Antacids
These contain aluminum, magnesium, calcium salts and are used to neutralize stomach acid.
What are antacids?
Proton pump inhibitors have this action in the stomach.
What is block the secretion of hydrogen ions into the stomach?
Absorbent antidiarrheals have these actions.
What are coating the GI tract and binding to the bacteria or toxin causing diarrhea?
These types of laxatives absorb water to increase bulk and distend the bowel to initiate reflex bowel activity.
What are bulk forming laxatives?
Nurses know that antacids should be used with caution in clients with these concerns or diseases.
What are heart failure, fluid imbalances, renal disease, GI obstruction, and pregnancy?
These are potential mechanisms of action for antacids.
What is the stimulation secretion of mucus, Bicarbonate or prostaglandins?
These are indications for PPI use.
What are GERD, erosive esophagitis and H. pylori induced ulcers?
This anti-motility anticholinergic is contraindicated for clients with glaucoma, myasthenia gravis, and paralytic ileus or other obstruction.
What is hyoscyamine?
Polyethylene glycol is an example of this type of laxative.
What are osmotic laxatives?
Nurses know that long term use of PPIs can lead to this possible concern.
What are osteoporosis and increased fractures?
Antacids are administered for this reason.
What is acute relief of symptoms associated with stomach ulcers, hyperacidity and heartburn?
PPIs can increase the levels of these seizure medications.
What are diazepam and phenytoin?
This opioid like medication reduces bowel motility and rectal spasms.
What is Lomotil?
These laxatives increase peristalsis by stimulating the intestinal nerves.
What are stimulant laxatives?
The nurse is aware that this must be assessed before administering PPIs.
What is swallowing ability?
These are contraindications for antacid use.
What are severe renal failure, electrolyte disturbance, GI obstruction, or allergies to the medications?
This may decrease absorption of PPIs
What is food?
These antidiarrheals are considered more natural because they replace the natural bacterial flora.
What are probiotic antidiarrheals?
Long-term use of laxatives can lead to this.
Nurses know it is important to add these components to the assessment of clients who are taking antidiarrheals.
What are a thorough health history including bowel patterns, VS, and fluid and electrolyte lab work?
This term refers to the inactivation of other medications that interact with antacids.
What is chelation?
PPIs are associated with this electrolyte imbalance.
What is magnesium deficiency?
Confusion, tinnitus and increased bleeding time are potential side effects of these medications.
What are absorbent antidiarrheals?
Clients who are taking laxatives should report these concerns to their health care provider right away.
What are severe abdominal pain or cramping, muscle weakness, and or dizziness?
Client teaching for laxative use should include these instructions.
What are increasing fluid intake, increasing exercise, and increasing dietary fiber if not contraindicated for client?