PHARM Chapter 23 drugs for gastric ulcers and reflux (Well-enlightened)

Peptic ulcer disease includes: correct answers -Gastric ulcer (stomach) -Duodenal ulcer (duodenum) -Esophageal ulcer (lower part of esophagus) two causes of ulcers are... correct answers -Infection with Helicobacter pylori (H. pylori) bacteria -Lifestyle (stress, diet, excess acids) symptoms of peptic ulcer disease: correct answers Burning, gnawing pain caused by stomach acid in contact with ulcer, vomiting, dark stools, weight loss, chest pain Patients with gastric ulcers should avoid correct answers NSAIDs gastroesophageal reflux disease (GERD) is caused by correct answers -Lower esophageal sphincter (LES) is not working correctly -Regurgitated contents can cause inflammation of esophagus -Chronic condition; life-long treatment GERD is treated with... correct answers -drug therapy -Lifestyle changes: Smoking cessation; decrease dietary fat intake; weight reduction; avoid large meals Intended responses: -Decrease secretion of gastric acid, GERD symptoms -Heal and prevent ulcers correct answers Histamine H2 Blockers Side effects: -Confusion, dizziness, drowsiness, headache, altered taste, nausea, vomiting, constipation correct answers Histamine H2 Blockers Adverse effects: -Dysrhythmias, decreased WBC count, agranulocytosis, aplastic anemia correct answers Histamine H2 Blockers Check before: -Baseline of consciousness -Give with meals to prolong therapeutic effects -Check IV site every 2-4 hours Check after: -Call light within easy reach -Watch for side effects correct answers Histamine H2 Blockers Patient teaching: