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97 Cards in this Set
- Front
- Back
magnesium causes which side effect?
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diarrhea
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aluminum causes which side effect?
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constipation
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Amphojel is which kind of antacid? (what's in it?)
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aluminum
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Tums is which kind of antacid? (what's in it?)
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calcium carbonate
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generic name for Zantac?
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ranitidine
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generic name for Tagamet?
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cimetidine
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generic name for Pepcid?
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famotidine
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generic name for Axid?
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nizatidine
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generic name for Cytotec?
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misoprostol
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generic name for Prilosec?
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omeprazole
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generic name for Prevacid?
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lansoprazole
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generic name for Carafate?
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sucralfate
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generic name for Azulfidine?
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sulfasalazine
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generic name for Cystospaz?
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hyoscyamine
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generic name for Lomotil?
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diphenoxylate -c atropine
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generic name for Imodium?
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loperamide
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generic name for Lactinex?
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lactobacillus acidophilus
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generic name for docusate?
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Colace
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generic name for Dramamine?
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dimenhydrinate
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generic name for Antivert?
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meclizine
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generic name for Reglan?
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metoclopramide
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generic name forCompazine
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prochlorperazine
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generic name for Dulcolax?
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bisacodyl
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generic name for Enulose?
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lactulose
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generic name for Phenergan?
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promethazine
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generic name for Transderm-Scop?
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scopolamine
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T/F: antacids reduces gastric acid?
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F - it neutralizes it
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T/F: Azulfidine is used for IBS and ulcerated colitis?
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T
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T/F: Carafate reduces gastric acid?
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F - it decreases pepsin and makes paste
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T/F: Tagamet and Zantac can be used long term?
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F - nasty side effects
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T/F: Recurrent, resistant ulcers can be caused by H pylori?
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T
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T/F: Metamucil should not be taken daily?
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F - it is the only laxative that can be daily
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T/F: Stimulant laxatives can cause dependence?
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T
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T/F: Tums can cause constipation?
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T
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T/F: Amphojel can cause constipation?
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T
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T/F: If antacids are taken w/in 2 hrs, digoxin effectiveness is reduced?
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T
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T/F: Zantac and Tagamet are histamine2 receptor antagonists?
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T
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T/F: Pepcid causes gynecomastia?
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F
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T/F: Pepcid has the same side effects as Zantac and Tagamet?
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F - it has fewer
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Which anti-ulcer med is an antisecretory agent but not histamine2 antag.
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Prilosec
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Name 2 proton pump inhibitors
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Prilosec and Prevacid
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How does Carafate work?
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reacts with hcl to form a paste to stick to mucosa
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Which anti-ulcer med is an inhibitor of pepsin?
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Carafate (sucralfate)
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Name the anticholinergic that is used adjunct in peptic ulcer Tx?
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Cystospaz (hyoscyamine)
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How does Azulfidine work?
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anti-inflammaroty in GI tract
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T/F: Cystospaz is an antispasmotic / anticholinergic?
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T
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Side effects of Cystospaz are ___________ in nature?
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anti-cholinergic (dry mouth, blurred vision, etc)
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List the anti-cholinergic side effects.
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dry mouth, blurred vision, urinary reten, confusion
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List the ant-acid meds
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Amphojel, Tums, Maalox, Mylanta
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List the Anti-ulcer / GERD meds that are histamine2 receptor antagonists
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Tagamet, Zantac, Pepcid, Axid
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List the anti-ulcer / Gerd meds that inhibit secretion by being similar to prostaglandin E1
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Cytotec
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List the Anti-ulcer / GERD meds that are proton pump inhibitors
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Prilosec, Prevacid, Protonix, Aciphex
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List the anti-diarrhea med that absorbs to achieve a drying effect
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Kaopectate
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List the anti-diarrhea med that slows intestinal motility
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Lomotil, Imodium
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List the anti-diarrhea med that is an acid-producing bacterium used along with antibiotics
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Lactinex
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List the antiflatulent meds
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simethicone
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What are the side effects of the antflatulent med?
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none, but contraindicated in infant colic - no info
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List the Bulk-forming laxatives
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Metamucil
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What meds cause anticholinergic side effects?
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Lomotil, Cytospaz
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How should metamucil be taken?
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mixed in a full glass of h2o, followed by full glass h2o
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How long does it take for metamucil to work?
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12-72 hours
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How often should metamucil be given?
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1-3 times per day
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Who is metamucil the med of choice for?
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geriatrics and/or laxative-dependent patients
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What Dx is metamucil also used for?
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maintainence of diverticulosis
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T/F: metamucil is used for chronic, watery diarrhea?
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T - it adds bulk to the stools
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What are the contraindications for metamucil?
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abd pain, partial bowel obstr., dysphagia, esoph obstr.
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List the stool softener meds
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Colace (docusate), senna
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What is the onset of colace?
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12-72 hours
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What group are stool softeners the drug of choice for?
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pregnant or nursing women, children -c dry, hard stools
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What are the side effects of mineral oil?
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anal irritation, malabsorption of fat sol vitamins
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List the saline laxatives
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MOM, citrate of magnesia
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How often should saline laxatives be given?
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single doses only, infrequently
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List side effects of saline laxatives
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E imbalance, weakness, sedation, confusion, edema, cardiac, renal, ahe hepatic complications
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Onset of saline laxatives
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0.5 - 3 hours
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List the stimulant laxatives
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senna, cascara, castor oil, aloe, bisacodyl (Bisacolax)
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What were the Anti-ulcer / GERD meds that are histamine2 receptor antagonists again?
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Tagamet, Zantac, Pepcid, Axid
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When should stimulant laxatives be used?
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pre-op, proctoscopy, sigmoidoscopy, post barium xrays, whenever rapid evacuation is required
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What is the onset of stimulant laxatives?
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0.25 - 8 hours (have a catcher's mit ready)
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How do the stimulant laxatives work?
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by producing strong peristaltic activity
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Can stimulant laxatives cause nausea?
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Yes
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List the other side effects of stimulant laxatives.
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abd cramps, rectal/colon irritation (supp), loss of normal bowel function -c prolonged use, E imbalance -c prolonged use, discoloration of urine -c senna and cascara
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What is a major concern with prolonged use of stimulant laxatives?
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habit forming, can lose normal bowel function
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List the hyperosmotic laxatives
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Lactulose, Glycerin
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How do the hyperosmotic laxatives work?
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draws water from tissues into feces, reflexive evacuation
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List the 3 most common antiemetics
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Torecan, Compazine, Tigan
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List the common antiemetics used in preop, postop and chemo
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Phenergan, zofran, Kytril, Anzemet
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List the common antiemetics used for motion sickness prevention
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Dramamine, scopolamine
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When should you give Dramamine?
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30 minutes before motion
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What is Trans-scop?
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scopolamine patch applied 4 hrs b4 and lasts for 72 hrs
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T/F: Dramamine is available IM, but scopolamine is not.
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F - both are available in IM form
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Which antiemetic is used for treating Sx of Meniere's disease?
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Antivert (meclizine), treats the sx of the vertigo
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Which one causes more drowsiness, meclizine or Dramamine?
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Dramamine
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List the side effects of antiemetics
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confusion, anxiety, restlessness, sedation, vertigo, weakness, depression, dry mouth, blurred vision, EPSE(esp in children, elderly with compazine), cardiac arrhythmias- if IV to fast.
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Which antiemetic works by stimulating upper GI motility (gastric emptying)
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Reglan
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List all the meds that cause ESPE
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Reglan, Compazine,
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List the med that can cause spontaneous abortion
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Cytotec, (misoprostol)
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What is a major concern with prolonged use of antacids?
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May mask symptoms of GI bleeding or malignancy
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