Antacids

Question 1

Antacids Drug Names

Answer 1

Carbonates
• Sodium bicarbonate
• Calcium carbonate

Salts
• Magnesium salts
• Aluminum salts

Question 2

Antacids Therapeutic Actions

Answer 2

• Neutralize stomach acid by direct chemical reaction

Question 3

Antacids Indications

Answer 3

• Symptomatic relief of upset stomach associated with hyperacidity, as well as hyperactivity

Question 4

Antacids Contraindications and Cautions

Answer 4

Contraindications:
• Known allergy
• Pregnancy and Lactation

Caution:
• Any condition that can be exacerbated by electrolyte imbalance
• GI obstruction

Question 5

Antacids DDI

Answer 5

DDI:

• Affect the absorption of many other drugs

Question 6

Antacids Adverse effects

Answer 6

• Relate to their effects on acid-base levels and electrolytes
• Rebound acidity
• Alkalosis
• Hypercalcemia
• Constipation or diarrhea
• Hypophosphatemia

Question 7

Antacids:

Assessment

Answer 7

Assess:
Hx: Allergy, lactation and pregnancy, renal dysfunction
Physical: vital signs, abdominal assessment, mucus membrane (baseline)
Labs: renal function, electrolytes

Question 8

Antacids:

Diagnosis

Answer 8

Dx:

• Diarrhea
• Risk for constipation
• Imbalanced nutrition: less than body requirements
• Risk for imbalanced fluid volume
• Deficient knowledge regarding drug therapy

Question 9

Antacids:

Implementation

Answer 9

Implementation:
• Other oral medications approximately 1 hour before or 2 hours after
• Chew tablets thoroughly and follow with water
• Periodic monitoring of serum electrolytes
• Assess for signs of acid–base or electrolyte imbalance
• Monitor for diarrhea or constipation
• Monitor nutritional status if diarrhea is severe or constipation leads to decreased food intake
• Provide thorough patient teaching

Question 10

Antacids:

Evaluation

Answer 10

Eval:
Response to the drug 
Adverse effects
 Effectiveness of comfort measures
Compliance with regimen
Effectiveness of teaching plan