Drug Indication & Mechanism of Contraindication Side-effects Nursing Responsibilities

Classification action

Generic Classification Promote gastric • Calcium Aluminum and • Assess for allergies and preexisting conditions
name: mucosal defense carbonate, calcium that may restrict the use of antacids, such as:
ANTACIDS mechanisms magaldrate and o Constipation o Fluid imbalances – Renal disease – CHF
~aluminum magnesium o Pregnancy – GI obstruction
hydroxide • Secretion oxide are • Patients with CHF or hypertension should use
Indication: of: contraindicated low-sodium antacids such as Riopan, Maalox,
~calcium
o Mucus: in patients with Magnesium or Mylanta II
carbonate
Hyperacidity protective severe renal o Diarrhea • Use with caution with other medications due to
magaldrate
barrier disease the many drug interactions
~magnesium Hyperphosphate against HCl • Most medications should be given 1 to 2 hours
hydroxide mis o Bicarbon • Sodium after giving an antacid
ate: helps bicarbonate is • Antacids may cause premature dissolving of
Hypomagnesemia contraindicated Calcium carbonate
~magnesium buffer acidic o Produces gas
enteric-coated medications, resulting in
oxide properties of to patients w/ stomach upset
HPN, renal and belching;
HCl • Be sure that chewable tablets are chewed
~sodium disease or often
o Prostagl thoroughly, and liquid forms are shaken well
bicarbonate edema; patients combined
andins: before giving
who are with
prevent • Administer with at least 8 ounces of water to
vomiting; patients simethicone
activation of enhance absorption (except for the “rapid
proton pump receiving dissolve” forms)
diuretics or • Caffeine, alcohol, harsh spices, and black
continuous GI pepper may aggravate the underlying GI
suction; and condition
patients with • Monitor for side effects
sodium restricted • Nausea, vomiting, abdominal pain, diarrhea
diets. • With calcium-containing products:
constipation, acid rebound
• In patients • Monitor for therapeutic response
with mild renal
impairment, give • Notify heath care provider if symptoms are not
magnesium relieved
oxide cautiously