The document summarizes the key details of two drugs - aluminum hydroxide and magnesium hydroxide. It lists the generic and brand names, dosages, indications, contraindications, drug interactions, adverse reactions, nursing responsibilities, and precautions for each drug. Specifically, it notes that aluminum hydroxide is used as an antacid to neutralize gastric acid and relieve hyperacidity. It can cause constipation or GI bleeding with long term use and requires monitoring of phosphate levels. Magnesium hydroxide is also used as an antacid and laxative. It works by drawing water into the intestines and can cause diarrhea, hypomagnesemia, or heart problems in some
The document summarizes the key details of two drugs - aluminum hydroxide and magnesium hydroxide. It lists the generic and brand names, dosages, indications, contraindications, drug interactions, adverse reactions, nursing responsibilities, and precautions for each drug. Specifically, it notes that aluminum hydroxide is used as an antacid to neutralize gastric acid and relieve hyperacidity. It can cause constipation or GI bleeding with long term use and requires monitoring of phosphate levels. Magnesium hydroxide is also used as an antacid and laxative. It works by drawing water into the intestines and can cause diarrhea, hypomagnesemia, or heart problems in some
The document summarizes the key details of two drugs - aluminum hydroxide and magnesium hydroxide. It lists the generic and brand names, dosages, indications, contraindications, drug interactions, adverse reactions, nursing responsibilities, and precautions for each drug. Specifically, it notes that aluminum hydroxide is used as an antacid to neutralize gastric acid and relieve hyperacidity. It can cause constipation or GI bleeding with long term use and requires monitoring of phosphate levels. Magnesium hydroxide is also used as an antacid and laxative. It works by drawing water into the intestines and can cause diarrhea, hypomagnesemia, or heart problems in some
NAME OF SPECIFIC INDICATION CONTRAINDICATION DRUG ADVERSE SPECIFIC NURSING
DRUG ACTION INTERACTION REACTION PRECAUTION RESPONSIBILITIES Generic Name: Dissolves in acidic Hyperacidity Signs or symptoms of Allopurinol, anti- CNS: malaise (with ● gastric outlet ● Monitor long-term use aluminum gastric secretions, appendicitis or infectives prolonged use), obstruction, of high doses hydroxide releasing anions inflamed bowel (including quinolones, neurotoxicity, hypercalcemia, if patient is on sodium- Brand Name: that partially tetracyclines), encephalopathy hypophosphatemia, restricted diet. AlternaGEL neutralize corticosteroids, GI: constipation, massive (Drug contains sodium.) gastric hydrochloric diflunisal, digoxin, anorexia (with upper GI hemorrhage ● Assess for GI bleeding. Dosage: acid. Also ethambutol, H2 prolonged ● patients using other ● Watch for 500 to 1,500 elevates gastric pH, blockers, hydantoins, use), intestinal aluminum products constipation. mg inhibiting the iron salts, isoniazid, obstruction concurrently ● With long-term use, Route: action of pepsin (an penicillamine, Metabolic: ● patients on dialysis monitor blood P.O. effect important phenothiazines, hypophosphatemia ● pregnant or phosphate level and Frequency: in peptic ulcer salicylates, thyroid (with breastfeeding patients. assess for signs BEFORE MEAL disease). hormone, prolonged use) and symptoms of Classification: ticlopidine: decreased Musculoskeletal: hypophosphatemia ANTACID effects of osteomalacia and (anorexia, these drugs chronic phosphate malaise,muscle Reference: Enteric-coated drugs: deficiency with weakness). Nursing Drug premature release bone pain, Also monitor bone Handbook 7E of these drugs in malaise,muscle density. stomach weakness (with prolonged use) Other: aluminum toxicity NAME OF SPECIFIC INDICATION CONTRAINDICATION DRUG ADVERSE SPECIFIC NURSING DRUG ACTION INTERACTION REACTION PRECAUTION RESPONSIBILITIES Generic Name: Increases osmotic Constipation ● Hypermagnesemia Aminoquinolones, CNS (with I.V. use): ● renal insufficiency, ● Monitor urine output, magnesium gradient in small Indigestion ● Heart block nitrofurantoin, confusion, abdominal pain, which should measure hydroxide intestine, which ● Myocardial damage penicillamine, decreased reflexes, nausea and vomiting, 100 ml or more every 4 Brand Name: draws water into ● Active labor or within tetracyclines: dizziness, syncope, rectal bleeding, hours. Dulcolax Milk intestines 2 hours of decreased absorption sedation, anuria, hypocalcemia ● Monitor electrolyte of Magnesia, and causes delivery of these drugs hypothermia, ● pregnant patients. levels and liver Dosage: distention. These (with oral magnesium) paralysis function tests. 15 g (sulfate effects stimulate CNS depressants: CV (with I.V. use): granules) in 240 peristalsis and additive effects hypotension, ml water bowel Digoxin: heart block, arrhythmias, Route: evacuation. In conduction circulatory collapse P.O. antacid action, changes (with I.V. use) GI: nausea, vomiting, Frequency: reacts Enteric-coated drugs: cramps, flatulence, SINGLE DOSE with hydrochloric faster dissolution anorexia Classification: acid in stomach to of these drugs Metabolic: ANTACID form water and Neuromuscular hypermagnesemia, increase gastric pH. blockers: increased hypocalcemia Reference: In effects of these drugs Musculoskeletal Nursing Drug anticonvulsant (with I.V. use) (with I.V. use): Handbook 7E action, depresses muscle CNS weakness, flaccidity and blocks Respiratory: transmission of respiratory paralysis peripheral Skin: diaphoresis neuromuscular Other: allergic impulses. reaction, injection site reaction, laxative dependence (with repeated or prolonged use)