Final - Chapter 41 - GERD

  1. What foods/substances should be avoided with GERD?
    • milk products
    • acidic foods
    • chocolate
    • peppermint
    • coffee & tea
  2. 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
  3. What are the adverse effects of omeprazole (PPI's)?
    • few
    • HA
    • N/D
    • rash
    • abd pain
    • dizziness
  4. How are PPI's (omeprazole) administered?
    • empty stomach
    • 30-min prior to meals
    • AM's if only 1/day
  5. 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
  6. 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.
  7. What are the adverse effects of H2 receptor blockers cimetadine, ranitadine?
    • agranulocytosis
    • impotence / ↓ libido
    • hepatotoxicity
    • HA
    • Nausea
    • dry mouth
    • muscle pain
    • tachycardia
    • blurred vision
  8. 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
  9. Do you take PPI's before or after meals?
    • preferrably in the AM
    • 30 min prior to meals
  10. 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