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Chapter 33

Terms in this set (19)

medication used in the treatment of gastric reflux esophagitis and diabetic gastroparesis:
Metoclopramide
sucralfate ordered qid. best time to administer this medication:
1 hour before meals
common adverse effect of magnesium based antacid preparations:
Diarrhea
Cimetidine (Tagamet) is an example of which class of drug?
Histamine (H2) receptor antagonist
A postoperative appendectomy patient has a nasogastric tube and wonders why the previous nurse told him that he was receiving an I.V. "ulcer preventing" medication called ranitidine. best response by the nurse?
"Because you are not eating after surgery, this medication will help reduce the hydrochloric acid your stomach is still secreting."
beginning therapy for GERD with metoclopramide. know that peristalsis is
increased, so food is digested more quickly.
A patient who is taking NSAIDs to treat arthritis asks the nurse why misoprostol has also been prescribed.
NSAIDs often cause GI irritation that can result in peptic ulcers. Misoprostol, a GI prostaglandin, is used to prevent and treat gastric ulcers caused by NSAIDs
organism responsible for many cases of PUD [peptic ulcer disease]:
H. pylori
Prokinetic agents increase the lower esophageal sphincter muscle pressure and
peristalsis, hastening emptying of the stomach to reduce reflux.
For indigestion, antacids should not be administered for more than
2 weeks.
Late night snacks need to be avoided to reduce
increased gastric secretions.
Because antacid therapy is often continued during early therapy of PUD, administer 1 hour before or
2 hours after H2 antagonist dose.
Taking medication with meals may
lessen diarrhea.
the body's normal defense barriers that protect against ulcer formation:
Prostaglandins and
Mucous cells
prokinetic agents:
used to treat esophagitis associated with gastric reflux and GERD
useful in treating nausea associated with chemotherapy treatment.
may be administered intravenously.
Which factors contribute to the development of PUD?
Cigarette smoking
Genetics
H. pylori
H2 antagonists and proton pump inhibitors are used to
reduce gastric acid secretion.
a renal failure patient's antacid therapy for treatment of heartburn should know:
Aluminum hydroxide antacids exacerbate constipation.
Antacids neutralize gastric acid.
dietary and lifestyle changes with a patient diagnosed with GERD.
smoking cessation.
avoiding NSAIDs.
using nonfat milk.
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