Final answer:
When educating on PPI use, the nurse should explain how they reduce stomach acid to treat GERD and ulcers, the potential for side effects, including C. difficile infection risk, the importance of adherence to the prescribed regimen, and that PPIs should be used alongside lifestyle modifications.
Step-by-step explanation:
When providing education regarding the use of proton pump inhibitors (PPIs), the nurse should include information on how PPIs work, potential side effects, and the importance of adhering to the prescribed regimen. Proton pump inhibitors are medications that decrease the amount of acid produced in the stomach, and they are used to treat conditions like gastroesophageal reflux disease (GERD) and ulcers. Patients should be informed that PPIs are more effective than Hâ‚‚-receptor antagonists like ranitidine, famotidine, and cimetidine at reducing acid production. As with any medication, PPIs can have side effects including an increased risk for C. difficile infections, particularly when used in combination with antibiotics or for extended periods. Patients should take PPIs as prescribed and report any concerning symptoms to their healthcare provider. It's also important to discuss lifestyle modifications that can complement the treatment, such as avoiding foods that may trigger reflux, not eating late at night, maintaining a healthy weight, and elevating the head of the bed. In addition, patients should be made aware that overuse or misuse of PPIs could lead to dependence and potential rebound acid hypersecretion when the medication is stopped. Monitoring for side effects and potential interactions with other medications is essential. Lastly, if ulcers are present and caused by H. pylori, a combination of antibiotics and PPI therapy is effective in eradication and promoting healing.