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43 Cards in this Set
- Front
- Back
80% of all ulcers
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duodenal ulcers
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Ulcer Causes
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H. pylori, NSAIDS, acid/pepsin, smoking
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Antibiotics for PUD
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Pepto, Biaxin, Amoxil, Tetracycline, Flagyl
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Antibiotics for PUD
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DOC for PUD
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-TIDINES: SE
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decreased LOC, CNS depression
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-TIDINES: NI
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30-45 minute delayed action
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-TIDINES: CI
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warfarin, phenytoin, theophylline, lidocaine
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-PRAZOLES:
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suppress secretion of gastric acid.
More long term therapy |
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-PRAZOLES: NI
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increased gastric pH thus effecting drug absorption
increase absorption of warfarin, diazepam, phenytoin |
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Carafate
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protective barrier
give 1 hour before meals |
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Antacids
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Basaljel, Mylanta, Maalox, Alka-Seltzer, Tums, MOM
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Antacids: pH goal
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incease pH above 5
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Antacids: absorption affects
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increase absorption of basic drugs, decreases absorption of acidic drugs
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Antacids: benefits
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Rapid Onset
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Antacids: SE
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magnesium causes diarrhea
aluminum and calcium cause constipation (metals back u up) |
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Careful with antacids!
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schedule meds to promote absorption.
Do not give to Pt's with renal failure |
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Catharsis
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prompt,fluid evacuation of the bowl. FAST!
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Laxatives: CI
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Pts with abdominal pain, N, cramps
Presence of fecal impactions Habitual use |
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Osmotic Saline Laxative
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MOM, Fleets enema
SE: Watery stools |
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Contact Stimulant Laxatives
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SE: abuse-decreases potassium and protein
Used as a bowel prep Senokot, ExLax, Dulcolax, Correctol |
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Bulk Forming Laxatives
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SE: Fecal impaction
Metamucil,Fiberall Give with increase daily fluids |
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Lubricant Laxatives
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MineralOil
SE: lipid pneumonia, anal leakage |
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Emollient Stool Softeners
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Colace, Surfak
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Hyperosmotic Laxative
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SE: N, V, bloating, cramps
used as bowl prep Miralx, GoLYTELY, Lactulose |
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TRONS
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suppress chemotherapy-induced emesis, anticipatory nausea, emesis from other causes
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TRONS: SE
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HA- give tylenol
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ZINES
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suppress emesis
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ZINES- SE
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EPS Rxns, Sedation, Hypotension
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PERIDOLS- SE
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Sedation, EPS Rxns, Hypotension
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Reglan
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increases motility of upper GI tract
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Reglan: SE
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sedation, EPS reactions, tachycardia
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Reglan: NI
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give slowly, protect IV from light
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Ipecac Syrup
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induces vomiting to remove ingested poison from stomach
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Transderm-Scop: ind
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most effective treatment of motion sickness
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Transderm-Scop: SE
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drowsiness, dry mouth, blurred vision, urinary retention, constipation, *DILATED PUPILS
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Transderm-Scop: NI
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apply 4hrs BEFORE motion sickness trigger
Tolerance can develop DC if blurred vision, dizziness, or drowsiness |
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Dramamine, Antivert
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Less effective than Transderm-Scop but helpful for mild motion sickness
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Antidiarrheal Drugs
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Lomotil, Imodium
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Lomotil, Imodium
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most effective antidiarrheal agents
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Lomotil, Imodium: SE
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drowsiness, dizziness, tachycardia, dry mouth, hyperthermia, GI distress, agitation, rash (Lomotil has ATROPINE IN IT)
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Pancreatin, Pancrelipase: Ind
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Pancreatic enzyme deficiency, cystic fibrosis, chronic pancreatitis, pancreatic tumors, obstruction, or pancreas removal
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Pancreatin, Pancrelipase: NI
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take with every meal and snack
Monitor fat content of stool Calcium and Mg antacids decrease effect of these drugs |
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Pepto-Bismol: SE
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causes black discoloration of tongue and stools
tinnitus |