GI - Unit 1 - GI Meds Flashcards
What are the actions of antacids like Magnesium & Aluminum Hydroxide?
Neutralizes stomach gastric acid.
What are some side effects of antacids like Magnesium & Aluminum Hydroxide?
Diarrhea, constipation, kidney stones, osteoporosis.
What are some nursing responsibilities for antacids like Magnesium & Aluminum Hydroxide?
Give an hour or two before meal!
What are some H2 Blockers?
Climetadine, Ranitadine, Famitidine, Nizatadine
What do H2 Blockers do?
Anti-histamine - decrease acid production in the stomach.
What are some side effects of H2 Blockers?
Kidney problems, Dysrhythmia
What are some nursing responsibilities for H2 Blockers?
Give with meal and at bed, watch for kidney function.
What are some proton pump inhibitors?
Omeprazole, Lanzoprazole, Pantoprazole, Exmaproazole (all end in azole!)
What is the action of PPI’s?
Long lasting reduction of gastric acid production.
What are some side effects of PPI’s?
Headaches, N/V, Diarrhea, abdominal pain, fatigue, dizziness.
Can we crush PPI’s?
NO
What kind of drugs are misoprostol and sucralfate?
Mucosal Barriers & Prostaglandin Analog
What are the actions of Mucosal Barriers & Prostaglandin Analog’s?
Prevent stomach ulcers.
What are some side effects of Mucosal Barriers & Prostaglandin Analog’s?
Diarrhea, abdominal pain.
When do we give Mucosal Barriers & Prostaglandin Analog’s?
At meals and at bedtime!
What is the action of ondansetron?
It is a seritonin 5-th3 receptor antagonist.
What are some side effects of ondansetron?
Constipation, dizziness, headache, QT prolongation.
What are some examples of anti-cholinergic meds?
Belladonna, pirenzepine, propantheline, tridihexethyl chloride
What side effects can the anti-cholinergic meds have?
Dry mouth, increased HR, blurred vision.
What is mataclopromide?
It is an autonomic nervous system stimulant.
What are some side effects of metaclopromide (reglan)?
Cardiovascular, CNS, etc.
Can we give metaclopromide for a long time? When should we give it?
No! It needs to be given with a meal.
What is alvimopan?
An opioid receptor antagonist.
What are some side effects of alvimopan?
Dyspepsia, Hypokalemia, back pain, delayed micturation.
We can give alvimopan as much as we want right?
NO, it can be given up to 15 doses and that’s it!
