Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
Intestinal Gas
|
S&S: Excessive belching, abdominal discomfort, cramping, bloating, flatulence, nausea, audible bowel sounds, dyspepsia associated with indigestion
First line: Simethicone Prevention: Alpha-galactosidase (Beano) |
|
Heartburn
|
reflux of gastric contents into the esophagus (occasional/periodic)
|
|
Heartburn/Dyspepsia
S&S |
S&S: Burning sensation or pain behind the breastbone (may radiate up into the chest, back, throat, and neck)
Bad taste in mouth (regurgitation) Worsens when patient lays down (pressure on LES) causes it to open). Occurs after meals Dysphagia (difficulty swallowing) Odynophagia (pain in swallowing) Globus sensation (sensation of lump in throat) Hypersalivation Weight loss Regurgitation without nausea Sour stomach |
|
Gastroesophageal Reflux Disease (GERD)
|
abnormal reflux of gastric contents into the esophagus causing esophageal mucosal injury or motility disorders (chronic: >2 times weekly)
|
|
Dyspepsia
|
poor digestion; a consistent or recurrent discomfort primarily in the upper abdomen. May be associated with an underlying cause such as PUD or GERD. A stomach ache often caused by overindulgence
|
|
Peptic Ulcer Disease (PUD)
|
disruption of/hole in gastric mucosa commonly caused by H. pylori or NSAIDs
|
|
GERD S&S
|
S&S: Heartburn
Atypical-chest pain (may be sharp or dull , may radiate into the neck and arms) Chronic wheezing Pharyngitis Laryngitis Alarm Symptoms: Asthma Choking Vomiting Chronic laryngitis Hoarseness SOB Cough Dysphagia (difficulty swallowing) Odynophagia (pain in swallowing) Globus sensation (sensation of lump in throat) Non cardiac chest pain Dental erosions GI bleed Symptoms that disrupt sleep |
|
PUD S&S
|
S&S: Dyspepsia
Heart burn Gnawing or burning epigastric pain (during the day or frequently at night) Abdominal fullness Bloating In older patients additional symptoms may include: anorexia, dizziness or weakness Alarm Symptoms: Upper GI bleeding Unexplained weight loss Continuous N/V Continuous diarrhea |
|
Indications for antacids
|
Mild, infrequent heartburn
Dyspepsia Sour stomach Acid indigestion Overindulgence of food and/or EtOH |
|
Indications for Histamine receptor antagonists (H2RAs)
|
Mild-moderate
Heartburn (episodic, infrequent) Acid indigestion Sour stomach Overindulgence of food or alcohol GERD |
|
Indications for Alginic Acid
|
Used in combination with antacid products for treatment of heartburn, dyspepsia or acid indigestion.
|
|
Indications for Proton pump inhibitors (PPIs)
|
Frequent heartburn (symptoms >2 times/week)
GERD Patients that do not respond to antacids or H2R antagonists |
|
OTC Antacids
|
Tums, Alka-Mints, Maalox Quick Dissolve, Caltrate
Alternagel Phillips Milk of Magnesia Alka-Seltzer Heartburn Relief (not commonly used) Riopan, Ron Acid |
|
OTC Bismuth product
|
Pepto Bismol Extra Strength
|
|
OTC Histamine receptor antagonists (H2RAs)
|
Tagamet Cimetidine
Zantac Ranitidine Pepcid AC Famotidine Axid Nizatidine |
|
OTC Proton Pump Inhibitor (PPI)
|
Prilosec OTC Omeprazole
|
|
Combination products
|
Rolaids
Mylanta Ultra Chewable Gaviscon Extra Strength Liquid Pepcid Complete |