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Final - Chapter 41 - GERD
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What foods/substances should be avoided with GERD?
milk products
acidic foods
chocolate
peppermint
coffee & tea
what is the mechanism of action of omeprazole (PPI's)?
reduces acid secretion in stomach by binding irreversibly to H+, K+-ATPase enzyme (proton-pump) system
What are the adverse effects of omeprazole (PPI's)?
few
HA
N/D
rash
abd pain
dizziness
How are PPI's (omeprazole) administered?
empty stomach
30-min prior to meals
AM's if only 1/day
What are the nursing considerations of omeprazole (PPI's)?
avoid smoking
avoid ETOH
caution with hepatic impairment
abrupt d/c = rebound hypersecretion
do not crush, break, or chew
What is the mechanism of action of H2 receptor blockers cimetadine, ranitadine?
reduce gastric acid by blocking action of histamine at histamine 2 receptors in parietal cells.
What are the adverse effects of H2 receptor blockers cimetadine, ranitadine?
agranulocytosis
impotence / ↓ libido
hepatotoxicity
HA
Nausea
dry mouth
muscle pain
tachycardia
blurred vision
What are the nursing considerations of H2 receptor blockers cimetadine, ranitadine?
LFT / Renal FT's
Avoid ETOH / smoking
report fever or excessive bruising
takes weeks for tx to work
take with food or after meals
report vomiting of blood or black stools
Do you take PPI's before or after meals?
preferrably in the AM
30 min prior to meals
Do you take H2 receptor blockers before or after meals?
after meals or with food to minimize gastric irritation
Author
cbennett
ID
331007
Card Set
Final - Chapter 41 - GERD
Description
Final - Chapter 41 - GERD
Updated
2017-05-02T03:01:33Z
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