persistent abdominal pain, nausea, or vomiting /Fever
↓ the absorption of other orally administered drugs by ↓ transit time.
laxatives (nsg Asst) Abd distention/ bowel sounds
Assess color, consistency/ amount of stool produced. Elimination pattern
Laxatives (Nsg Imp) Give @bedtime; empty stomach w/ glass of H20/juice
Laxatives (Nsg Edu)
↑ fluid to a min 1500–2000 mL/day 2 prevent dehydration.
GERD/Peptic Ulcer Disease
Antiulcer (against H. pylori)
a histamine H2-receptor antagonist, or a proton pump inhibitor, and 2 anti-infectives with or without bismuth subsalicylate for 10–14 days
inhibits the ability of the liver to metabolize several drugs, ↑ the risk of toxicity from warfarin, tricyclic antidepressants, theophylline, metoprolol, phenytoin, propranolol, and lidocaine. Omeprazole ↓ metabolism of phenytoin, diazepam, and warfarin. All agents that ↑ gastric pH will ↓ the absorption of ketoconazole and some of the protease inhibitors (e.g. atazanavir). Assessment Assess patient routinely for epigastric o
↓ metabolism of phenytoin, diazepam, and warfarin.
Assess patient routinely for epigastric or abdominal pain and frank or occult blood in the stool, emesis, or gastric aspirate.
Ck heartburn and indigestion as well as the location, duration, character, and precipitating factors of gastric pain.
Histamine H2 Antagonists (Asst)
Assess elderly and severely ill patients for confusion routinely. Notify health care professional promptly should this occur.
Lab Test Considerations
May cause false-negative results in skin tests using allergen extracts. These drugs should be discontinued 24 hr prior to the test. Potential Diagnoses
Antiucler (Nsg Imp) (ANtacids)
Separate administration of antacids and other oral medications by at least 1 hr.
Antiulcer(Nsg Imp) (Proton Pump Inhibitors)
b4 meals, preferably in the morn. Capsules s/b swallowed whole; no open, crush, or chew. May be administered concurrently with antacids.