Antacids What Are They

Front 1

What are three uses of antacids?

Back 1

Tx of hyperacidity
Tx of peptic ulcers
calcium carbonate (meanopausal women osteoporosis

Front 2

Name four adverse reactions of antacid use?

Back 2

Aluminum containing antacids -constipation
Magnesium- diarrhea/dehydration
calcium- renal calculi hypercalcemia Sodium bicarb metabolic alkalosis

Front 3

Name four contraindications of antacid use

Back 3

do not use if severe abdominal pain of unknown cause; sodium base don't give htn, chf or Na+ restriction Ca+ based hypercalcemia, renal calculi
mag, aluminum used caution with pts with renal impairment

Front 4

Name 3 nursing responsibilities for antacid use?

Back 4

Give 2 hours before or after admin of other drugs; shake well before admin, chew thoroughly and follow with full glass of H20 or milk.

Front 5

Educate patient and family

Back 5

do not use drug indiscriminately; chew tablets thouroughly follow with H20 \; effervecent allow tab to dissolve completely; adhere to dosage scheduled; take 2 hours before or after other drugs; If pain/discomfort worsens or if stoll black or coffe ground vomitus occurs contact md stat.antacids may make stool white(normal; taking too much may cause rebound acidity

Front 6

Name three antacid meds?

Back 6

Basaljel calcium carbonate, milk of magnesia

Front 7

Anticholinergics

Back 7

decrease gastric motility if decreased amount of acid is secreted by stomach

Front 8

Examples of anticholinergics

Back 8

Pro-Banthine, Robinul, Anaspaz

Front 9

Uses of anticholinergics

Back 9

Used to tx peptic ulcer Not used alot anymore

Front 10

List 7 adverse reactions of anticholinergics

Back 10

Causes dry mouth; blurred vison; urinary retention and hesitancy; N/V, H/A; Palpitations

Front 11

Contraindications of use of anticholinergics list 6

Back 11

glaucoma- they increase intraoccular pressure which can lead to blindness; MI, CHF, Benign Prostatic Hyperothrophy, HTN

Front 12

Nursing responsibilities for use of anticholinergics (list 2)

Back 12

have pt void before takin med if pt @ risk for urinary retention/hesitancy; safety precautions (blurred vision)

Front 13

Educate pt and family of anticholinergics

Back 13

If aversion to light occurs wear shades, keep rooms dimly lit and schedule outdoor activities before 1st dose. If dry mouth take frequent sips of cool water before drugs and during meals. Avoid constipation push fluids; Drowsiness, schedule alert activities before first dose in early am

Front 14

GI Stimulants Action

Back 14

To increase motility of upper GI tract.

Front 15

Name two examples of GI stimulants?

Back 15

Reglan and Ilopan

Front 16

GI stimulants Uses

Back 16

GERD, Gastric Stasis; Used IV to prevent immediate post operative N/V or used in chemo related N/V.

Front 17

What are the uses of Reglin and Ilopan

Back 17

Reglin is a tiny little pill that improves post op nausea
Ilopan decreases the risk of paralytic ileus (intestines paralize after GI surgery)

Front 18

Adverse effects of GI stimulants

Back 18

Reglan prolonged use CNS symptoms drowsiness, dizzines, Parkinson's symptoms (mask-like face shuffling gait, drool)
Ilopan- Itching, difficulty breathing

Front 19

Contraindications of GI stimulants

Back 19

do not give if GI obstruction, gastric perforation or hemmorrhage
do not use in lactation because it is excreted in breast milk

Front 20

Nursing responsibilities of GI stimulants

Back 20

Admin PO Retlan 30 min before each meal lunch @ 1 give a 12:30 promptly; Teach pts that intestinal colic may occur within 30 min not abnormal it will soon get better. Safety precautions (Parkinson's symptoms) If paralytic ileus monitor bowel sounds (wont be any sounds until it is resolved)

Front 21

Pt teaching for GI stimulants

Back 21

Retlain, take 30 min before meals; if drowsy/dizzy use caution driving or hazard tasks; Immediately report difficulty speaking or swallowing, mask like face; shuffling gait; rigidity; tremors and uncontrolled chewing/rolling of tongue