until you feel very sick to your stomach.

What are some nonpharmacologic measures a nurse can use to help a client who is nauseated or vomiting?

Educate patient or caregiver the use of nonpharmacological nausea control techniques such as relaxation, guided imagery, music therapy, distraction, or deep breathing exercises.

What type of drug is ondansetron?

5-HT3 antagonist

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What is ciprofloxacin used for?

About ciprofloxacin

It belongs to a group of antibiotics called fluoroquinolones. It is used to treat serious infections, or infections when other anitbiotics have not worked. It’s used to treat bacterial infections, such as: chest infections (including pneumonia)

What is dicyclomine used for?

Dicyclomine is used to treat the symptoms of irritable bowel syndrome. Dicyclomine is in a class of medications called anticholinergics. It relieves muscle spasms in the gastrointestinal tract by blocking the activity of a certain natural substance in the body.

Is meclizine used for nausea?

Meclizine is used to prevent and control nausea, vomiting, and dizziness caused by motion sickness. It is also used for vertigo (dizziness or lightheadedness) caused by ear problems. Meclizine is an antihistamine. It works to block the signals to the brain that cause nausea, vomiting, and dizziness.

Who should not take meclizine?

You should not take this medication if you are allergic to meclizine. Before you take meclizine, tell your doctor if you have liver or kidney disease, asthma, glaucoma, an enlarged prostate, or urination problems. This medication may impair your thinking or reactions.

When should you take meclizine?

Meclizine comes as a regular and chewable tablet and a capsule. For motion sickness, meclizine should be taken 1 hour before you start to travel. Doses may be taken every 24 hours if needed.

Can meclizine lower BP?

Meclizine also has been associated with hypotension (low blood pressure) and heart palpitations.

What drugs interact with meclizine?

Meclizine may interact with other medications
  • Drugs that treat psychotic disorders, such as haloperidol, fluphenazine, chlorpromazine, olanzapine, clozapine, quetiapine, and risperidone. …
  • Drugs that treat anxiety, such as lorazepam, clonazepam, alprazolam, diazepam, chlordiazepoxide, paroxetine, and hydroxyzine.
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