5. Aluminium hydroxide and magnesium hydroxide

dr.joandr.joan عضو ماسي
تم تعديل 2009/05/20 في أدوية الطوارئ Emergency drugs
5. Aluminium hydroxide and magnesium hydroxide :
Trade name: '' Allumag"
Class: Antacids
Pregnancy: (Category B)

Action:neutralizing or reducing gastric acidity, thus increasing the pH of the stomach and relieving hyperacidity. If the pH is increased to 4, the activity of pepsin is inhibited.
Uses:
a. Treatment of hyperacidity. (Heart- burns).
b. Peptic ulcer
c. Duodenal ulcer.
d. Gastroesophaged reflux.
e. hiatus hernia
Dose: 10 mL 3 or 4 times daily of liquid magnesium–aluminum antacids. Antacids are best given when symptoms occur or are expected, usually between meals and at bedtime, 4 or more times daily; additional doses may be required up to once an hour.
Contraindications:
  • Pregnancy
  • Children less than 6 years of age.
  • Chronic use of aluminum containing antacids may contribute to development of Alzheimer’s disease.
Side effects:
  • Constipation, intestinal obstruction, bone pain, muscle weakness.
Nursing considerations:
  • It is recommended that most antacids be taken at 3 hours after meals & at bed – time.
  • Tablets should be thoroughly chewed before swallowing & followed by a glass of milk or water.
  • Shake liquid suspensions thoroughly before pouring the medication .
  • Client’s taking aluminum or calcium containing antacids should take 2500-3000 cc of fluids to prevent constipation.
  • Advise clients to report persistent diarrhea or constipation physician.

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