Acid controlling drugs

Question 1

Indication of antacids?

Answer 1

treat acid related disorders;
to neutralize acid secretion

Question 2

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

Answer 2

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

Question 3

What class of antacids causes constipation?

Answer 3

Aluminum hydroxide and calcium bicarbonate

Question 4

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

Answer 4

Magnesium Hydroxide

Question 5

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

Answer 5

Magnesium hydroxide

Question 6

complications of Magnesium compounds?

Answer 6

diarrhea

Question 7

complications of calcium and aluminum compounds?

Answer 7

constipation

Question 8

which antacid causes metabolic alkalosis?

Answer 8

sodium bicarbonate

Question 9

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

Answer 9

sodium bicarbonate

Question 10

adverse effects of calcium ?

Answer 10

kidney stones

Question 11

adverse effects of magnesium?

Answer 11

magnesium toxicity if kidneys are impaired, and diarrhea

Question 12

antacids containing sodium can results in ?

Answer 12

fluid retention, alkalosis

Question 13

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

Answer 13

constipation,
anorexia,
nausea,
vomiting
confusion

Question 14

which antacid compound causes alkalosis?

Answer 14

sodium

Question 15

Nursing administration for:
chewable tablets
liquids

Answer 15

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

Question 15

Client teaching for aluminum with digoxin or warfarin?

Answer 15

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

Question 16

Contraindications of antacids

Answer 16

pts with GI perforation or obstruction
use with caution

Question 17

client education when administering magnesium?

Answer 17

consume high-fiber foods and drink adquate fluids

Question 18

If positive for HTN, what antacids you should avoid?

Answer 18

sodium

Question 19

what antacid do you avoid with renal dysfunction?

Answer 19

magnesium

Question 20

client teaching for chewables?

Answer 20

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

Question 21

how many hours do you wait when taking H2RB with antacids

Answer 21

H2rb 1-2hrs before antacids

Question 22

how many times a day or omeprazole

Answer 22

once a day

Question 23

when do you take PPIs?

Answer 23

before meals if prescribed more than once a day

Question 24

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

Answer 24

calcium and vitamin D

Question 25

Indication of H2 blockers?

Answer 25

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

Question 26

Medication forms of H2 Blockers

Answer 26

PO, IV, except nizatidine, PO only!!

Question 27

Adverse effects of cimetidine?

Answer 27

-confusion in elderly - impotence -gynecomastia

Question 28

Adverse effects of Famotidine?

Answer 28

thrombocytopenia

Question 29

adverse effects of ranitidine?

Answer 29

thrombocytopenia

Question 30

adverse effects of nizatidine?

Answer 30

-cough or hoarseness -chest pain

Question 31

Contraindications of H2RB?

Answer 31

COPD pneumonia kidney impairment

Question 32

when do you administer other medications with antacids?

Answer 32

1 hour b4 or after

Question 33

can take with applesauce?

Answer 33

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

Question 34

__________ can delay / decrease absorption of PPIs

Answer 34

Sucralfate and food (thats why you take BEFORE eating)

Question 35

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

Answer 35

warfarin

Question 36

Digoxin and Diazepam with ________ can cause increased serum levels

Answer 36

omaprazole

Question 37

Contraindicated PPis

Answer 37

pregnant and lactating pneumonia, COPD, dysphagia liver disease children

Question 38

Indication PPIs:

Answer 38

gerd ulcers nsaid induced ulcers stress related ulcers

Question 39

adverse effects of PPIs

Answer 39

pneumonia, osteoporosis, fractures, C-diff, hypomagnesia