GI Protectant Flashcards
GI Protectant
Sucralfate
GI Protectant
Action
Forms an ulcer-adherent complex at duodenal ulcer sites, protecting the sites against acid, pepsin, and bile salts
GI Protectant
Indications
Promote ulcer healing
GI Protectant
Contraindications
Allergy
Renal failure
GI Protectant
Caution
Pregnancy or lactation
GI Protectant
Adverse Effects
GI effects
Constipation, diarrhea, nausea, indigestion, gastric discomfort, dry mouth
CNS effects
Dizziness
Sleepiness
Vertigo
GI Protectant
Drug-Drug Interactions
Aluminum salts
Phenytoin, fluoroquinolone or penicillamine
GI Protectant
Nursing Diagnoses
Diarrhea
Risk for constipation
Imbalanced nutrition: less than body requirements
Disturbed sensory perception (kinesthetic)
Deficient knowledge regarding drug therapy
GI Protectant
Implementation
Administer the drug on an empty stomach 1 hour before or 2 hours after meals and at bedtime
Monitor the patient for GI pain
Administer antacids or antibiotics, if ordered, between doses of sucralfate, not within 30 minutes of a sucralfate dose
Provide comfort and safety measures
Provide frequent mouth care including sugarless lozenges
Ensure ready access to bathroom facilities
Institute bowel training as needed
Provide small, frequent meals
Provide thorough patient teaching
GI Protectant
Evaluation
Patient response
Effectiveness of teaching plan
Effectiveness of comfort measures
Compliance
GI Protectant
Assessment
History
Allergy
Pregnancy and lactation
Renal dysfunction or dialysis
Physical
Inspect for lesions in the oral mucosa or rash
Orientation, affect, and reflexes
Abdominal assessment including evaluation bowel elimination pattern or changes
Monitor the results of laboratory tests
