Miki - Omeprazol Flashcards
Drug names
Generic - omeprazol
Trade - Losec
Drug classes
Therapeutic - anti ulcer agent
Pharmacological - proton pump inhibitors
Indications
GERD
Duodenal ulcers
Short term gastric ulcer treatment
Reduction of GI bleed risk
Heartburn
Action
Binds to enzyme on parietal cells in the presence of gastric pH
Prevents final transport of hydrogen into gastric lumen
Therapeutic affects
Dismissed accumulation of acids in gastric lumen
Lessened GERD
Healing of duodenal ulcers
Contraindications
Hypersensitivity
Use of rilpivirine
Use cautiously in:
- hepatic impairment
- patients with high doses for >1 year
- hypocalcemia
- beers list (Geri)
Adverse affects
Frequent:
- abdominal pain
Acute generalized exanthematous pustulosis
Drug reaction with eosinophilia and systemic symptoms
Steven’s Johnson syndrome
Toxic epidermal necrolysis
Clostridioides difficile associated diarrhea
Hypersensitivity reactions
Safe dose
Miki takes for GERD
20mg/d
Why is miki taking this
For GERD, heartburn while sleeping
To decrease accumulation of acid in the stomach
Affects seen in miki
Dizziness? Fatigue?
Miki and this drug
Dysphagia
- med can be sprinkles on applesauce
Increased risk of bone fracture
B12 can decrease
Taking alendronate (GI irritation)
Nursing actions
Doses to be taken at least 1h before meals
Assess client for abdominal pain
Monitor bowel function for diarrhea and occult blood
What should miki know
This will help with heartburn
