Nexium is used for GERD, healing of erosive esophagus, acid reflux. Is it also given for other reasons? like antibiotic? im confused. ive been taking care of patients that dont have gerd, erosive esophagus, acid reflux and theyre on nexium. are there other reasons a patient would be taking nexium?
cardiacRN2006, ADN, RN 4,105 Posts Specializes in Cardiac. Apr 28, 2009 Nexium is part of our PUD (peptic ulcer Disease) prevention. All ICU patient's are on Nexium and some sort of DVT prophylaxis as well.In these situaitons, we are using it as a prevention to keep the pt from developing a stress ulcer.
RNShenanigator 94 Posts Apr 28, 2009 The book I have say Nexium is used forGERD/erosive esophagitisHypersecretory conditions, including Zollinger-Ellison syndrome (is a disorder where increased levels of the hormone gastrin are produced, causing the stomach to produce excess hydrochloric acid)With amoxicillin to eradicate Helicobacter pylori in duodenal ulcer disease or history of duodenal ulcer diseaseDecrease risk of gastric ulcer during continuous NSAID therapy.
cursedandblessed 522 Posts Apr 28, 2009 prevention of stress ulcer. Every patient I have is on some type of PPI.
luvbug080688 201 Posts Specializes in Med/Surg, APU/PACU, Peds, Flight. Has 5 years experience. Apr 29, 2009 i've was on it before because i had gastritis and a bum gallbladder.
hTx87 69 Posts Apr 29, 2009 both of my patients today were on nexium.primary patient has myasthenia gravis. doctor was talking to her today about d/c instructions and said that she needs it bcus she is on high dose of steroids and its to protect her stomach. he also out her on antibiotics to prevent infections from the steroids?secondary patient had a left radial fracture PMHx of HIV. on two antivirals for hiv and she was on nexium also. in this case i dont know why she would be on nexium.
cardiacRN2006, ADN, RN 4,105 Posts Specializes in Cardiac. Apr 29, 2009 in this case i dont know why she would be on nexium.Like I said-prophylactic Nexium is used for prevention of stress ulcers.
Bortaz, MSN, RN 1 Article; 2,628 Posts Specializes in CDI Supervisor; Formerly NICU. Has 14 years experience. Apr 29, 2009 All the local docs here use Protonix on every hospitalized patient, for the same reason cardiacRN mentioned regarding Nexuim: Prophylactic prevention of stress ulcers.
redtshirt 98 Posts Apr 29, 2009 Used as protection for stomach against NSAID's as well as all above reasons.
jmgrn65, RN 1,344 Posts Specializes in cardiac/critical care/ informatics. Has 16 years experience. Apr 29, 2009 All the local docs here use Protonix on every hospitalized patient, for the same reason cardiacRN mentioned regarding Nexuim: Prophylactic prevention of stress ulcers.Dittostandard of care.
Koyaanisqatsi-RN 218 Posts Apr 29, 2009 Is there any evidence that all of this Nexium is necessary? I too have seen this. Just about every single patient I have cared for is on this stupid thing.
cardiacRN2006, ADN, RN 4,105 Posts Specializes in Cardiac. Apr 29, 2009 I'd rather give my pts the purple pill than have a GI bleen on my hands. It's easy, and although not the cheapest PUD prophylaxis, it's cheaper than a GI bleed.A stress ulcer can happen easier than you think...
