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21 Cards in this Set

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What are three uses of antacids?
Tx of hyperacidity
Tx of peptic ulcers
calcium carbonate (meanopausal women osteoporosis
Name four adverse reactions of antacid use?
Aluminum containing antacids -constipation
Magnesium- diarrhea/dehydration
calcium- renal calculi hypercalcemia Sodium bicarb metabolic alkalosis
Name four contraindications of antacid use
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
Name 3 nursing responsibilities for antacid use?
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.
Educate patient and family
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
Name three antacid meds?
Basaljel calcium carbonate, milk of magnesia
Anticholinergics
decrease gastric motility if decreased amount of acid is secreted by stomach
Examples of anticholinergics
Pro-Banthine, Robinul, Anaspaz
Uses of anticholinergics
Used to tx peptic ulcer Not used alot anymore
List 7 adverse reactions of anticholinergics
Causes dry mouth; blurred vison; urinary retention and hesitancy; N/V, H/A; Palpitations
Contraindications of use of anticholinergics list 6
glaucoma- they increase intraoccular pressure which can lead to blindness; MI, CHF, Benign Prostatic Hyperothrophy, HTN
Nursing responsibilities for use of anticholinergics (list 2)
have pt void before takin med if pt @ risk for urinary retention/hesitancy; safety precautions (blurred vision)
Educate pt and family of anticholinergics
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
GI Stimulants Action
To increase motility of upper GI tract.
Name two examples of GI stimulants?
Reglan and Ilopan
GI stimulants Uses
GERD, Gastric Stasis; Used IV to prevent immediate post operative N/V or used in chemo related N/V.
What are the uses of Reglin and Ilopan
Reglin is a tiny little pill that improves post op nausea
Ilopan decreases the risk of paralytic ileus (intestines paralize after GI surgery)
Adverse effects of GI stimulants
Reglan prolonged use CNS symptoms drowsiness, dizzines, Parkinson's symptoms (mask-like face shuffling gait, drool)
Ilopan- Itching, difficulty breathing
Contraindications of GI stimulants
do not give if GI obstruction, gastric perforation or hemmorrhage
do not use in lactation because it is excreted in breast milk
Nursing responsibilities of GI stimulants
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)
Pt teaching for GI stimulants
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