Assessment of a patient with a GI disorder. By Gabie Gomez. Assessment ( subjective). Past history: smoking, alcohol use, medication abuse, recent travel, food intake. Pain (oral, tongue,throat, abdominal) Appetite Pyrosis Dysphagia Dyspepsia (nausea, eructation, distention) Weakness
Action: Neutralizes gastric acid.
Side Effects: Constipation, chalky taste, diarrhea, increased thirst, stomach cramps
Nursing Implication: Monitor electrolyte with long tem use
Intervention: Do not take antacids if you have signs of appendicitis or an inflamed bowel.
Action: Blocks central vomiting center.
Side Effects: Drowsiness, dry mouth, constipation
Nursing Implication: Avoid the use with other CNS depressants and alcohol.
Intervention: They may may produce hypotension when used with antihypertensives, nitrates, or acute ingestion of alcohol.
Action: decrease acid by blockingthe production of gastric acid, used to heal ulcers and relieve the symptoms of pain
Side Effects: confusion, headache, constipation, diarrhea.
Nursing Implications: Increases serum levels, effects anticoagulants
Interventions: Do not give histamine receptor antagonist within 2 hours of antiacids.
Action: kills or prevents the growth of certain bacteria and protozoa (single cell animals).
Side Effects:clumsiness, dizziness, or unsteadinessfever or chills, sore throat, numbness, tingling, pain or weakness in the hands or feet, seizures (convulsions) skin rash, itching
Nursing Implications: Smoking should be eliminated
Interventions:Dietary modifications are necessary, foods and beverages irritating to the pt. should be avoided .
Action: antisecretory agent that inhibits secretion of gastrin by the parietal cell of the stomach.
Side effects: Headache, dizziness, abdominal pain, nausea, vomiting, bone marrow suppression(rare).
Nursing Implications: Inhibits hepatic metabolism of warfarin, phenytonin and other drugs.
Interventions: Do not chew or crush capsule contents
Action: Heals ulcers without antisecretory properties, possibly by adhering to the proteins in the ulcer base.
Side effects: Constipation, hypophosphatemia
Nursing Implication: Take Carafate 2 a other drugs can interfere with absorption.
Intervention:If Carafate is taken with certain other drugs, the effects of either could be increased, decreased, or altered.
Action: prostaglandin (hormone-like substance), reduces the production of stomach acid and protects the stomach lining against NSAID induced ulcers.
Side effects:Constipation, gas, indigestion, headache, heavy menstrual bleeding, cramps, paleness, stomach or intestinal bleeding, vomiting
Nursing Implications: Avoid with the use of alcohol or sedatives
Interventions: To reduce the risk of diarrhea, take Cytotec with food and avoid taking it with a magnesium-containing antacid