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aenriquez17 aenriquez17
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6 years ago
A patient is taking a low-dose PPI for long-term management of GERD and reports taking sodium bicarbonate (Alka-Seltzer) to help with occasional heartburn. The primary care NP should tell the patient to:
 
  a. change to aluminum hydroxide (Amphojel).
  b. use magnesium hydroxide (Milk of Magnesia) instead.
  c. continue using sodium bicarbonate (Alka-Seltzer) as needed.
  d. take calcium carbonate (Tums) instead of sodium bicarbonate (Alka-Seltzer).
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wrote...
6 years ago
D
Sodium bicarbonate is not suitable for long-term use because of side effects. Calcium carbonate requires monitoring when used long-term but has the highest acid-neutralizing capacity. Antacids containing aluminum and magnesium can cause electrolyte imbalances.
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