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

331007

Card Set

Final - Chapter 41 - GERD

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Final - Chapter 41 - GERD

Updated

2017-05-02T03:01:33Z

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