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St. Louis Review Center FLOOR CAP BLDG, J. ROSALES AVENUE, CORNER J.C. AQUINO AVENUE, BUTUAN CITY TELEPHONE NUMBER (085) 342-233 COMMON DRUGS AND ITS ANTIDOTES AGENT ANTIDOTE ACETYLCYSTEINE PHYSOSTIGMINE, NaHCO3 ALBUTEROL, NaHCO3, INSULIN, GLUCOSE, SODIUM POLYSTYRENE SULFONATE ATROPINE, NARCAN, or NALMEFE RESPIRATORY SUPPORT TENSILON NARCAN, or NALMEFENE LEUCOVORIN CALCIUM DIMERCAPROL, EDETATE CALCIUM DISODIUM, SUCCIMER DEFEROXAMINE IV D50 GLUCOSE PROTAMINE SO4 LEUCOVORIN CALCIUM FOMEPIZOLE BENADRYL PHENTOLAMINE DIGIBIND MESNA SODIUM THIOSULFATE, or AMYL NITRATE SODIUM SODIUM PHYTONADIONE GLUCAGON GLUCAGON FLUMAZENIL FOMEPIZOLE PHYSOSTIGMINE ATROPINE SO4 MUCOMYST PHYTONADIONE (VIT K)

TYLENOL TRICYCLIC POTASSIUM

ORGANOPHOSPHATE

SUCCINYLCHOLINE PANCURONIUM NARCOTICS, OPIOID METHOTREXATE LEAD

IRON INSULIN HEPARIN FLUOROURACIL ETHYLENE GLYCOL EXTRAPYRAMIDAL SYMPTOMPS DOPAMINE DIGOXIN CYCLOPHOSPHAMIDE CYANIDE LITHIUM COUMADIN CALCIUM BLOCK BETA BLOCK BENZODIAZEPINES ANTIFREEZE ANTICHOLINERGICS TENSILON ACETAMINOPHEN WARFARIN

NUTRITION FATS RECOMMENDATION: NO MORE THAN 30% OF CALORIES AVOID BUTTER AND COCONUT OIL FIBER RECOMMENDATION: 20 TO 30g DAILY FRUIT/ VEGETABLE RECOMMENDATION: 5 OR 6 SERVINGS A DAY MEAT RECOMMENDATION: PREFER FISH AND WHITE MEAT, AND FAT AVOID ORGAN MEATS AVOID SAUSAGE AND BACON EGGS RECOMMENDATION:

AVOID EGG YOLK U.S. Department of Health and Human Services Bread, Cereals, Pasta, Rice - 6 to 11 SERVINGS Vegetables - 5 to 6 SERVINGS Fruits - 2 to 4 SERVINGS Milk, Yogurt, Cheese - 2 to 3 SERVINGS Meat, Fish, Eggs, Nuts - 2 to 3 SERVINGS Fats, Oils and Sweets - USE SPARINGLY

REMOVE SKIN

Types of Diet: 1. Clear Liquid Diet - its purpose is to rest GI Tract and maintain fluid balance INDICATED: Difficulty swallowing or chewing Certain diagnostic tests to reduce fecal matter Immediate postoperative period Foods allowed: FOODS: AVOID organ meats, fish, lobsters dried peas and beans, nuts, oatmeal, whole wheat 2. Full Liquid Diet - used as a transition diet between clear liquid and soft diet; SHORT TERM Foods Allowed: Clear liquids, milk and milk products, all fruit juices, cooked and strained cereals Note: Can be NUTRITIONALLY ADEQUATE surgery 3. Soft Diet - Used as a transition diet between full liquid and regular diet INDICATIONS: Postoperatively Mild GI disturbances Chewing difficulties from lack of teeth or oral 4. Bland Diet - promotes healing of the gastric mucosa and is chemically and mechanically non-stimulating Foods Allowed: Soft diet without spices 5. Low-residue Diet - residue is the indigestible substance left in digestive tract after food has been digested. INDICATIONS: Colon, Rectal or Perineal surgery Diagnostic Exam Bowel Inflammatory Diseases Note: Teach the client to AVOID foods high in fiber, foods having skins and seeds, and milk and milk products ALLOW corn, rice and soy flour 6. Gluten-Free Diet - purpose is to eliminate gluten (protein) from the diet INDICATIONS: Malabsorption syndromes Foods: Eliminate barley, rye, oat, wheat Avoid cream sauces, breaded foods, cakes, muffins and bread 7. PKU (Phenylketonuria) Diet - purpose is to control the intake of phenylalanine, an amino acid that cannot be metabolized

SEE-THROUGH FOODS include water, broth, jello, apple juice, clear carbonated beverages and frozen ice pops Note: This DIET is NOT nutritionally adequate 8. Low-Purine Diet - indicated for gout, uric acid kidney stones and uric acid retention - purpose is to decrease the amount of purine - it will be prescribed until at least age 6 to prevent brain damage and mental retardation Foods: AVOID breads, meat, fish, poultry, cheeses, legumes, nuts and eggs GIVE Lofenalac formula Teach family to use low-protein flour for baking Sugar substitutes such as Nutrasweet contains phenylalanine and MUST NOT be used. 9. Low-Protein Diet Indication : Renal Failure, Liver Failure Purpose: To LIMIT ammonium production Limit: MEAT, EGGS, MILK PRODUCTS Encourage: CARBOHYDRATES SUPPLEMENTS with ESSENTIAL AMINO ACIDS 10. High-Protein Diet Indication: Under nutrition, Burns, Nephrotic Syndrome Purpose: To SUPPORT protein synthesis Encourage: MEAT, FISH, DAIRY PRODUCTS 11. Low-Cholesterol Diet Indication: Cardiovascular Disease, Diabetes Mellitus Purpose: To DECREASE risk for CAD Limit: FRIED FOODS, EGG YOLK, SHELL FISH, LIVER, PORK Encourage: BROILED OR STEAMED FOOD, FRUITS, VEGETABLES, CHICKEN MEAT, VEGETABLE OILS 12. Diabetic Diet Indication: Diabetes Mellitus Purpose: To CONTROL plasma glucose levels Principles: Each meal should contain carbohydrate, fat and protein. Avoid skipping or delaying meals Frequent small meals Unplanned activity 13. Low-Sodium Diet Indication: Hypertension Edema due to: CHF, Liver cirrhosis, Nephrotic Syndrome, PIH Purpose: To DECREASE sodium/ fluid load Limit: CANNED FOOD, SALTED FOOD, SMOKED MEAT, HAM, BACON, SAUCE Encourage: Salt Substitute: Potassium Chloride 14. High-Potassium Diet Indication: Thiazide diuretics, Diabetic ketoacidosis, Chronic vomiting Purpose: To AVOID potassium depletion Encourage: BANANAS, PRUNES, AVOCADO, SOY BEA