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22 Cards in this Set
- Front
- Back
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Types of meds
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Antibiotics
Antisecretory agents GI protectors Antacids Laxatives |
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Antibiotics
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for H Pylori
Use 2 or 3 with antisecretory clarithromycin amoxicillin bismuth metronizadol tetracycline |
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Tetracycline
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antibiotic
stains teeth |
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clarithromycin
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antibiotic
distortion of taste |
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bismuth
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antibiotic
black stool and tongue |
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Antisecretory
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H2 receptor antagonist (tagamet, zantac, pepcid)
PPI (prilosec) |
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H2 receptor antagonist
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antisecretory
gastric/duodenal ulcers, GERD, ZE synd., dyspepsia, aspiration pneumonia CNS & antiadrogenic effects *caution elderly * Ix: antacids, hepatic drug metabolizers |
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PPI
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antisecretory
proton pump inhibitor gastric/duodenal ulcers, GERD, ZE synd., dyspepsia *take b4 meals *don't crush/chew -protonix is IV version |
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GI protectors
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- sucralfate - ammonium salt - protects lesion
- misoprostol - prostaglandin |
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misoprostol
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prostaglandin
-prophylactic for NSAID gastric ulcers (NOT duodenal) *take w/ food X pregnancy |
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Antacids
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decrease pH; inorganic salts
-symptom mgmt -acid neutralizing capacity (ANC) *after meals & b4 bedtime *2 hrs after oral meds milk mag aluminum hydroxide calcium carbonate sodium bicarb (not choice) **NOT a sub for Rx drugs! |
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Milk of Mag
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antacid
Caution in renal & unDx abd pain |
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aluminum hydroxide
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use w/ renal pts
*caution HTN, HF |
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Calcium carbonate
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TUMS
acid rebound and constipation can occur |
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Maalox
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aluminum (constipator)
plus Magnesium (diarrhea) |
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what has the highest ANC?
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suspensions
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Laxatives
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bulk forming
surfactant stimulant/irritant osmotic misc |
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bulk forming
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metamucil/cellulose/psyllium
keeps h2o in stool -obstruction can happen |
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surfactant
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ducosate
stool softener add fat/h2o to stool *prophylactic give w/ water |
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stimulant/irritant
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6-12 hrs; peristalsis
-ducolax 15-60 min -sennoside - herbal, urine color chg -castor oil |
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osmotic
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milk of mag
h20 into intestines, Na+ *SE = water loss caution w/ renal or heart failure |
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Misc
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-mineral oil - lube
-lactulose -glycerin suppository - gentle; infants/children -golytely - electrolyte balance kept |
