Rez Gioz P.

Apego January 27, 2014 N-40 Patients name: Casugudan Name of Drug Generic Name: Aluminum Hydroxide, Magnesium Hydroxide Trade Name: Maalox Availability: 2-4 teaspoons (10-20 mL) Classification of Drug Therapeutic: Antacids, Antireflux Agents & Antiulcerants Pregnancy Category A Mechanism of Action Indication Contraindications

Side Effects

Nursing Responsibilities Observe 10 rights in drug administration to avoid medication errors. Monitor and record pain scales to serve as baseline data and to determine the effectiveness of the drug. Give drug 20 min- 1 hour after meal to counteract the hydrochloric acid production by neutralizing the acidity. Administer with at least 8 ounces of water to enhance absorption Monitor stool consistency to prevent diarrhea and constipation.

Maalox is a balanced Symptomatic relief of mixture of 2 antacids: hyperacidity. Aluminum hydroxide is a slow-acting antacid and magnesium hydroxide is fast acting. The 2 are frequently combined in antacid mixtures. Aluminum hydroxide on its own is astringent and may cause constipation. This effect is balanced by the effect of magnesium hydroxide, which, in common with other magnesium salts, may cause diarrhea. Aluminum Hydroxide dissolves in acidic gastric secretions, releasing anions that partially neutralize

high calcium levels (hypercalcemia ) stomach/intest inal blockage kidney disease (e.g., kidney stones) severe loss of body water (dehydration)

loss of appetite nausea/vomiting unusual weight loss bone/muscle pain mental/mood changes (e.g., confusion) headache increased thirst/urination unusual weakness/tiredness

gastric hydrochloric acid. Also elevates gastric pH, inhibiting the action of pepsin (an effect important in peptic ulcer disease).

Use with caution with other medications due to the many drug interactions. Monitor for therapeutic response notify heath NOD if symptoms are not relieved Health Teachings Instruct patient to avoid caffeine, alcohol, harsh spices, and black pepper because it may aggravate the underlying GI condition. Instruct patient to increase fiber and fluid intake and regular physical activity to help ease constipation. Instruct patient to eat banana if diarrhea occurred.

Chief complaint: Cough and Fever