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Antacids
Question | Answer |
---|---|
Antacids are used to... | neutralize stomach acid, OTC drug, pt use them to self treat a varitey of GI symptoms. But using antacid frequently can cause acid rebound |
Antacids w/aluminum | cause sever constipation |
Antacids w/magnesium | cause sever diarrhea |
Antacids are aval in combination forms to combine acid neutralizing effects and block adverse effects | A combination of calcium and aluminum salts (Maalox & Mylanta) buffers acid and produces neither constipation nor diarrhea. |
Antacid pt teaching | they can greatly effect the absorption of other drugs, pt should also seperate taking other meds from antacids by 1-2 hrs |
Antacid contraindications | any condition that can be exacerbated by electrolyte or acid base imbalance, GI obstruction, or renal dysfunction. |
Antacids drugs are... | sodium bicarbonate (Bell/Ans baking soda), calcium carbonate (Tums), magnesium salts (Milk of Magnesia), Aluminum salts (Basaljel, Amphojel), magaldrate (Lowsium, Riopan), Rolaids |
Antacids adverse effects.... | Rebound acidity, calcium salts may lead to hypercalciema, constipation or diarrhea may occur, Finally fluid retention and congestive heart failure can occur with sodium bicarbonate bc of its high sodium content |
G/B sodium bicarbonate | Bell/Ans baking soda |
sodium bicarbonate (Bell/Ans) | oldest drug in this group, baking soda, CPEBM, potential for adverse effets on fetus/nonate. exc/urine and can cause serious electrolyte imbalance in pt w/renal impairments |
G/B calcium carbonate | Tums, Calciday-667 |
calcium carbonate (Tums) | main drawback is constipation & acid rebound. can cause calcium imbalance, met/liver, exc/urine & feces. CPEBM |
G/B magnesium salt | Milk of Magnesia |
magnesium salt (Milk of Magnesia) | buffers acid in the stomach, but causes diarrhea. Drug of choic for pregnant women. can lead to nerve damage or coma |
G/B aluminum salts | Amphojel, Basaljel |
aluminum salts (Amphojel, Basaljel) | does not causes acid rebound, causes sever constipaiton, potential effects for advers effects of fetus and nenates |
G/B magaldrate (aluminum/magnesium salt combination) | Riopan, Lowsium |
magaldrate (Riopan, Lowsium) | an aluminum and magnesium salt combination. decreases constipation and diarrhea AE:on fetus & neonates |