Nursing Application: Acid-Controlling Drugs

Which antacid would most likely have had caused Mary's diarrhea?​

Milk of Magnesia

Mary was tested for H. pylori infection in the office and asked what information the test will provide. What is the best response by the health care provider?

This test is will indicate if you have an infection in your stomach.

The client is in the pharmacy clinic to pick up her PPI prescription. As the pharmacist hands her the medicine, the client makes the following statement indicating that she needs additional education about her new prescription?

"I should chew these like my antacid I used to take."

During the discussion with the client picking up their PPI medication, which statement should the pharmacist follow-up?

"Once I start to feel better I can stop taking the medication."

The client mentions that a friend uses famotidine for their acid reflux, and wants to know why she was prescribed pantoprazole? Which actions of PPI make them useful in the client's treatment plan? (Select all that apply.)

*Blocks up to 90% of acid secretion *Relatively long duration of action

Which conditions are associated with long-term use of proton pump inhibitors? (Select all that apply.)

*C. diff. infections *Risk of bone fractures

Mary underwent further testing and was diagnosed with gastroesophageal reflux disease (GERD). Before prescribing pantoprazole, the health care provider screens for which contraindications for this medicine? (Select all that apply.)

*Osteoporosis *Hepatic Diseases

1.___________ treats symptoms of hyperacidity by preventing parietal cells' stimulation from histamine. ​

1. Famotidine

1.______________ reduces hyperacidity by preventing the parietal cell from excreting acid (hydrogen ions).

1. Pantoprazole

Antacids 1.___________ prevent the overproduction of acid in the stomach, they 2.____________ acids that are present.

1. do not 2. neutralize

For how long will PPIs have a therapeutic effect?

24 hours

Which medication neutralizes acid in the stomach?​

Calcium carbonate

For each situation listed, select whether antacid therapy is or is not contraindicated.

Contraindicated -Severe electrolyte disturbance -Gastrointestinal obstruction -Known allergy to antacid prescribed NOT Contraindicated -Pregnancy

Which phenomenon explains the increased stomach pain when Mary stopped taking her calcium carbonate?

Rebound acidity

Mary asked the health care provider what changes are needed to her diet. Indicate which food items she should eat (i.e. foods that will promote less acid reflux) and which food items should be avoided (i.e. foods that will irritate acid reflux).

Should be OK -Fruits -Leafy greens -Water -Eat earlier in the day Should be avoided -Coffee -Wine -Soda -Fast food -Cheese and dairy -Eating before bed

When educating an individual with a new prescription for omeprazole, what instruction is given for when to take the medication?

Take omeprazole 30 minutes before meals.