Famotidine (Pepcid) Flashcards

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Questions and Answers

What is Famotidine?

An antibiotic

A medication known as Pepcid (correct)

An anti-inflammatory drug

A type of pain reliever

What group does Famotidine belong to?

Antiulcer

What class of drug is Famotidine?

H2 blocker

What is the mechanism of action of Famotidine?

Inhibits the binding of H2 receptors Signup and view all the answers

What are the uses of Famotidine?

Gastric and duodenal ulcers, prophylaxis, pyrosis, dyspepsia, GERD, Zollinger-Ellison syndrome Signup and view all the answers

What are the adverse effects of Famotidine?

Palpitations, dysrhythmias, severe allergic reactions, blood dyscrasias Signup and view all the answers

What are the contraindications of Famotidine?

Hypersensitivity, pregnancy, breastfeeding, tobacco smoking, infection, B12 deficiency, renal/hepatic disease, older adults, and children Signup and view all the answers

What are the side effects of Famotidine?

Headaches, dizziness, drowsiness, confusion, agitation, GI effects, depression, arthralgia, myalgia, weakness, erectile dysfunction, gynecomastia Signup and view all the answers

What are the routes of administration for Famotidine?

Orally (PO) or intravenously (IV) Signup and view all the answers

What are the onset times for Famotidine?

1 hour for oral administration, 10 to 15 minutes for intravenous administration Signup and view all the answers

What are the interactions of Famotidine?

Decreases absorption of iron, decreases effects of ketoconazole, naproxen, pseudoephedrine; increases action of metformin and serum alkaline phosphatase Signup and view all the answers

What is the CAM interaction of Famotidine?

No specific CAM interaction mentioned Signup and view all the answers

What assessments and cues should be considered for Famotidine?

Assess pain, fluid and electrolyte imbalances, monitor gastric pH, BUN, creatinine, and drug history Signup and view all the answers

What are the cues for Famotidine?

Acute pain, injury, gastric irritation, discomfort Signup and view all the answers

What is the nursing diagnosis for Famotidine?

Acute pain related to excess gastric secretion Signup and view all the answers

What is the planning for Famotidine?

Client's abdominal pain will decrease after 1 to 2 weeks of drug therapy Signup and view all the answers

What are the nursing interventions for Famotidine?

Reduce dose for older adults, provide patient teaching on various health aspects Signup and view all the answers

What patient teaching should be provided for Famotidine?

Report pain, avoid smoking, medication adherence, dosage separation from iron, ulcer healing timeline, and educate about ED Signup and view all the answers

What are some relaxation techniques to decrease anxiety?

Deep breathing, progressive muscle relaxation, guided imagery Signup and view all the answers

Why is it important to eat foods high in B12?

To avoid deficiency and maintain proper nerve function Signup and view all the answers

What types of food should be avoided to prevent gastric irritation?

Spicy, acidic, and fatty foods Signup and view all the answers

What are the evaluation criteria for a patient's progress?

Absence of pain and healing progression Signup and view all the answers

Study Notes

Overview of Famotidine

Famotidine, commonly known as Pepcid, is an antiulcer medication.
It is classified as an H2 blocker, which reduces gastric acid secretion.

Mechanism of Action

Inhibits H2 receptors on gastric parietal cells.
Decreases gastric secretions to alleviate conditions such as ulcers and GERD.

Uses

Treats gastric and duodenal ulcers, pyrosis, and dyspepsia.
Prophylaxis for stress ulcers and management of Zollinger-Ellison syndrome.

Adverse Effects

Possible adverse effects include palpitations, dysrhythmias, severe allergic reactions, and blood dyscrasias.

Contraindications

Contraindicated in patients with hypersensitivity, pregnancy, breastfeeding, renal or hepatic disease, and certain population groups like older adults and children.

Side Effects

Common side effects encompass headaches, dizziness, drowsiness, confusion, and gastrointestinal issues (nausea/vomiting, diarrhea, constipation).
Other side effects may include depression, arthralgia, myalgia, weakness, erectile dysfunction, and gynecomastia.

Administration Routes

Available for oral (PO) and intravenous (IV) administration.

Onset Times

Oral Famotidine has an onset of approximately 1 hour.
Intravenous administration onset is between 10 to 15 minutes.

Drug Interactions

Reduces absorption of iron and efficacy of certain medications like ketoconazole and naproxen.
May increase action of metformin and elevate serum alkaline phosphatase levels.

Assessment and Monitoring

Assess pain characteristics (type, duration, severity, frequency, location).
Monitor fluid and electrolyte balance, gastric pH (>5), blood urea nitrogen (BUN), creatinine, and drug history.

Nursing Diagnoses and Care Planning

Nursing diagnosis includes acute pain related to excessive gastric secretion.
Goal: Decrease abdominal pain within 1 to 2 weeks of therapy.

Nursing Interventions

Adjust dosage for older adults to prevent metabolic acidosis.
Educate patients on medication adherence, smoking cessation, and the separation of Famotidine and iron doses by at least 1 hour.
Inform about the timeframe (8 weeks) for peptic ulcer healing and provide advice on driving and potential erectile dysfunction.

Patient Education

Encourage reporting concerning symptoms such as pain and bleeding.
Highlight the importance of diet, avoiding spicy, acidic, and fatty foods to prevent gastric irritation.

Relaxation Techniques

Suggest deep breathing exercises, progressive muscle relaxation, and guided imagery to manage anxiety.

Importance of B12

Emphasize the necessity of foods high in vitamin B12 to prevent deficiency and support nerve function.

Evaluation Criteria

Progress is measured by absence of pain and evidence of healing.

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Description

Test your knowledge with these flashcards about Famotidine, also known as Pepcid. Explore its classification as an H2 blocker, its group of antiulcer medications, and its mechanism of action. Perfect for students and healthcare professionals alike.