Detailed.
Pharm 6 test 90 complete solutions
Detailed.
•Helicobacter pylori (H. pylori) - ANSWER Bacterium found in GI tract of 90% of the patients with
duodenal ulcers and 70% with gastric ulcers
First time therapy include a 10-14 day course of a PPI and antibiotics
Many antacid preparations als contain anti flatulent drug called - ANSWER Simethicone
Antacids - ANSWER Calcium based antacids may leas to the development of kidney stones and rebound
hyperacidity may occur with calcium based antacid (TUMS)
Kidney stones
Rebound hyperaciditiy
Signs of sodium bicarb overdose - ANSWER Twitching, nausea, headache
Antacid meds should - ANSWER not be taken unless prescrives within 1-2 hours of taking antacid bc of
the impact of absorption of many meds in the stomach (an HOUR between)
Give meds at 9 and antacid at 10
Contraindication of antacids - ANSWER severe renal failure
electrolyte disturbances
,Pharm 6 test 90 complete solutions
Detailed.
Aluminum containing antacid - ANSWER have constipating effects
often used with magnesium to couteract constipation (causes diarehha)
Magnesium salts - ANSWER dangerous when used with renal failure pt - kidneys do not like magnesium
(often give aluminin)
When should antacid be given - ANSWER meds adm 1 hour after antacid given
Antacid nursing implication - ANSWER remember the necessity of long term usage of antacid may make
the symptoms of serious underlying disease
Malignancy
Bleeding ulcer
Cimetidine - ANSWER Tagament
H2 receptor antagonist (reduces acid secretion - interacte with ketoconzaole - antifungal_
people will take for years later
interferes with anesthesia
Most popular drugs for acid related disorders - ANSWER Cimetidine (tagament)
Famotidine (pepcid)
Ranitidine (zantac)
, Pharm 6 test 90 complete solutions
Detailed.
Nursing implication for Cimetidine and acid related disorder - ANSWER Allergies
Assess renal and liver panels
caution with elder, confused and disorented
Pantoprazole - ANSWER Protonix - proton pump inhibitor
The entire capsule must be taken meaning not crushed, chewed or opened
long ter muse PPI may contribute to osteroporsis
PPI drug interactions - ANSWER May increae serum levels of diazepam/phenytoin
May increase risk of bleeding with warfarin
aborption of digoxin and ampillcin
food may decrease absoprtion (always on empty stomach)
Antidiarrheals - absorbents - ANSWER bismuth subsalicylate (Pepto-bismol)
Interaction with warfarin and activated charcoal
Antimobility drugs: Anticholinergics - ANSWER belladonna alkaloids