Antacid Therapy
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show | Sodium Bicarb: systemically absorbed, and excessive amounts can cause metabolic alkalosis. Because of the systemic absorption, sodium bicarbonate is rarely used for the treatment of peptic ulcers.
Calcium Carbonate: can lead to hypercalcemia.
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Non-Systemic Antacids | show 🗑
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show | agents that neutralize stomach acidity (hydrochloric acid), lower pepsin activity, and raise the gastric pH
(do not protective barrier or coating over the ulcer)
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show | aluminum compounds, magnesium compounds, calcium compounds, and sodium compounds
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show | can cause constipation,
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show | can cause diarrhea
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show | systemically absorbed, and excessive amounts can cause metabolic alkalosis. Because of the systemic absorption, sodium bicarbonate is rarely used for the treatment of peptic ulcers.
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Calcium Carbonate | show 🗑
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Aluminum Hydroxide Absorption | show 🗑
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Before the administration of an antacid, a nurse should: | show 🗑
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Contraindications and Precautions for Aluminum Hydroxide | show 🗑
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Aluminum Hydroxide Excretion | show 🗑
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Magnesium Hydroxide Absorption | show 🗑
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Magnesium Hydroxide and aluminum hydroxide metabolism and Distribution | show 🗑
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show | Contraindications: GI obstruction
Precautions: Myasthenia gravis, renal impairment, diarrhea, and older adults
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Magnesium Hydroxide Excretion | show 🗑
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Calcium Carbonate Absorption | show 🗑
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Calcium Carbonate Distribution | show 🗑
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Calcium Carbonate Metabolism | show 🗑
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show | In mostly feces and with some in urine
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Aluminum Hydroxide onset | show 🗑
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show | 0.5 hr
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show | 1-3 hr, unavail half life
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Magnesium Hydroxide onset | show 🗑
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Magnesium Hydroxide and calcium carbonate Peak and duration | show 🗑
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Which statements regarding the absorption of calcium carbonate are accurate? Select all that apply. Absorption of calcium varies with age. During pregnancy, calcium absorption doubles. Calcium absorption occurs mostly in the jejunum. Calcium absorpti | show 🗑
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Which time frame describes when a patient will begin to experience relief from treatment with magnesium hydroxide? 0.5 to 6 hours 8 to 12 hours 20 to 24 hours 36 to 72 hours | show 🗑
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show | Contraindications: None
Precautions: Renal impairment, hypercalcemia, and hypoparathyroid disease
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show | Assess the patient’s GI status.
Monitor the patient’s laboratory values, especially electrolytes like calcium and phosphate.
Monitor lung sounds, especially in patients with heart failure, because some antacids are high in sodium, which can potentiate h
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Which patient parameters would a nurse ensure are assessed before a patient receives calcium carbonate? Weight Calcium levels Renal function Blood pressure (BP) Phosphate levels | show 🗑
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show | A 29-year-old patient with hypophosphatemia
A 55-year-old patient with chronic kidney disease
A 29-year-old patient who is pregnant
A 71-year-old patient with dyslipidemia
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show | “The solubility of calcium is decreased in an acidic environment.”
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Which statement about the classification of antacids is accurate? Magnesium hydroxide is a systemic antacid that can cause diarrhea. Aluminum hydroxide is a non-systemic antacid that can cause constipation. Calcium carbonate is a non-systemic ant | show 🗑
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Which time frame can a nurse expect aluminum hydroxide to reach its peak concentration? 15 minutes 30 minutes 60 minutes 90 minutes | show 🗑
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show | Raise gastric pH
Lower pepsin activity
Neutralize stomach acidity
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Which outcome would a nurse anticipate might occur when magnesium hydroxide is administered with phenytoin? Enhanced absorption and efficacy of phenytoin Decreased absorption and efficacy of phenytoin Enhanced absorption and efficacy of magnesium | show 🗑
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show | Hypoglycemia
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Which patients would a nurse determine have precautions to treatment with calcium carbonate? Select all that apply. A patient with osteoporosis A patient with prostate cancer A patient with type 2 diabetes mellitus A patient with hypoparathyr | show 🗑
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A nurse is caring for a patient who takes calcium carbonate and was recently prescribed ciprofloxacin, a quinolone, for a urinary tract infection. Which teaching point would the nurse share with this patient about administration of these drugs? These t | show 🗑
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A patient who takes an antacid frequently for persistent heartburn presents with confusion and extreme muscle weakness. The patient is also having difficulty speaking. Which antacid would a nurse suspect this patient may have been receiving in excess? | show 🗑
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Created by:
adricela55