Antiulcer/GERD meds
Aluminum and calcium can cause
What is Constipation?
What is the most common reason for blood beginning to clot?
What is damage to the blood vessel.
What time of the day should a PPI be giving?
What is first thing in the morning 30-60 minutes before meal with a full glass of water.
These medications are opiates antidiarrheal which are structurally related to opioid analgesics but has not analgesic properties.
What is diphenoxylate atropine (Lomotil) and loperamide (Imodium)?
Drug types can help reduce the need for transfusions?
Erythropoiesis-stimulating agents
The nursing implications for antacids to assess prior to administration.
What is GI assessment and labs (sodium, magnesium, calcium)?
What are signs of bleeding that is concerning?
What are Petechiae, excessive or unusual bruising, blood in urine, stool or vomitus, coughing up blood, sever headache, uncontrolled nose bleeds, tachycardia, hypotension, shortness of breath, and GI pain. New onset of confusion is very concerning as it may be a head bleed.
Monitor weight, I/O's, skin turgor, serum electrolytes, report signs of sever abdominal pain or distention and coffee ground emesis.
Assessment for those on antiemetic drug therapy and general teaching points. Closely monitor for dehydration and electrolyte imbalances.
These two medications are used to treat/prevent traveler's diarrhea
What is bismuth subsalicylate (pepto bismol) and loperamide
Tomatoes, onions, dark leafy greens, broccoli, garlic, and bananas.
Foods that affect the clotting system. Especially dark leafy greens that contain Vit. K. Instruct patients to eat these foods consistently (same amount every day) as they may decrease the effectiveness of anticoagulants, especially warfarin.
What is the general time frame to wait between administration of antacids and other drugs?
One-two hours
Drugs that inhibit the functions of platelets and interfering with blood clotting in arteries.
What is a platelet inhibitor like aspirin and clopidogrel (Plavix). Monitor platelet levels closely. Do not give if platelets less that 100,000 and notify the provider.
Side Effects for PPI
What is osteoporosis-related fractures, C-diff pancreatitis, headache, abdominal pain, diarrhea, nausea, vomiting, thrombocytopenia (low platelets) and anemia.
May take 1-3 days to take effect and to prevent constipation.
What is a stool softener?
This mediation should be taken one hour before meals
What is sucraflate?
Side effects for antiulcer agents especially H2 Blockers like famotidine (Pepcid) that increases risk for falls especially the elderly.
Confusion and restlessness
Used to prevent new clot formation or reduce a clot, not dissolve a clot.
What is the purpose of anticoagulant therapy? Fibrinolytic drugs dissolve the fibrin in the clot.
The Generic names for PPIs- what is the suffix?
What is prazole? omeprazole, lansoprazole, pantoprazole, and esomeprazole?
May have high amounts of sodium content and heart failure and those with HTN should always discuss with their provider.
What are laxatives (osmotic)
Omeprazole (PPI), amoxicillin (penicillin antibiotic) and clarithromycin (macrolide antibiotic)
What is the treatment for Helicobacter pylori-positive ulcer?
Brands with magnesium can cause diarrhea; brands with calcium or aluminum can cause constipation. Timing related to meals and other drugs is important. Other side effects include loss of appetite, frequent burping, nausea and vomiting, fatigue, and weight loss or depression. What drug category is this?
What is an antacid
What is the most common reason for blood beginning to clot?
What is damage to the blood vessels or tissues
Can cause dizziness, drowsiness, sun sensitivity in general to all antiemetics. However, specific to this class is dysrhythmias and serotonin syndrome.
Serotonin (5H-T 3) Receptor Antagonist ondansetron (Zofran)
Instruct your patient to take this drug with a 2 full glasses of water, may take a few days to work, may experience nausea and abdominal cramping and increase your dietary fiber.
what is a bulk forming drug like psyllium (Fiberall) and these are good instructions for other laxatives as well.
St. Johns Wort, Fish oil, Vit E, Gingko, Goldenseal, Grape seed extract, Green leaf tea, Turmeric, garlic, feverfew, chondroitin, chamomile to name a few.
Herbs and supplements that increase the risk of bleeding.