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quiz 8 > Acid controlling drugs > Flashcards

Acid controlling drugs Flashcards

1
Q

Indication of antacids?

A

treat acid related disorders;
to neutralize acid secretion

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2
Q

Which class of antacids are recommended for those with renal issues?

A

aluminum hydroxide and sodium bicarbonate
* but too much of sodium bicarbonate will cause issues*

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3
Q

What class of antacids causes constipation?

A

Aluminum hydroxide and calcium bicarbonate

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4
Q

What class of antacids have a laxative effect? (causes diarrhea)

A

Magnesium Hydroxide

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5
Q

Which antacid you do not what to give with patients with renal failure?

A

Magnesium hydroxide

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6
Q

complications of Magnesium compounds?

A

diarrhea

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7
Q

complications of calcium and aluminum compounds?

A

constipation

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8
Q

which antacid causes metabolic alkalosis?

A

sodium bicarbonate

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9
Q

contraindicated in patients with heart failure, hypertension and renal insufficiency?

A

sodium bicarbonate

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10
Q

adverse effects of calcium ?

A

kidney stones

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11
Q

adverse effects of magnesium?

A

magnesium toxicity if kidneys are impaired, and diarrhea

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12
Q

antacids containing sodium can results in ?

A

fluid retention, alkalosis

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13
Q

calcium carbonate causes hypercalcemia,
what are some manifestations of hypercalcemia that needs to be reported to HCP?

A

constipation,
anorexia,
nausea,
vomiting
confusion

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14
Q

which antacid compound causes alkalosis?

A

sodium

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15
Q

Nursing administration for:
chewable tablets
liquids

A

chewable: shew thoroughly and drink 8oz water or milk
liquids: shake thoroughly for even dispersant of medication

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15
Q

Client teaching for aluminum with digoxin or warfarin?

A

Do not take any other medications within 1-2 hours of taking aluminum compounds as it interferes with absorption.

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16
Q

Contraindications of antacids

A

pts with GI perforation or obstruction
use with caution

17
Q

client education when administering magnesium?

A

consume high-fiber foods and drink adquate fluids

18
Q

If positive for HTN, what antacids you should avoid?

A

sodium

19
Q

what antacid do you avoid with renal dysfunction?

A

magnesium

20
Q

client teaching for chewables?

A

chew throughly and drink at elast 8oz of water or milk

21
Q

how many hours do you wait when taking H2RB with antacids

A

H2rb 1-2hrs before antacids

22
Q

how many times a day or omeprazole

A

once a day

23
Q

when do you take PPIs?

A

before meals if prescribed more than once a day

24
Q

when taking PPIs, because of osteoporosis, what vitamins is needed to take ?

A

calcium and vitamin D

25
Q

Indication of H2 blockers?

A

GERD,
Urticaria,
tone down acid in stomach,
ulcers caused by H pylori

26
Q

Medication forms of H2 Blockers

A

PO, IV,
except nizatidine, PO only!!

27
Q

Adverse effects of cimetidine?

A

-confusion in elderly
- impotence
-gynecomastia

28
Q

Adverse effects of Famotidine?

A

thrombocytopenia

29
Q

adverse effects of ranitidine?

A

thrombocytopenia

30
Q

adverse effects of nizatidine?

A

-cough or hoarseness
-chest pain

31
Q

Contraindications of H2RB?

A

COPD
pneumonia
kidney impairment

32
Q

when do you administer other medications with antacids?

A

1 hour b4 or after

33
Q

can take with applesauce?

A

yes, but do not chew or crush delayed-relase granules

34
Q

__________ can delay / decrease absorption of PPIs

A

Sucralfate and food
(thats why you take BEFORE eating)

35
Q

When taking PPls with _______, will cause increased chance of bleeding

A

warfarin

36
Q

Digoxin and Diazepam with ________ can cause increased serum levels

A

omaprazole

37
Q

Contraindicated PPis

A

pregnant and lactating
pneumonia, COPD, dysphagia
liver disease
children

38
Q

Indication PPIs:

A

gerd
ulcers
nsaid induced ulcers
stress related ulcers

39
Q

adverse effects of PPIs

A

pneumonia, osteoporosis, fractures, C-diff, hypomagnesia

quiz 8 (3 decks)

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