NURS 6512 Final Exam Latest-2024 NURS 6512N

NURS 6512 Final Exam Latest-2024 NURS 6512N GERD - reflux of gastric contents into the esophagus due to the relaxation of the lower esophageal sphincter Diagnose: heartburn, belching, hoarseness, nausea, cough, epigastric pain - GERD what are the most common ulcers in PUD - duodenal & gastric four causes of PUD - - acid hypersecretion - drug induced - stress ulcers - infections (H Pylori) main s/e of antacids - constipation what are the most common OTC anti-ulcer agents - H2 antagonists (famotidine= pepcid) exemplars of H2 antagonist - - cimetidine - famotidine what are H2 antagonists indicated for - GERD PUD side effects of H2 antagonists (cimetidine, famotidine) - - HA - constipation - diarrhea - nausea serious: - thrombocytopenia - neutropenia - bradycardia - confusion - depression additional s/e of cimetidine - - dyskinesia - impotence which H2 blocker has been removed from the U.S Market? - ranitidine (Zantac) PPI exemplars - - omeprazole - pantoprazole - esomeprazole when are PPI indicated over H2 antagonists - to treat H pylori related ulcers (PUD) main s/e of PPI - diarrhea how long would you need to be on PPI for treatment of active ulcer - 4-*8* weeks (maintenance = 1 year) indications for PPI - GERD / PUD - erosive esophagitis - tx of ulcer - maintenance of ulcer how long can you be on PPI for relief of GERD symptoms - 4 weeks how long can you be on PPI for erosive esophagitis - 4-8 weeks (maintenance= 1 year omeprazole indications - GERD, PUD Omeprazole class - PPI PPI admin - take 30 min- one hour before meals (empty stomach) Pantoprazole class - PPI which is the only PPI on TennCare - pantoprazole what is education required r/t pantoprazole - can result in false positive urine drug screen for THC