IV Medications
This large volume infusion is typically used for dehydration
What is Normal Saline
These produce and secrete hydrochloric acid and are the primary site of action for many of the drugs used to treat acid related disorders.
What are parietal cells
Monitor for this effect with IV administration
What is hypotension
This is added to penicillin drug to strengthen it
What are Beta-lactamase inhibitors
Most medications should be administered this long after an antacid
What is 1 to 2
This is the IV intermittent IV infusion
What are antibiotics
This therapy is used to prevent severe GI damage in almost every critically ill patient in an ICU and many in med surg units.
These adverse reactions are possible in the central nervous system (4)
headache, lethargy, confusion, slurred speech, agitation
Mechanism of action for penicillin (2)
what is kill a variety of gram positive and gram negative bacteria. Inhibits peptidoglycan.
This will enhance absorption with antacids
What is 8oz of water
IV medication is used to by pass this
What is the first pass effect
Acute relief of symptoms associated with peptic ulcer, gastritis, gastric hyper-acidity and heartburn.
Indications of Acid controlling drugs
These adverse effects happen within the endocrine system. (2)
Increased prolactin secretion, gynecomastia (with cimetidine)
If your patient is allergic to penicillin, they are allergic to this.
What is ZOSYN
Most penicillin drugs interfere with this system and this can overgrow.
What is GI Flora and C. Difficile
You will need to open these when hanging a glass bottle
What are the air vents
This is the primary drug effect of antacids
What is the reduction of the symptoms associated with various acid-related disorders such as pain and reflux (heartburn).
Be alert for these changes when the med is new to the patient.
What are mental status changes like confusion and disorientation
Contraindication for penicilin
Allergy
You should IV push anti-emetics over this many minutes
What is 2-5
This will keep the intravenous site patent and minimize incompatibilities
What is clearing or flushing the line
This syndrome characterized by headache, nausea, alkalosis, and hypercalcemia is caused by high dose calcium containing antacids or use in renal failure.
What is milk-alkali syndrome
This has been reported with ranitidine and famotidine
Thrombocytopenia
Interactions for penicillin (3)
What is NSAIDS, Oral contraceptives, Warfarin, and many others.
What does pain management include
What is pharmacologic and nonpharmacologic approaches