what are the types of secretory cells

chief-secrete pepsinogen

Parietal-secrete hydrochloric acid

MUcus -secrete mucus

what d you need to obtain optimal ph of the stomach?

Hydrochloric acid

what doe parietal cells do

they secrete intrinsic factor needed for absorption of vitamin b12

what does mucus do

It protects the walls from injury dur to stomach acid enzymes

BE ALERT OF DRUG INTERACTIONS OF REGLAN

EXTRAPYRAMIDAL SYMPTOMS: RESTLESSNESS,INVOLUNTARY MOVEMENTS,FACIAL GRIMACING,OCULOGYRIC CRISIS,TORTICOLLIS, RHYTHMIC TONGUE PROTRUSION

WHAT ARE SIDE EFFECTS OF TAKING REGLAN

EXTRAPYRAMIDAL SYMPTOMS, RISK OF SEIZURES

WHY DO PEOPLE TAKE REGLAN AKA METOCLOPRAMIDE

TREATMENT OF GASTRIC REFLUX ESOPHAGITIS, DIABETIC GASTROPARESIS ANTIMETIC

PROKINETIC AGENTS-(REGLAN)

INCREASES STOMACH CONTRACTIONS RELAXES PYLORIC VALVE, INCREASE PERISTALSIS

WHAT IS ADVERSE EFFECTS OF SUCRALFATE

CONSTIPATION,DRY MOUTH AND DIZZINESS

COATING AGENTS SUCRALFATE(CARAFATE)

IT COATS THE STOMACH PROTECTING IT FROM ACIDS,PEPSINS,AND BILE SALTS

WHAT ARE KINDS OF PPI MEDS

PRVACID(LANSOPRAZOLE)

OMEPRAZOLE(PRILOSEC)

PANTOPRAZOLE(PROTONIX)

THEY END IN ZOLE PPI

PPI

MAY INCREASE CHANCE OF BLEEDING WITH WARFARIN

PPI ADVERSE EFFECTS

RASH,RISK OF FRACTURES,HYPOMAGNESEMIA

H2 BLOCKERS AND ANTACIDS DO NOT STOP THE ACTION OF THE PROTON PUMP

WHY DO YOU TAKE MISOPROSTOL(CYTOTEC)

PREVENTS AND TREATS GASTRIC ULCERS CAUSE BY. NSAIDS INCLUDING ASPIRIN

PPI

INHIBIT GASTRIC SECRETION BY INHINBITING GASTRIC ACID PUMP OF THE PARIETAL CELL

MISOPROSTOL

CONTRAINDICATED IN PREGNANCY :RISK OF MISSCARRIAGE, UTERINE, CONTRACTIONS

gastrointestinal PROSTAGLANDINS

MISOPRSTOL(CYTOTEC)

IINHIBITS GASTRIC ACID AND PESIN

what are nursing implications of h2 antagonist

Use with caution in who are. confused or disoriented or older

Must take 1 to two hours before antacids

what are h2 antagonist meds

cimetidine, famotidine (pepcid)

ranitidine(zantac)

what does h2 antagonist do

reduce acid secretions

what are adverse effects of h2 antagonist

Confusion,disorientation,hallucinations,gynecomastia, hepatoxicity

h2 antagonist treats what

gerd,duodenal ulcers, stress ulcers aollinger-ellison syndrom

histamines-2 receptor antagonist

block h2 receptors resulting in decreased volume of acid secreted

antacids sodium bicarbonate

buffers the acidic properties of hcl

may cause metabolic alkalosis

antacids with calcium salts

not recommended for patients with renal disease may accumulate to toxic levels

ex tums (calcium carbonate)

antacids calcium salts can cause what

COnstipation and Kidney Stones

what are antacids with magnesium salts

Magnesium Hydroxide-Milk of mag

magnsium carbonate salt-Gaviscon

Maalox,Mylanta(it has aluminum and magnesium

what are examples of of antacids with aluminum salts

gaviscon,Maalox,mylanta, di-gel

antacids with aluminum salts

often recommended for patients with renal disease ( more easily excreted)

What dosage should a person with hypertension, congestive heart failure, renal failure when it comes to using antacids

for heart failure and hypertension they should use lower sodium antacids and patients with renal failure shouldnt use large quantities of magnesium

what are serious adverse effects with antacids

constipation( with calcium or aluminum, diarrhea with magnesium

antacids

buffer hydrochloric acid to a lower concentration

what should yo do with gerd and pud

limit the use of nsaids switch to acetaminophen if feasible

what are treatments of gerd and Pud

education- weight reduction, smoking cessation, consume smaller meals, avoid eating at bed time, avoid tight clothing over abdomen

what are symptoms of Gerd

burning,bloating,belching regurgitatation

If a person is asymptomatic of h pylori

antibiotics are not given because there is concern that resistant strains of bacteria may develop

What should you always do with signs of heartburn

Always treat signs and symptoms of heartburn as cardiac disease until it is ruled out, symptoms can resemble conditions such as ischemic heart disease, scleroderma, and gastric cancer

what is Gerd referred to

As heartburn or sour stomach

pud

is referred to as acid indigestion

what are symptoms of pud

burning,gnawing and aching

whats peptic ulcer disease

several stomach disorders-commonly gastric and duodenal ulcers