Gastrointestinal Drugs that are commonly used in

MEDICAL-SURGICAL
WARD
Gastrointestinal Drugs that are commonly used in

SURGICAL WARD
Male or Female
Gastrointestinal Drugs that are commonly used in

PEDIATRIC WARD
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

NCM 106 – Pharmacology

Course Outputs / Assessment of Learning for CILO # 3

Compilation of Drug Study

Name of Student : Trisha Faye Y. Pasay________ Yr.& Sec. : BSN 2 - A_______

Module/Topic : Module 4 - Elaborate________ Date : 10/27/2021__ ____

2. a. The nurse is going to respond by providing the patient the right of education. The nurse will explain to the patient that a nurse cannot give him a drug without a doctor's
order but will let the patient know that one of the most common reasons that patients with GERD do not react to proton pump inhibitor (PPI) therapy is because they are not complying
with the medication. According to several studies, only around half of patients are taking their PPIs correctly at the end of one month. As a result, PPIs are more successful than
regurgitation in treating pyrosis or substernal burning.

b. Teach patient to take the medicine only as directed by the doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than the doctor
ordered. If the patient is using this medicine without a prescription, follow the instructions on the medicine label.
To use the powder for oral suspension:

• Empty packet of powder into a small cup containing 2 tablespoons of water.

• Do not use other liquids or foods.
• Stir well and drink immediately.
• Refill cup with water and drink.
To use the delayed-release oral suspension:

• Empty the contents of a 2.5 milligrams (mg) packet of powder into a container containing 5 mL of water.
• Empty the contents of a 10 mg packet of powder into a container containing 15 mL of water.

Pharmacology Drug Study 1st Semester S.Y. 2021- 2022 UCBC Page 1
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

• Do not use other liquids or foods.

• Stir and leave it for 2 to 3 minutes to thicken.
• Stir well and drink within 30 minutes.
• If any medicine remains after drinking, add more water, stir, and drink immediately.

3. a. Acid reflux, or gastroesophageal reflux disease (GERD), occurs when stomach acid backs up into the esophagus. Unlike the lining of the stomach, the esophageal surface
is much less protected by mucus. The result is heartburn or indigestion, a burning pain that begins in the pit of the stomach and moves upward toward the throat. Triggers of acid
reflux include large meals and overeating; exercise or exertion immediately after a meal; and consumption of caffeine, nicotine, fatty or fried foods, alcohol, chocolate, or peppermint.

b. As a nurse, I will tell the client that the doctor prescribes her the medication because of her GERD. Yes, she can buy it in over the counter (OTC) at any drug store, but
the rationale in the need of prescription is to ensure that right medication will be given to her to prevent medication error and incorrect dosage of the drug that could lead to overdose
or any worst-case scenario.

c. Gastroesophageal reflux disease (GERD) is a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus).
Medical treatment of reflux disease has been based largely on acid suppression, usually in addition to standard antireflux measures. Cimetidine, as well as several other H2-receptor
antagonists, have been effective in relieving symptoms of reflux esophagitis and in healing or improving endoscopic lesions. Cimetidine is in a class of H2 blockers drugs. It helps
in patient’s GERD by inhibiting the actions of histamine at H2 receptor sites of the stomach, inhibiting gastric acid secretion and reducing total pepsin output.

Pharmacology Drug Study 1st Semester S.Y. 2021- 2022 UCBC Page 2

d.
Assessment
Subjective:
Patient verbalizes she
enjoys going to a bingo
session every Saturday for a
couple of hours where she's
smoking, beer and pizza and
complains having heartburn
for 6 months
Objective:
Body weight 20% or more
below ideal weight range
Weight loss with inadequate
food intake
Food intake less than
recommended daily
allowances
Hyperactive bowel sounds
Pharmacology
Diagnosis
Imbalanced nutrition less
than body requirements
related to insufficient
dietary intake
Drug Study
UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631
Imbalanced Nutrition: Less Than Body Requirements
Planning Intervention Rationale Evaluation
After 2 weeks of nursing Independent: After 2 weeks of nursing
intervention, the patient - Assess dietary habits, - Provides baseline data intervention, goals are
will be able to: recent food intake. Note about the client and met. Patient was able to
➢ Demonstrate degree of difficulty with patients may be unaware verbalize understanding
progressive weight eating. Evaluate weight and of their actual weight or and demonstrate
gain toward goal body size or mass. weight loss due to selection of meals that
➢ Verbalize estimating weight help in cessation of
understanding of weight loss and gained at
causative factors - Identify factors that are - Choice of interventions least 10% of ideal body
when known and contributing to inability to depends on the weight.
necessary eat, such as severe dyspnea, underlying cause of
interventions. pain, nausea and vomiting, the problem.
➢ Demonstrate copious sputum, or
behaviors and respiratory treatments.
lifestyle changes to
regain and/or - Assist with and encourage - Eliminates noxious
maintain oral hygiene after emesis, sights, tastes, and smells
appropriate weight. after aerosol and postural from the client’s
drainage treatments, and environment and can
before meals reduce nausea.
- Schedule respiratory - Reduces effects of
treatments at least 1 hour nausea associated with
before meals. these treatments
- Auscultate for bowel - Abdominal distention
sounds. Observe and palpate may occur because of air
for abdominal distention. swallowing or reflect the
1st Semester S.Y. 2021- 2022 UCBC Page 3
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631
- Provide small, frequent
meals, including dry foods,
such as toast or crackers,
and foods that are appealing
to client.
- Evaluate general
nutritional state. Obtain
baseline weight.
- Weigh regularly and graph
results
Collaborative:
- Assist in treatment of
underlying condition(s).
- Consult dietitian and
nutritional team.
Pharmacology Drug Study 1st Semester S.Y. 2021- 2022
influence of bacterial
toxins on the (GI) tract.
- These measures may
enhance intake even
though appetite
may be slow to return.
- Lifestyle, financial, and
socioeconomic
conditions prior to
present illness condition
can contribute to
malnutrition
- Monitors effectiveness
of nutritional therapy.
- May promote healing
and strengthen immune
system, improve appetite,
and enhance general
well-being
- To develop dietary plan
individualized to client’s
specific needs
and challenges.
UCBC Page 4
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

References:
• Comerford, K. C., & Durkin, M. T. (2021). Nursing 2021 drug handbook. 41st edition. Philadelphia: Wolters Kluwer.
• Doenges, Marilynn E., Moorhouse, Mary Frances, Murr, Alice C. (2014). Nursing care plans: guidelines for individualizing client care across the life span (9th).
Philadelphia: F.A. Davis Company.
• NANDA International & Herdman, T. H. (2012). NANDA International Nursing diagnoses: Definitions and classification 2012-14. Wiley-Blackwell.
• Karch, A. M. (2017). Focus on nursing pharmacology. Philadelphia: Lippincott Williams & Wilkins.

Prepared by:

Trisha Faye Y. Pasay

Students Signature over
Printed Name

Submitted to:

Lemuel C. Candelasa, EdD(c) ,MAN,RN

Professor – Pharmacology

Pharmacology Drug Study 1st Semester S.Y. 2021- 2022 UCBC Page 5