NR293 Pharmacology for Nursing Practice Week 5 Concepts NutritionAcid-Controlling Drugs

Week 5 Concepts: Nutrition Acid-Controlling Drugs Prepare: Acid-Controlling Drugs Stomach Areas Identify the areas of the stomach. Gastric Glands Match the gastric gland cell with its function. Produce and secrete hydrochloric acid Parietal cells Secrete pepsinogen which is a precursor to pepsin Chief cells Provide a protective coating for the stomach Mucosa cells Parietal Cells Which receptors in the stomach are responsible for stimulating the secretion of acid from the parietal cells? Select all that apply. Histamine Adenosine triphosphate (ATP) pump Proton ion Gastrin Acetylcholine (ACh) Self-Check: Stomach Acid Gastric Hyperacidity Gastric hyperacidity is the over production of stomach acid. Stomach Acid The pH of stomach acid is 1-4. Self-Check: Hyperacidity Gastroesophageal Reflux Disease (GERD) Gastroesophageal reflux disease is when excessive acid backs up into the esophagus. Acid-controlling Drugs Match the acid-controlling drugs with how they work. Antacids Reduce acid by neutralization within the stomach Histamine (H) 2 Blockers (H2 receptor agonist) Reduce acid by blocking signals to the parietal cells Proton Pump Inhibitors Reduce acid by working within the parietal cells Self-Check: H. Pylori (Helicobacter pylori) Helicobacter pylori (H. pylori) Helicobacter pylori (H. pylori) is a Bacteria that can infect the gastric track. Reflect: Acid-Controlling Drugs Acid-controlling Drugs The telehealth nurse is responding to question send to the Hancock Healthcare Services’ social media page. Review the questions and choose the best response. Question 1 / 6 Mandy345 asks: I have heartburn and I am in the pharmacy. Do all acid controlling drugs work the same way? Choose your best response from the choices given below. “Acid controlling drugs do not all work the same way.” “It depends on each person’s genetics.” “Yes, they do.” “I think so.” Question 2 / 6 MrTom2u wrote: I take a lot of prescribed daily medication, including digoxin. Is it safe to take any type of acid controlling drugs with my medications? Choose your best response from the choices given below. “Yes, acid controlling drugs are safe. You may also need to take an extra dose of your digoxin to stay in your therapeutic range.” “Yes, acid controlling drugs are safe and should be taken with your nightly medications.“ “Yes, acid controlling drugs are safe and can be taken with your daily medications.” “Yes, acid controlling drugs are generally safe. Check with your doctor for the best choice of acid controlling drugs for you.” Question 3 / 6 Mavis52 wrote: What lifestyle changes can I start that will prevent/reduce my heartburn (hyperacidity) symptoms? Choose the correct response from the choices given below. “Chewing gum will prevent your hyperacidity symptoms.” “Eat later in the evening so your stomach can digest your food while you sleep.” “Drinking more water will prevent your hyperacidity symptoms.” “Changing your diet and reducing stress can decease your symptoms.” Question 4 / 6 Mavis52 wrote back: My husband said that smelling his food on the grill will make my stomach secrete digestive fluid. Is this true? Choose the correct response from the choices given below. “No, food must be present in the stomach for the secretion of digestive enzymes.” “Yes. Smelling, seeing, or tasting food can cause your stomach to secrete digestive acids.” “Yes, but it only happens with smelling grilled food.” “No, only chewing and swallowing food makes you secrete stomach acids.” Question 5 / 6 Mav12 asks: Do these work the same way to reduce acid in my stomach? Acid-reducing medication Effervescent tablet antacid Choose your best response from the choices given below. “Yes, they both neutralize the acid present in the stomach.” “Yes, they work the same in your stomach; they just have different names.” “No, the effervescent tablet antacid neutralizes the acid in the stomach and the acid-reducing medication blocks signals to cells in your stomach.” “No, the acid-reducing medication neutralizes the acid in the stomach and the effervescent tablet antacid blocks signals to cells in your stomach.”