Proton Pump Inhibitors Flashcards
1
Q
Medications
A
“-prazol”
- Omeprazole
- Esomeprazol
- Lansoprazol
- Pantoprazol
- Rabeprazol
2
Q
Actions
A
-Act at specific secretory surface receptors to prevent the final step of acid production and thereby decrease level of acid in the stomach
3
Q
Indications
A
- Short-term treatment of active duodenal ulcers, GERD, erosive esophagitis, and benign active gastric disease
- Long-term treatment of pathological hypersecretory conditions
4
Q
Contraindications
A
-Allergy
5
Q
Caution
A
-Pregnancy/lactation
6
Q
Adverse effects
A
- CNS: dizziness, headache, asthenia, vertigo, insomnia, apathy
- GI: diarrhea, abdominal pain, and tongue atrophy
- Upper respiratory: cough, stuff nose, hoarseness, and epistaxis
7
Q
Drug-drug
A
- Benzodiazepines, phenytoin, warfarin: increase toxicity of these meds
- Ketoconazole, theophylline: decreased levels of these meds
- Sucralfate: PPIs not absorbed well
- Clopidogrel: Increase CV effects
8
Q
Assessment
A
- History: Allergy, pregnancy or lactation
- Physical: Neurological status, abdominal assessment, respiratory assessment
9
Q
Nursing diagnosis
A
- Diarrhea
- Risk for constipation
- Imbalanced nutrition: less than body requirements
- Disturbed sensory perception
- Risk for injury
- Deficient knowledge
10
Q
Implementation
A
- Administer drug BEFORE meals
- Provide safety and comfort measures
- Monitor pt for diarrhea or constipation
- Monitor nutritional status
- Pt teaching
11
Q
Evaluation
A
- Patient response
- Effectiveness of teaching plan
- Effectiveness of comfort measures
- Compliance
