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21 Cards in this Set
- Front
- Back
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?% of duodenal and ?% of gastri ulcers are attributed to H. pylori.
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90%,
70% |
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Treated ulcers usually heal without ?
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difficulty
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With gastric PUD ? causes pain usually in the ? epigastrium with localization to the ? midline.
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food,
upper, left |
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With duodenal PUD their is pain when the stomach is ? and there is pain at ? and it is in the ? epigastrium with localization to the ?
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empty,
night, upper, right |
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? is the most commonly reported symtom associated with PUD.
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Dyspepsia
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Bleeding with peptic ulcer disease occurs when the ulcer erodes through a ? vessel and may occurs as ? hemorrhage or slow ?
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blood,
massive, oozing |
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The CBC for a bleeding peptic ulcer will show a ? hgb/hct and the stool OB will be ?
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decreased,
positive |
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With bleeding we can expect which VS changes ?
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hyptension,
tachycardia |
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The major test for PUD is ?
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EGD
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The priority pt problems for pts with PUD are ? or ? pain related to gastric and/or duodenal ulceration and potential for ? GI bleeding.
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acute,
chronic, upper |
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The primary purpose of drug therapy in the Tx of PUD are to 1. provide ? relief. 2. eliminat ? 3. heal ? 4. prevent ?
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pain,
H.pylori, ulcerations, recurrence |
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A common drug regimen for H.pylori infection is the ?
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PPI-triple therapy
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The PPI-triple therapy includes a PPI such as ? plus two antibiotics like ? and ? or ? and ? are used for 7- ? days.
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metronidazole(flagyl) and tetracycline or, clarithromycin(biaxin) plus amaxocillin(Amoxil),
14 |
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7 day therapy is also effective when a PPI and levofloxacin and either ? and ? are used
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amoxicillin or,
clarithromycin |
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? drugs reduce gastric acid secretins and are therefore used for both PUD and gastritis management. The primary prescribed drug classes include ? and ?
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PPI's,
H2 receptor antagonist |
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?'s are the drug class of choice for treatin pts with acid realted disorders.
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PPI's
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The prazoles are the ?'s
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PPI's
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Lansoprazole, esomeprazole and omeprazole are each abailable as ? release capsules
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delayed
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Teach pts to tell their HCP if the are taking clopidogrel(plavix) because ? and ? reduce its effect.
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prilosec and prilosec OTC(omeprazole)
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H2 receptor antagonist are drugs that block ? stimulated gastric secretins.
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histamine
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H2 histamine blockers are usually given as a ? dose at ? time and used for 4-? weeks in combination with other therapy.
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single,
bedtime, 6 |
