NSG 251 Study Latest Questions and Verified Answers
Expectorants mechanism/use
Relief of a productive cough; thins respiratory secretions; can be combined in cold
remedy formula
Expectorants name
guaifenesin (Mucinex, Robitussin)
Expectorants catution
take only as needed
Antacids mechanism
Alkaline substances that neutralize stomach acids: aluminum, magnesium, calcium
Antacids use
peptic ulcer disease and GERD
Magnesium antacid adverse effect
diarrhea
Aluminum antacid adverse effect
constipation
calcium antacid adverse effects
intestinal gas, constipation acid rebound
Antacid nursing (Magnesium)
-Contraindicated in renal insufficiency
-Acts rapidly, highly neutralizing, long duration
Antacid nursing (calcium)
,Most effective for heartburn
Antacid nursing (general)
-Interferes with many drugs by binding in the GI
tract -Assess pain
-Check glucose content for diabetics
-Give 1-3 hours after meals and at bedtime
Histamine-2 Receptor antagonist mechanism
suppress the secretion of gastric acid and decreases pepsin in the stomach
Histamine-2 receptor antagonist names
famotidine (Pepsid)
ranitidine (Zantac)
cimetidine (Tagamet)
Histamine-2 receptor antagonist use
treatment of peptic ulcers, GERD, stress ulcers
, Histamine-2 receptor antagonist routes
po or IV
Tagament caution
likely to cause drug interactions
Proton pump inhibitors mechanism
Inhibits gastric acid secretions; prevent pumping of gastric acid from parietal cells
Proton pump inhibitors names
omeprazole (Prilosec)- prototype
lansoprazole (Prevacid)
pantoprazole (Protonix)- IV
Proton pump inhibitors use
erosive gastritis, symptomatic GERD, ulcers, stress ulcer prophylaxis, H pylori
Proton pump inhibitors nursing implications
-Heal in 4-8 weeks
-Swallow whole
-Give most before food
Heliobacter pylori agents
2 antimicrobials (amoxicillin, clarithromycin, metronidazole, tetracycline), 1 proton pump
inhibitor and/or 1 Histamine-2 receptor antagonist -tx usually lasts 14 days
H. Pylori
gram negative bacteria found in the gastric mucosa; cause ulcers
misoprostol (Cytotec)
Expectorants mechanism/use
Relief of a productive cough; thins respiratory secretions; can be combined in cold
remedy formula
Expectorants name
guaifenesin (Mucinex, Robitussin)
Expectorants catution
take only as needed
Antacids mechanism
Alkaline substances that neutralize stomach acids: aluminum, magnesium, calcium
Antacids use
peptic ulcer disease and GERD
Magnesium antacid adverse effect
diarrhea
Aluminum antacid adverse effect
constipation
calcium antacid adverse effects
intestinal gas, constipation acid rebound
Antacid nursing (Magnesium)
-Contraindicated in renal insufficiency
-Acts rapidly, highly neutralizing, long duration
Antacid nursing (calcium)
,Most effective for heartburn
Antacid nursing (general)
-Interferes with many drugs by binding in the GI
tract -Assess pain
-Check glucose content for diabetics
-Give 1-3 hours after meals and at bedtime
Histamine-2 Receptor antagonist mechanism
suppress the secretion of gastric acid and decreases pepsin in the stomach
Histamine-2 receptor antagonist names
famotidine (Pepsid)
ranitidine (Zantac)
cimetidine (Tagamet)
Histamine-2 receptor antagonist use
treatment of peptic ulcers, GERD, stress ulcers
, Histamine-2 receptor antagonist routes
po or IV
Tagament caution
likely to cause drug interactions
Proton pump inhibitors mechanism
Inhibits gastric acid secretions; prevent pumping of gastric acid from parietal cells
Proton pump inhibitors names
omeprazole (Prilosec)- prototype
lansoprazole (Prevacid)
pantoprazole (Protonix)- IV
Proton pump inhibitors use
erosive gastritis, symptomatic GERD, ulcers, stress ulcer prophylaxis, H pylori
Proton pump inhibitors nursing implications
-Heal in 4-8 weeks
-Swallow whole
-Give most before food
Heliobacter pylori agents
2 antimicrobials (amoxicillin, clarithromycin, metronidazole, tetracycline), 1 proton pump
inhibitor and/or 1 Histamine-2 receptor antagonist -tx usually lasts 14 days
H. Pylori
gram negative bacteria found in the gastric mucosa; cause ulcers
misoprostol (Cytotec)
