GERD: Pharmacological Management

Question 1

Aluminum hydroxide
Magnesium hydroxide

Answer 1

Antacids

Question 2

Action: forms a viscous foam and buffers acid

Answer 2

Gaviscon

Question 3

Action: elevates gastric pH and deactivates pepsin

Answer 3

Antacids

Question 4

Antacids client instructions

Answer 4

Take the antacid 1hr AC and 2-3hrs PC

Question 5

Actions: suppresses secretion of gastric acid by blocking the histamine receptor sites

Suppresses secretion

Answer 5

Histamine Receptor Antagonists (H2RA)

note: “TIDINE” suffix

Question 6

H2RA client instructions

Answer 6

Take 30mins AC and at bed time

Question 7

Action: inhibits gastric acid secretion by blocking enzymes associated with the 30-60mins AC final stage of acid production

Inhibits gastric secretion

Answer 7

Proton Pump Inhibitors (PPI)

note: “PRAZOLE” suffix

Question 8

PPI client instructions

Answer 8

Should be taken 30-60mins AC

Question 9

Accelerates gastric emptying

Answer 9

Prokinetics (Metoclopramide)

Question 10

Action: increase rate of gastric emptying and relaxation of the pyloric sphincter

Gastric emptying

Answer 10

Prokinetics (Metoclopramide)

Question 11

Prokinetics client instructions

Answer 11

Take medication 30mins AC and at bed time