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Antacids - Tums
Amphojel, Rolaids
Milk of Magnesia, Alternagel
Maalox, Mylanta, Gelusil, Riopan
Mylicon
Antacids Action - Neutralizes stomach acid. decreases the rate of gastric emptying,
treats hyperacidity
Antacids Use - Peptic ulcer, used to treat heartburn; reflux esophagitis, gastritis, hiatal
hernia.
Antacids Nursing Considerations - antacids may intefere with medication absorption
thus shold not be given with othher meds- wait 1-2 hours.
antacid effect os prolonged when medication is taken with food.
chart amount and consistency of stools.
Anti- Ulcer - Pepcid
Axid
Zantac
Tagamet
Cytotec
Protonix
Other meds given before meals:
Prilosec
Carafate
Prevacid
Nexium
Anti-Ulcer Action - prevents the release of gastric acid to treat or prevent stomach and
duodenal ulcers.
Anti-Ulcer side effects - Side effects are minor.
High doses can cause confusion
Anti-Ulcer Nursing Considerations - Dissolve carafate in water.
Encourage resident not to smoke, which increases gastric secretion.
,encourage resident to avoid: spicy forrd, caffeine, nicotine, alcohol, and carbonated
beverages.
Antiemetics - Dramamine
Tigan
Antivert
Compazine
Phenergan
Antiemetics Action - supress N/V by acting on the brain control center
Antiemetics Use - to treat nausea and prevent vomiting
Antiemetics Side effects - drowsiness
Antiemetics Nursing Considerations - monitor B/P for hypotension
Emetics - Syrup of Ipecac
Emetics Action - induce vomiting
Emetics Use - used when poision has been ingested
Emetics Side effects - do not use when corrosive product ingested; such as, acids or
alkalies, or if resident is drowsy or unconsious. The licensed nurse should contact the
physician and/or posion control center before administering.
Emetics Nursing considerations - usually induces vomiting 20-30 minutes after
adminstered.
Antidiarrheals (absorbents) - kaolin
Pepto-Bismol
pectin(from apples)
Kaopectate
Absorbents Action - adsorb(soak up) excess fluids and bacteria
Absorbents Use - to treat diarrhea
Absorbents Side Effects - minimal constipation
nausea
dry mouth
abdominal pain
Absorbents N.C. - monitor patient for constipation
,Antidiarrheals (OPIATES- meds that slow down intestinal motility) - Paregoric
Opiates Action - reduces peristalsis by action on CNS and diminshes secretions
Opiates Use - to treat diarrhea
Opiates Side effects - drowsiness
may be ADDICTING
Gastrointestinal meds that alter motility - Decrease motility:
atropine sulfate
Lomotil
Atropine
scopolamine
Donnatal
kaolin
oectin
Imodium
Bentyl
Enhance motility:
Reglan-(give before meals rather than with food)
Gastrointestinal meds that alter motility Action - acts on autonomic nervous system to
alter peristalsis
Gastrointestinal meds that alter motility Use - spastic colon: diarrhea: GERD
Gastrointestinal meds that alter motility Side effects - blurred vision
dry mouth
heart palpitations
urine retention
constipation
Gastrointestinal meds that alter motility N.C. - monitor V/S and Urinary output
Cathartics (laxatives) - castor oil
Senekot
Dulcolax
Ex-Lax, Doxidam
Cathartics (laxtives) Action - stimulate intestinal peristalsis; usually acts in 6-8 hours
when given in oral form.
Cathartics (laxatives) Side Effects - abdominal cramping
nausea
, diarrhea
Cathartics (laxatives) N.C. - monitor for diarrhea
Saline laxatives - Milk of Magnesia
Saline laxatives Action - acts within 8 hours
Saline laxatives Side effects - diarrhea
cramping
Saline laxatives N.C. - shake suspension well
monitor for good fluid intake following administration of the laxative
Lubricant Laxatives - Mineral Oil- works within 2-6 hours. admin on an empty stomach.
can give with fruit juice to disguise taste.
Haley's MO
Glycerin suppository- should be retained for atleast 15 minutes for best results.
Lubricant Laxatives Action - increases water retention in stool thereby stimulating
evacuation
Lubricant Laxatives Side Effects - inteferes with absorbing nutrients.
should not be taken at mealtime or long term
resident may experience abdominal cramping
Lubricant Laxatives N.C. - may interfere with absorbtion of vitamins
Laxatives that moisten fecal matter - Surfak
Colace
Fiber Con
Laxatives that moisten fecal matter Action - Stool softener; used to promote regular
mowel evacuation
Laxatives that moisten fecal matter Side Effects - mild abdominal cramping can cause
diarrhea
Laxatives that moisten fecal matter N.C. - Instruct resident that it may take 1-3 days to
soften stool.
If resident has a routine order and is experiencing diarrhea ask nurse if medication
should be given.
Laxatives which increase bulk - Metamucil
Citrucel