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46 Cards in this Set
- Front
- Back
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What are the dietary etiogloies of intestinal gas,
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Dietary sugars (frutose, sucrose), Complex carbs (whole wheat, oats, potatoes, corn), dieatry fiber, and carbonated beverages
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There are 2 forms of fiber soluble, and insoluble, examples of each
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insoluble--bran, oatmeal, rice,
soluble--fleshy parts of raw fruits and veggies and psyllium and calcium polycarbophil |
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What does insoluble fiber do
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increase stool frequency
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What does soluble fiber do
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absorbs water, incrases stool mass, and relief of constipation
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What are other etiolgoies of intestinal gas beside dietary
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swallowing (chewing gum, sucking on hard candies, smoking, or food eating habits
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What is most common medical condition that causes intestinal gas
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lactase dediciency, is carbohydrate malabsorption
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What are most common signs and symptoms of intestinal gas
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bleching, abd discomfort, bloating and flatuelents
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What is the easiest way to reduce belching
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avoid drinking carbonated beverages
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What is non-pharm for reducing intestinal gas
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1. Avoid the temptaion to rush through a meal
2. Chew food thoroughly 3. Avoid carbonated beverages 4. Develop a regulat routine of excerise and rest |
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What is Simethicone used for
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anti-flatultent agent (anal gas)
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WHat when simeticone usually taken, and max dosage
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after meals and at bedtime, max dose is 500mg/day
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What is alpha galactosidease for
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anflatulent
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Is alpha galactoside a milld, that breaks down oligosaccharides
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YES
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What are specific indications of a-galactosidase (Beano)
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PREVENTIVIE treatment of intestinal gas, from HIGH-FIBER diets of foods that contain oligosaccharides
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Who cannot take Beano
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Glactosemia, Diabetic patients,and allergic reactions to molds
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What is lactaid used in
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PREVENTIVE treatment of lactose intolerase
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Who cannot take Lactaid
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SAFE FOR EVERYONE
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Who cannot take Simethicone
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PREGANCY NO CATERGORY C--ok for nursing mothers
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What is exclusion criteria for intestinal gas
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I SOP
intestional gas symtoms that occur more than serveral times a month Sudden changes in frequency, or severity of location of abd pain Onset of symptoms >40 yrs Persistant diarrhea, or constipation, fatiuge or nocturnal symptoms |
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What do you recommend with symptoms associated with food or beverage
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simethicone
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What do you recomment for pateitn who need immediate relief of intestinal gas
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simthicone
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What do you recommend for pateint who cannot associate their symptoms with certain foods
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simthicone
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Heartburn and dyspepsia are common symtoms that orginate in
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Uupper GI tract
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What is heartburn
and What is dyspepsia |
a burning sensation that arise from the loser chest and moves up toward neck or throat
epigastric pain with belching or burping, nausea |
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What types of foods and beverages cause heartburn and dyspepsia
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fatty foods, spicy food, choclated, caffine,and carbonated beverage
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What are other factors contributing to heartburn and dsypepsia
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pregancy, ASA, NSAIDS, and obestiy
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What do you recommend for an episodic heart burn that is MILD and infrequenct
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antacid
or LOW-DOSE H2RA or COMBO H2RA adn antacid |
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What do you recommend for MODERATE, infrequency heartburn
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anaticd or
HIGH-dose H2RA |
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Can H2RA be used to prevent heartburn and dyspepsia?
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YES, when given 1 hour prior to a heavy or spicy meal
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What is longest you should self treat with an anatacid or H2RA
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2 weeks
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How do you treat someone who has FREQUENT heartburn >2 days per week
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PPI
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What is onset of action of PPI
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2-3 hours, but complete relief may be 1-4 days
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What is onset of relief of H2RA
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30-60 minutes
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What is duration of relieft of H2RA
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4-10 hours
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What is onset of Antacid
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<5 minutes
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What is duration of Antacid/H2Ra
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8-10 hours
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Non-pharm for Heartburn/dyspepsia
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1. Eat smaller meals
2. Reduce intake of fat 3. Wait at least 3 hours before lying down or going to bed after eating 4. |
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Mg+ antacids cause, while Al+ and Ca cause
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Mg-diarrhea, AL, CA cause constipation
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Additional side effect of Calcium carbonate and sodium bicarbonate
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belching and flatuelence
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Anatacids are contraindicated in
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patients with renal failure
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What medications interact with antacids
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Antibiotics, fungal drugs (itraconazole, and ketonazole, and IRON
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What type of tablets are contraindicated in antaacids
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enteric-coded
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What is typical dosage instructuion for PPI
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taken 30 mintues before eating every morning for 14 days
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What drugs interact with PPI
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dizepam, dig, phenytoin, and warfarin
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What are indication for BSS
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heartburn/dyspepsia, nausea, and diarrhea
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What are exclusion for Heartburn and dyspepsia
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>3, <12, HD CNN
Frequent heart >3 months <12 YOA, Pregant, nursing Heartburn--with H2RA, or Difficulty swallowing Contious, hoarness, coughing Continous N/V diarrhea Noctural Heartburn |
