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-supposotoryy A small plug of medication designed to melt at body temperature within a body cavity other than the mouth,

especially the rectum or vagina. Also called bougie. How to use Adult Suppositories Rect This product is for rectal use only. Read and follow all directions on the product package, or use as directed by your doctor. If you are uncertain about any of the information, consult your doctor or pharmacist. If the suppository is too soft to insert, chill in the refrigerator for 30 minutes or run cold water over it before removing the foil wrapper. Wash your hands before and after using this product. If the medication is wrapped in foil, remove the foil wrapper. If desired, the suppository may be moistened with lukewarm water. Do not use petroleum jelly or mineral oil. Doing so may cause the product to be less effective. Lie on your left side with the right knee slightly bent. Using your finger, gently insert the suppository well up into the rectum, pointed end first. After insertion, stay in position for 15 to 20 minutes if possible until you feel a strong urge to have a bowel movement. This product does not need to melt completely to produce an effect. Do not use this product more than once daily unless otherwise directed by your doctor. If this product is used too frequently, it may cause loss of normal bowel function and an inability to have a bowel movement without using the product (laxative dependence). If you notice symptoms of overuse, such as diarrhea, abdominal pain, decreased weight, or weakness, contact your doctor promptly. Consult your doctor promptly if you do not have a bowel movement after using this product or if you think you may have a serious medical problem. Exmples of suppository ; 1. 2. 3. 4. 5. 6. Glycerine- relieve constipation Bisacodyl- short term relief of constipation Zofran suppositories (ondansetron)- Preventing sickness due to chemotherapy(vomit) Oxymorphone suppositories- relief of moderate to severe pain. Ergotamine tartrate suppositories-NSAID (for migraine) Analgesic-antipyretic Opigesic (Paracetamol) suppositories Instruction to pt : -talk to pt about the procedure, -tell the ibdication,side effects -ask pt to lay down to left lateral pstion -expose buttock -ask patient to take a breath- in and out slowly while insertion the suppository -advice pt to tell if feelings like want to BO -after that, ask pt to sit or lay down for a while

Ranitidine Indications Ranitidine is indicated in the treatment of peptic ulcer disease (PUD), dyspepsia, stress ulcer prophylaxis, and gastroesophageal reflux disease (GERD). Ranitidine is indicated to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as ZollingerEllison syndrome. Over-the-counter ranitidine is indicated to prevent and treat symptoms of heartburn associated with acid indigestion and sour stomach. Ranitidine is in a class of prescriptions called H2 blockers. It decreases the amount of acid made in the stomach. A non-imidazole blocker of those histamine receptors that mediate gastric secretion (H2 receptors). It is indicated to treat gastrointestinal ulcers. Side Effects Ranitidine side effects that you should report to your health care professional or doctor as soon as possible: - constipation; - diarrhea; - headache; - stomach pain; - upset stomach; - vomiting; Brand name: Zantac Injection 50 mg/2ml Route: adults (including elderly) / Adolescents (12 years and over) Zantac Injection may be given either as a slow (over 2 minutes) intravenous injection up to a maximum of 50 mg, after dilution to a volume of 20 ml per 50 mg dose, which may be repeated every 6 to 8 hours; or as an intermittent intravenous infusion at a rate of 25 mg per hour for two hours; the infusion may be repeated at 6 to 8 hour intervals, or as an intramuscular injection of 50 mg (2 ml) every 6 to 8 hours. Route of Administration Intravenous or intramuscular injection

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