Gastrointestinal

Cimetidine

Monitor renal function
BUN and CR

Ranitidine

Monitor renal function
BUN and CR

Famotidine

Monitor renal function
BUN and CR

Cimetidine, Ranitidine, Famotidine

• Gastric and duodenal ulcers

• GERD

• Heart burn

• Acid indigestion

• Management of urticaria

Pantoprazole nursing actions

Assess for bleeding
Monitor IV site for inflammation

Lansoprazole nursing actions

Assess for bleeding

Esomeprazole nursing actions

Assess for bleeding

Omeprazole nursing actions

Assess for bleeding

Pantoprazole, Lansoprazole, Omeprazole, Esomeprazole therapeutic use

• Short term therapy of gastric and duodenal ulcers, erosive esophagus, and GERD

• Prevention of stress ulcers

Sulcrafate nursing action

Asses elimination patterns

Sulcrafate therapeutic use

• Treatment of acute duodenal ulcers and maintenance therapy

• Neutralize or reduce the acidity of gastric acid

Aluminum hydroxide therapeutic use

• Treatment of peptic ulcer disease

• Prevention of stress-induced ulcers

• Relief of the manifestation of GERD

Calcium carbonate therapeutic use

• Treatment of peptic ulcer disease

• Prevention of stress-induced ulcers

• Relief of the manifestation of GERD

Magnesium hydroxide therapeutic use

• Treatment of peptic ulcer disease

• Prevention of stress-induced ulcers

• Relief of the manifestation of GERD

Diphenoxylate plus atropine pharmacologic action

Activate opioid receptors in the GI tract to decrease intestinal motility and increases fluid and sodium absorption in the intestines

With diphenoxylate monitor for:

• Dehydration

• Respiratory rate

• Stomach distension

Diphenoxylate complications

Constipation
Dependence
Drowsiness
Atropine may cause dry mouth, blurred vision, urinary retention

Loperamide pharmacologic action

slow down aristaless

With loperamide monitor for:

dehydration
abdominal distension
diarrhea and number of stools

loperamide patient education

take with a full glass of water
monitor for dehydration

loperamide complications

constipation
drowsiness
dizziness
respiratory depression
Ileus

Psyllium therapeutic use

move feces through GI tract
constipation

psyllium nursing actions

mix in glass of water of juice
follow with glass of water because can harden if not enough water

psyllium complications

abdominal cramps
diarrhea
N/V
GI obstruction

Bulk forming laxative

psyllium

Surfacant laxative

docusate sodium

Docusate sodium therapeutic use

allows penetration of water into the stool
soften the stool
constipation

docusate sodium nursing action

administer with a glass of water
drink plenty of water

docusate sodium complications

diarrhea

Stimulant laxative

bisacodly, senna

Bisacodyl, senna therapeutic use

stimulates peristalisis
bowel prep for surgery
constipation

Bisacodyl, senna patient teaching

take on empty stomach
take at bedtime

Bisacodyl, senna nursing actions

monitor electrolytes
administer bisacodyl at bedtime

Osmotic laxative

magnesium hydroxide, lactulose

magnesium hydroxide, lactulose therapeutic use

draws water into the stool
bowel prep for surgery or procedures

magnesium hydroxide, lactulose patient education

drink plenty of water

magnesium hydroxide, lactulose nursing actions

monitor intake and outtake
assess for dehydration
monitor electrolyte

magnesium hydroxide, lactulose complications

diarrhea
fluid and electrolyte imbalances
weakness
hypotension
abdominal discomfort
magnesium toxicity with magnesium preparation