acid controlling meds

examples of PPI

omeprazole, pantoprazole

examples of H2 receptor blockers

cimetidine , famotidine

PPI’s and H2 are acid controlling meds that relieve symptoms of GERD and PUD by

decreasing/ suppress gastric acid

examples of antacids

calcium carbonate (Tums)

aluminum hydroxide

magnesium hydroxide

(milk of magnesia)

action for antacids ( neutralizes acid)

TAKE AS NEEDED (not daily) + separate from other meds 1 hr or more

in which clients should you use antacids cautiously

HTN and HF (bc high Na+)

nursing considerations for PPI

take daily before breakfast (on empty stomach)

-increase risk of c.diff & OSTEOPOROSIS (bc you increase gastrc ph=decrease Ca+ absorption)

nursing consideration for H2 receptor blockers (-tidine)

taken daily for long term symptom management

what should you know about cimetidine

inhibits liver enzymes, INCREASES RISK OF TOXICITY FOR WARFARIN, PHENYTOIN, THEOPHYLLINE

what are the gastric protectants?

sucralfate

misoprostol

used to prevent and heal gastric ulcers by protect stomach lining

nursing considerations for sucralfate

take 1hr before meals and bedtime

SEPATATE FROM OTHER MEDS ( take other meds at least 2 hr before sucralfate)

misoprostol is contraindicated in

pregnancy (causes contractions)