***SUBSCRIBE WITHIN THE NEXT 28 DAYS FOR A CHANCE TO WIN $1,000!***
Hey guys nurse mike here and welcome to simple nursing comm check out our brand new app and get access to our new pharmacology and med-surg mastery courses join for free click the link in our description below alright guys so let’s begin now for the drugs that reduce acid and prevent ulcers the number one goal here is to protect the gi from its own acid so number
One to tone down acid volume we use anti acids h2 blockers and pp is and number two to protect the lining from those holes or peptic ulcers we use mucosal protectants the name for this is sucrose 8 now a quick recap on the key terms here guys gastritis is an irritation of the stomach gerd is gastro esophageal reflux just fancy words for a heartburn acid reflux
That irritates the esophagus and ulcers are all about breaking the lining talking holes and open sores so a stomach ulcer we call it gastric ulcer or a peptic ulcer and for small intestines we call it a duodenal ulcer or a duodenal ulcer basically the duodenum inside the small intestine now anti acids are used for fast immediate relief so think anti mixing for
Anti acids they’re never to be taken with other meds probably the biggest test topic i can cover right here now it works by immediately neutralizing stomach acid but the bad news here is that it doesn’t last long so the acronym we use is scam like you kind of got scammed from the short duration of the med so s4 sodium bicarbonate brand name is alka-seltzer c is
For calcium carbonates brand name tums and rolaids a for aluminum hydroxide and m for magnesium hydroxide brand name is milk of magnesia now that’s also a laxative as well as an anti acid here now guys the big side effects can vary on the type of anti acid so for aluminum or calcium they can constrict and cause constipation and magnesium can mellow out the gi
Tract causing diarrhea now on the hesi there was an exam question about magnesium hydroxide and it said it can’t upset the stomach and cause liquid bowel movements so write that one down guys now the key point here and the memory trick again really stressing it here anti acids are anti mixing with other meds basically blocks the absorption of a lot of medication
So the key point never taken with other meds always one hour before or one hour after other meds and guys it’s not for heart failure patients nothing otc are for heart failure patients or over-the-counter drugs all these things contain sodium which swells the body now next up is our long lasting relief the h2 blockers histamine two receptor antagonists fancy words
For turns down the volume of acid production now these end in tide i’m so renata dine brand name is zantac and famotidine brand name is pepcid now the key point is we take 30 minutes before the meals so think thai dine you take 30 minutes before you go to dine with to dyn’s so guys it’s given for gerd and ulcers both duodenal and gastric and it works by reducing
Those gastric secretions by blocking h2 receptors in the stomach and a big patient education here we do not overeat no stress or basically stress reduction no smoking and no nsaids which leads to gi bleeding now for the famous ppi is the proton pump inhibitors ending in praise’ like omeprazole brand-name prilosec or esomeprazole brand-name nexium and the famous
Pant oprah’s all brand name protonix now the key points are the three p’s of praise oles p4 prevents holes so guys a key word here is stress ulcer prophylaxis p for porous bones so we get regular bone density tests and p for possible seed if orchestra diem de facili infection so guys the indication here is for heartburn and gerd but mainly it’s used for ulcer
Prophylaxis especially in the hospital due to the hospital related stress so guys nearly everyone in med surg usually gets put on a ppi so when a patient asks why am i on this med since i usually don’t take this at home guys the key word here is it helps prevent the development of an ulcer to the stress of surgery or hospital stays now it works by reducing the
Gastric acid by inhibiting the proton pump in the parietal cells of the stomach and once again for reinforcements here long term side effects p4 porous bones again guys write this down regular bone density test it increases the risk for osteoporosis with long-term use increasing the risk for fractures on the spine wrist and hip so guys always take calcium and
Vitamin d and lastly p for possible c diff infections since it suppresses the normal hcl in the stomach which would normally control the intestinal bacteria and the last key point is we take 30 minutes before meals which goes for h2 blockers as well as these pp eyes now for mucosal protectants we have two here so first up is sucrose eight’s brand name is kara fait
Given a treat and prevent both stomach and duodenum or duodenal ulcers in the small intestine now the mode of action it forms a thick protective layer over the ulcer which provides a physical barrier against the stomach acids and enzymes so it’s kind of like a band-aid over an open wound or you can think it’s like filling a pothole in the road now guys the big key
Point here is we take on an empty stomach one to two hours before or after food or meds so guys do not take with any other med and don’t be tricked questions asked a lot about taking anti acids with this med guys we’re avoiding anything and everything so just think sook relates two hours before or after you ate and it’s best at bedtime so just think sook relate
It’s better taking late now our second mutant thanks for watching for our full video and new quiz bank click right up here to access your free trial and please consider subscribing to our youtube channel last but not least a big thanks to our team of experts helping us make these great videos alright guys see you next time
Transcribed from video
Pharmacology GI – H2 Blockers, PPI, Sucralfate, Antacids nursing RN PN NCLEX By Simple NursingliveBroadcastDetails{isLiveNowfalsestartTimestamp2020-07-09T024509+0000endTimestamp2020-07-09T025427+0000}
