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43 Cards in this Set

  • Front
  • Back
80% of all ulcers
duodenal ulcers
Ulcer Causes
H. pylori, NSAIDS, acid/pepsin, smoking
Antibiotics for PUD
Pepto, Biaxin, Amoxil, Tetracycline, Flagyl
Antibiotics for PUD
DOC for PUD
-TIDINES: SE
decreased LOC, CNS depression
-TIDINES: NI
30-45 minute delayed action
-TIDINES: CI
warfarin, phenytoin, theophylline, lidocaine
-PRAZOLES:
suppress secretion of gastric acid.
More long term therapy
-PRAZOLES: NI
increased gastric pH thus effecting drug absorption
increase absorption of warfarin, diazepam, phenytoin
Carafate
protective barrier
give 1 hour before meals
Antacids
Basaljel, Mylanta, Maalox, Alka-Seltzer, Tums, MOM
Antacids: pH goal
incease pH above 5
Antacids: absorption affects
increase absorption of basic drugs, decreases absorption of acidic drugs
Antacids: benefits
Rapid Onset
Antacids: SE
magnesium causes diarrhea
aluminum and calcium cause constipation (metals back u up)
Careful with antacids!
schedule meds to promote absorption.
Do not give to Pt's with renal failure
Catharsis
prompt,fluid evacuation of the bowl. FAST!
Laxatives: CI
Pts with abdominal pain, N, cramps
Presence of fecal impactions
Habitual use
Osmotic Saline Laxative
MOM, Fleets enema
SE: Watery stools
Contact Stimulant Laxatives
SE: abuse-decreases potassium and protein
Used as a bowel prep

Senokot, ExLax, Dulcolax, Correctol
Bulk Forming Laxatives
SE: Fecal impaction
Metamucil,Fiberall
Give with increase daily fluids
Lubricant Laxatives
MineralOil
SE: lipid pneumonia, anal leakage
Emollient Stool Softeners
Colace, Surfak
Hyperosmotic Laxative
SE: N, V, bloating, cramps
used as bowl prep
Miralx, GoLYTELY, Lactulose
TRONS
suppress chemotherapy-induced emesis, anticipatory nausea, emesis from other causes
TRONS: SE
HA- give tylenol
ZINES
suppress emesis
ZINES- SE
EPS Rxns, Sedation, Hypotension
PERIDOLS- SE
Sedation, EPS Rxns, Hypotension
Reglan
increases motility of upper GI tract
Reglan: SE
sedation, EPS reactions, tachycardia
Reglan: NI
give slowly, protect IV from light
Ipecac Syrup
induces vomiting to remove ingested poison from stomach
Transderm-Scop: ind
most effective treatment of motion sickness
Transderm-Scop: SE
drowsiness, dry mouth, blurred vision, urinary retention, constipation, *DILATED PUPILS
Transderm-Scop: NI
apply 4hrs BEFORE motion sickness trigger
Tolerance can develop
DC if blurred vision, dizziness, or drowsiness
Dramamine, Antivert
Less effective than Transderm-Scop but helpful for mild motion sickness
Antidiarrheal Drugs
Lomotil, Imodium
Lomotil, Imodium
most effective antidiarrheal agents
Lomotil, Imodium: SE
drowsiness, dizziness, tachycardia, dry mouth, hyperthermia, GI distress, agitation, rash (Lomotil has ATROPINE IN IT)
Pancreatin, Pancrelipase: Ind
Pancreatic enzyme deficiency, cystic fibrosis, chronic pancreatitis, pancreatic tumors, obstruction, or pancreas removal
Pancreatin, Pancrelipase: NI
take with every meal and snack
Monitor fat content of stool
Calcium and Mg antacids decrease effect of these drugs
Pepto-Bismol: SE
causes black discoloration of tongue and stools
tinnitus