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UPPER GI System

pharm

QuestionAnswer
Antacids (Acid Neutralizers) ACTION Neutralize or educe acidity in the stomach
USES `PEPTIC ULCER HEARTBURN GERD
GERD Gastro esophogeal reflex disease
EXAMPLES OF ANTACID Aluminum hydroxide (mylanta,amphojel,gavisocon) calcium carbonate (TUMS) magnesium oxide (Maalox)
Contrandications severe renal failure electrolyte imbalance GI obstruction increases intercranial pressure (CRosses BBB)
this medicine effects ... GLAUCOMA
LABS IF TAKEN CA,MG,NA (BMP,CMP,ALL ELECTRLYTES )
ADVERSE REASTIONS HYPERCALCIMIA CONSTIPATION ELECTROLYTE IMBALANCES
NURSING CONSIDERATIONS AVOID OTHER MEDS 1-2 HORS BEFORE /AFTER GIVE AFTER MEALS AND AT BEDTIME M/O CONSTIPATION OR DIARRHEA
ACID RDUCRS (H2 ANTAGONISTS) ACTION BLOCKS HOSTAMINE IN THE STOMACH TO REDUCE ACID
uses GERD ULCERS HEARTBURN
EXAMPLES FAMOTIDINE (PEPCID) RANITIDINE (ZANTAC)
ADVERSE REACTIONS CONFUSION / HALLUCINATIONS SOMNOLENCE(EXXESICVE SLEEPING) JAUNDICE
NURSING CONSIDERATIONS TAKE BEFORE MEALS OR AT BEDTIME WITH WATER MONITOR FOR BLEEDING (ESPICIALLY WITH COUMIDIN) MONITOR LFT'S/ CBC /ELECTROLYTE MAY CAUSE RHABDOMYOLYSIS OR TASTE CHANGES AVOID SMOKING
PPI'S (PROTON PUMP IHIBITORS ACTION SUPRESS GASTRIC ACID PRODUCTION
PPI'S HELP WITH : (SPECIF ORGAN) DUODENUM ULCRS, SORES DEVOPLED ON LINNING OF ESOPHUGUS AND STOMACH
PPI'S DECREASE/ DO NOT STOMACH ACID /REFLUX DO NOT CRUSH ELIMINATE ALCOHOL
EXAMPLES PREVACID (LANSOPRAZOLE ) NEXIUM (ESOMEPRAZOLE) PRILOSEC (OMEPRAZOLE) PROTONIX (PANTOPRAZOLE)
INTERACTIONS DO NOT TAKE WITH PAMS/BENZO'S INCREASE SERUM LEVALS AF DIAZAPAM AND PHENYTOIN INCREASE BLEEDING WITH WARFARIN
ADVERSE REACTIONS ABDOMINAL/CHEST PAIN DROWZYNESS HYPOMAGNESIUM WITH LG TERM USE X. DIFF. WITH LG TERM USE INCREASE FRACTURE RISK
INCREASE FRACTURE RISK WITH : HIP WRIST SPINE
ALTERS BONE:... METABOLISM AND IMPAIRS CALCIUM ABSOTPTION & POTENCY AFFECT IN BONE MINERAL DENSITY
NURSING CONSIDERATONS GIVE BEFOER MEALS (30/60 MIN SHUT DOWN PUMPS BEFOER START) AVOID ALCOHOL,CAFFENE, NSAIDS, SPICY FOODS MNITOR FRO DIATTHEA OR COLITIS MONITOR FOR BOWL FUNCTION
WHEN TAKING ; BIAXIN (CLAROTHMUYCIN) NEXIUM, AMOXIL WHY ? KILL BACTERIA AND CALMS DOWN STMACH ACID
ANTIEMETICS BLOCKS NAUSEA SIGNALS IN THE BRAIN
USES N/V MOTION SICKNESS CHEMOTHERAPY - INDUCED N/V INTRACTABLE HICCUPS
EXAMPLES PHENEGRAN, ZOFRAN , THORAZANE, REGLAN SCOPOLAMINE PATCH , CHAMOMILE
REGLAN GUT WAK EUP INCREASE STOMACH MOBILITY
ADVERSE REACTION DROWSINESS, DRY MOUTH CONSTIPATION URINARY RETENTION
CONSIDER AVODIING ALCOHOL/CNA DEPRESSENTS (CX DROWZYNESS/HYPOTENSIVE) TAKE 1 HOUR BEFOER TRAVEL (SCOPOLMINE) MONITORS LFTS GIVE BEFORE MEALS OR CHEMO
GI STIMULANTS INCRERASE MOTILITY OF UPPER GI TRACTS
GIVEN : POST OPS/PREVENTS N/V CROSSES BBB
USES GASTRIC STATIS (STOMACH ASLEEP GIVE 'REGLAN')
EXAMPLES REGLAN
ADVERSE REACTIONS EPS (EXTRAPYRAMIDAL SYMPTOMS) INVOL TREMORS TARDIVE DYSKINESISA (UNCOTROLLED LIP SMACKINGMEYTE BLINKING) ^^ RESTLESNNESS
NURSING CONSIDERATONS MONITOR FOR EPS & NEUROLEPTIC MALIGNANT SYNDROME ADMINITER BEFORE MEALS (ENSURE STOMACHIS MOVING WHEN FOOD ARRIVES) AVOID CNA DEPRESSENTS
Created by: mmishue
 

 



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