what does our stomach do?
- store food
- mix food
- emptying
GERD
known as heartburn
symptoms include burning, bloating belching, regurgitation
peptic ulcer disease (PUD)
symptoms include burning, gnawing, aching
antacids action
buffer hydrochloric acid to a lower concentration
education for Gerd and pud
weight reduction, smoking cessation, consume smaller meals, avoid eating at bedtime, avoid tight clothing over abdomen
aluminum salts
often recommended for patients with renal disease (more easily excreted)
calcium salts
may cause constipation, kidney stones
sodium biacarbonate
buffers the acidic properties of HCI
-may cause metabolic alkalosis
histamine-2 receptor antagonists
action: block h2 receptors resulting in decreased volume of acid secreted
h2 antagonists
use with caution in patients who are confused, disoriented, or older
take 1 or 2 hours before antacids
misofrostol (cytotec)
use: prevents and treats gastric ulcers caused by NSAIDS (including aspirin)
PPI'S
inhibit gastric secretion by inhibiting gastric acid pump of the parietal cells
- may increase chance of bleeding with warfarin
metoclopramide (reglan)
reduces reflux, increases stomach contradictions, relaxes pyloric valve, increases peristalsis