In: Nursing
Based on the knowledge that most antacids frequently decrease absorption of other medications when concurrently administered, what options might the nurse employ to ensure adequate absorption of pain medication?
Adequate drug absorption. Administer the drug apart from any other oral medications approximately 1 hour before or 2 hours after to ensure adequate absorption of the other medications.
Ensure therapeutic levels. Have the patient chew tablets thoroughly and follow with water to ensure that therapeutic levels reach the stomach to decrease acidity.
Perform diagnostic testing. Obtain specimens for periodic monitoring of serum electrolytes to evaluate drug effects.
Prevent imbalances. Assess the patient for any signs of acid-base or electrolyte imbalance to ensure early detection and prompt interventions.
Institute a bowel program. Monitor the patient for diarrhea or constipation to institute a bowel program before severe effects occur.
Ensure adequate nutritional status. Monitor the patient’s nutritional status if diarrhea is severe or constipation leads to decreased food intake to ensure adequate fluid and nutritional intake to promote healing and GI stability.
Provide patient support. Offer support and encouragement to help the patient cope with the disease and the drug regimen.
Educate the patient. Provide thorough patient teaching, including the drug name and prescribed dose, schedule for administration, signs and symptoms of adverse effects and measures to prevent or minimize them, warning signs that may indicate possible problems and the need to notify the health care provider immediately.