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Lacierda - Drug Study
Lacierda - Drug Study
In Partial Fulfilment of
The Requirements in NCM 219 – RLE
PRIMARY NURSING ROTATION
By
Riza Joy Lacierda, St.N
BSN 4M – GROUP 2
Food:
Dairy products: increased risk of milk-alkali syndrome
with prolonged use of sodium bicarbonate
Nursing Responsibilities: 1. Advise the patient to administer the medicine
exactly as prescribed by the doctor
R: to have an effective treatment.
2. Ask the patient if he/she is allergic to Sodium
Bicarbonate or any of its components
R: to avoid any allergic reactions that can worsen
the health of the patient.
3. Monitor the side effects of the drug
R: to know if the patient is having the common
side effects or other serious side effects.
4. Educate the patient not to take large amounts of
dairy products or for longer than 2 weeks
R: to prevent milk-alkali.
5. Advise the patient to avoid taking other OTC
drugs without prescriber’s approval
R: to avoid drug interactions.
6. Advise the patient to report immediately if
experiencing hypertension, edema, difficulty
breathing, or crackles
R: to refer to the physician for fluid overload.
7. Be aware that long term use of oral preparation
with milk or calcium can cause milk-alkali
syndrome
R: to educate the patient about the possibilities of
long term use.
8. Educate the patient to avoid self-medication with
routine doses of sodium bicarbonate
R: to prevent sodium retention and alkalosis.
9. Advise the patient not to take sodium bicarbonate
if he/she is in sodium restriction diet
R: to prevent disruption in the diet since this
medicine increases the amount of sodium in the
body.
10. Instruct the patient to take the medicine with a
glass of water
R: to regulate the pH level.
Reference
Ambrose, P. (2021). 2021 Nurse’s Drug Handbook. Jones & Bartlett Learning. pp 2404-
2408.
Cunha, J. (2021). Sodium Bicarbonate. RxList. Retrieved on September 9, 2022 from
https://www.rxlist.com/consumer_sodium_bicarbonate_baking_soda/drugs-
condition.htm.
Woods, D. (2021). Nursing 2021: Drug Handbook. Wolters Kluwer. pp. 3287-3288.