Antacids

Question 1

Aluminum Compounds (uses)

Answer 1

-treat hyperphosphatemia

Question 2

Aluminum Compounds (Nursing considerations)

Answer 2

• hypophosphatemia
• reduces effects of tetracyclines, warfarin, digoxin (take apart from these meds)
• have high sodium; caution in HTN and HF
• constipation

Question 3

Magnesium Compounds (uses)

Answer 3

also a laxative

Question 4

Magnesium Compounds (Nursing considerations)

Answer 4

• diarrhea
• contraindicated in clients w/ intestinal obstruction, appendicitis, undiagnosed abdo pain
• caution* toxicity in those w/ renal impairment

Question 5

Calcium Compounds (mechanism)

Answer 5

• rapid acting, release carbon dioxide in the stomach causes belching and flatulence

Question 6

Calcium Compounds (nursing considerations)

Answer 6

• constipation
• Milk-alkali syndrome (HA, urinary frequency, anorexia, n/v, fatigue)
• *avoid milk products and vit D**

Question 7

Sodium Bicarbonate (mechanism)

Answer 7

rapid onset, liberates carbon dioxide, increases intra-abdominal pressure, promotes flatulence

Question 8

Sodium Bicarbonate (Nursing considerations)

Answer 8

• caution in HTN and HF
• caution systemic alkalosis w/ renal impairment
• treats acidosis, elevates urinary pH to excrete acidic meds following overdose

Question 9

Antacids mechanism of action (general)

Answer 9

• react with gastric acid to produce neutral salts

- inactivate pepsin to enhance mucosal protection

Question 10

Antacids uses

Answer 10

• peptic ulcer disease

- gastroesophageal reflux disease

Question 11

Antacids nursing considerations

Answer 11

• take on regular schedule
• chew thoroughly followed by water or milk
• • allow 1 h between antacid administration and other meds (bc of interference) **