Famotidine (pepcid) PUD AND GERD MEDS

Question 1

Uses

Answer 1

1. Short term treatment of active duodenal ulcers and benign gastric ulcers
2. used in management of GERD
3. used in management of gastric hypersecretory states
4. OTC doses: treatment of heartburn, acid indigestion, sour stomach

Question 2

Action

Answer 2

Inhibits the action of histamine at the H2 receptor site located primarily in gastric parietal cells, resulting in inhibition of the gastric acid secretion

Question 3

Side/Adverse effects

Answer 3

thrombocytopenia, headache, dizziness, constipation, dysrhythmias

Question 4

Nursing Implications

Answer 4

1. Avoid administration of antacids within 30 minutes to 1 hour of giving famotidine
2. PO doses administered with meals or immediately afterward and at bedtime
3. Advise patient to avoid alcohol, products containing asa, ibuprofen, naproxen, ketoprofen and foods that may cause an increase in GI irritation
4. Advise patient to report to MD black tarry stools, bleeding, bruising, fatigue, malaise since blood dyscraias can occur
5. Avoid tasks that require alertness as dizziness may occur