Histamine H2 Antagonist

Front 1

Histamine H2 antagonists what are the actions

Back 1

they inhibit the action of histamine therefore decreased secretion of gastric acid and decreased pepsin output therefore ulcerated areas can heal

Front 2

Examples of Histamine H2 antagonists

Back 2

Togamet, Pepcid, Axid, Pulvules, Zantec

Front 3

What are the uses of Histamine H2 antagonists

Back 3

tx of gastic/duodenal ulcers
hypersecretory conditions; manage GERD pts; Propylactic pts prone to stess ulcers (ie burn victims, car accident)
Upper GI bleeding

Front 4

Adverse reactions of Histamine H2 antagonists

Back 4

Dizziness, somnolence (sleepy) H/A, Confusion in elderly it can lead to psychosis)

Front 5

Contraindications for use of Histamine H2 antagonists

Back 5

Use caution with pts with renal/hepatic impariment; caution in geriatric due to possible confusion; pregnancy/lactation; lots of drug to drug interactions (i.e) antacids and Reglan decrease absorbtion

Front 6

NSG responsibilities for Histamine H2 antagonists

Back 6

Monitor for dizziness,drowsiness; geriatrics (sensitive) if ordered IV give slowly because it may cause cardiac arrhytmias; Axid pulvules give 1x per day at HS

Front 7

Patient and family teaching for Histamine H2 antagonists

Back 7

Keep MD informed on progress. take as directed, follow MD recomendations ie (limit foods and alcohol; IF drowsiness avoid driving; report sore throat rask fever belleding black tarry stool easy bruising and confusion; regular follow ups drugs may need 4-6 weeks or longer to work; Cimetidine effect is decreased if u smoke

Front 8

Antidiarrheals what are the actions

Back 8

decrease intestinal peristalsis ( diarrhea)

Front 9

Name three antidiarrheals

Back 9

Motomen, Lomotil, Imodium

Front 10

Adverse reactions Antidiarrheals

Back 10

motefen and lomotile Atropne is added to them to discourage abuse because the have euphoric effect; anorexia, n/v, constipation, rash, dizziness, sedative effect

Front 11

Contraindications of Antidiarrheals

Back 11

do not use in pts less than 2 years old; those associate with GI infection ( ie eaten bad food), do not give to pts with abd pain of unknown origin, obstructive jaundice

Front 12

Nursing Responsibilities
Antidiarrheals

Back 12

Monitor BM to see if pt still needs meds
IF abdomen changes report or if temp or decreases in vs, pt may need iv fluids/electrolytes, I/O, Monitor perianal area for exforation from diarrhea (apply vaseline around it)

Front 13

Patient teaching for Antidiarrheals

Back 13

Do not exceed recom dosage may cause drowsiness, avoid alchohol or cns depressants unless approved by MD, Notify MD if diarrhea persists or becomes more severe

Front 14

Antiflatulents what is the action

Back 14

decrease flatus in intestinal tract

Front 15

Name one example of an antiflatulent

Back 15

Mylicon (used post op charcoal)

Front 16

Uses of antiflatulent

Back 16

pain relief caused by excess gas (ex post op gas distention, peptic ulcer, diverticulosis) Charcoal as antidote for poisoning

Front 17

Adverse reactions/Contrainications for antiflatulent

Back 17

Few or none

Front 18

NSG responsibilities
antiflatulent

Back 18

Mylicon before each meal at hours of sleep Activated charcoal two hours before or one hour after meals

Front 19

Pt and family teaching antiflatulent

Back 19

Take simethicone after meal and at bedtime, thoroughly chew tablets because complete particle dispersion enhances antiflatulent actions notify md if symptoms not relieved in several days