PN2005 Gastrointestinal Medications Overview
(Session 2) - Questions Correctly Answered By Expert
Drugs used to treat Gastroesophageal reflux disease (GERD) & Ulcer disease
Correct Ans - 1. Histamine-2 Antagonists
2. Antacids
3. Proton Pump Inhibitors
4. Gastrointestinal Protectant
5. Prostaglandin
Histamine-2 Antagonists Correct Ans - 1. Actions:
Block H2 receptors resulting in decreased volume of acid secreted
2. Uses:
Treat GERD, duodenal ulcers, stress ulcers, Zollinger-Ellison syndrome
3. Examples:
cimetidine (Tagamet)
ranitidine (Zantac)
They end in -dine- so you take then b4 you DINE!
Histamine-2 Antagonists nursing responsibilities Correct Ans - 1.
Assessment
Allergies, contraindications: impaired renal or hepatic function
Baseline physical exam, vitals
2. Monitor
For therapeutic effect, side effects
Compliance with drug regimen
Bowel Patterns
3. Patient Teaching
Administer oral drug with or before meals (drug dependant)
Drug to drug interactions
Side effects
4. Document Findings
, Antacids Correct Ans - Buffer stomach acid; alleviate heartburn
1. Actions:
Buffer hydrochloric acid to a lower concentration
2. Uses:
Treat heartburn from excessive eating and drinking
Acute ulcer treatment requires large volumes
Examples:
aluminum hydroxide (Amphojel, Maalox, Mylanta)
calcium carbonate (Tums)
magnesium oxide (Milk of Magnesia)
Antacids nursing responsibilities Correct Ans - 1. Assessment
Assess use of OTC antacids, why is the client taking an antacid
Auscultate bowel sounds to ensure GI motility
Assess mucous membranes
2. Monitor
Labs - electrolytes, renal function
monitor bowel patterns - diarrhea, constipation
3. Patient Teaching
Administer the drug 1 hour before or 2 hours after other oral meds
Potential for acid rebound
4. Document Findings
Proton Pump Inhibitors (PPIs) Correct Ans - Inhibit gastric acid pump;
treat esophagitis, ulcers
1. Actions:
Inhibit gastric secretion by inhibiting gastric acid pump of the parietal cells
2. Uses:
Treat severe esophagitis, GERD, gastric and duodenal ulcers
(Session 2) - Questions Correctly Answered By Expert
Drugs used to treat Gastroesophageal reflux disease (GERD) & Ulcer disease
Correct Ans - 1. Histamine-2 Antagonists
2. Antacids
3. Proton Pump Inhibitors
4. Gastrointestinal Protectant
5. Prostaglandin
Histamine-2 Antagonists Correct Ans - 1. Actions:
Block H2 receptors resulting in decreased volume of acid secreted
2. Uses:
Treat GERD, duodenal ulcers, stress ulcers, Zollinger-Ellison syndrome
3. Examples:
cimetidine (Tagamet)
ranitidine (Zantac)
They end in -dine- so you take then b4 you DINE!
Histamine-2 Antagonists nursing responsibilities Correct Ans - 1.
Assessment
Allergies, contraindications: impaired renal or hepatic function
Baseline physical exam, vitals
2. Monitor
For therapeutic effect, side effects
Compliance with drug regimen
Bowel Patterns
3. Patient Teaching
Administer oral drug with or before meals (drug dependant)
Drug to drug interactions
Side effects
4. Document Findings
, Antacids Correct Ans - Buffer stomach acid; alleviate heartburn
1. Actions:
Buffer hydrochloric acid to a lower concentration
2. Uses:
Treat heartburn from excessive eating and drinking
Acute ulcer treatment requires large volumes
Examples:
aluminum hydroxide (Amphojel, Maalox, Mylanta)
calcium carbonate (Tums)
magnesium oxide (Milk of Magnesia)
Antacids nursing responsibilities Correct Ans - 1. Assessment
Assess use of OTC antacids, why is the client taking an antacid
Auscultate bowel sounds to ensure GI motility
Assess mucous membranes
2. Monitor
Labs - electrolytes, renal function
monitor bowel patterns - diarrhea, constipation
3. Patient Teaching
Administer the drug 1 hour before or 2 hours after other oral meds
Potential for acid rebound
4. Document Findings
Proton Pump Inhibitors (PPIs) Correct Ans - Inhibit gastric acid pump;
treat esophagitis, ulcers
1. Actions:
Inhibit gastric secretion by inhibiting gastric acid pump of the parietal cells
2. Uses:
Treat severe esophagitis, GERD, gastric and duodenal ulcers
