unit 2 meds.txt

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Author:
golfdiva
ID:
155086
Filename:
unit 2 meds.txt
Updated:
2012-05-21 15:36:12
Tags:
upper gi diabetes drugs
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Description:
drugs for upper gi and diabetes
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  1. mylanta
    • Antacids; buffer or neutralize gastric acid, usually acting locally.
    • 15-45mg PO q3-6hrs
    • 1hour before or 3 hours after meals
    • Antacids interfere with the absorption of many drugs given orally; separate administration times by at least 2 hours.
    • Monitor for constipation or diarrhea resulting from antacid therapy
    • electrolyte imbalances
    • Monitor serum electrolytes, particularly sodium, calcium, and magnesium levelstake antacids for a long as prescribed even if symptoms are gonediarrheaconstipation
  2. pepcid
    • GERD; H2 receptor blocker
    • 20mg PO BID up to 4-6 weeks
    • To ensure absorption, do not give an antacid within 1 hour before or after giving an H2- receptor blocker.
    • When administered intravenously, do not mix with other drugs.
    • When administered intravenously, do not mix with other drugs.
    • H2- receptor blockers may inhibit the metabolism of other drugs, increasing the risk of toxicity.
    • take all the meds even if symptoms are gone
    • Long- term use of these drugs can lead to gynecomastia ( breast enlargement)
    • impotence in men
    • breast tenderness in women.
    • diarrhea
    • confusion,
    • rash
    • fatigue
    • malaise
    • bruising
  3. prilosec
    • GERD
    • Proton- pump inhibitor, inhibit the hydrogen- potassium- ATP pump, reducing gastric acid secretion.
    • 20mg PO qDay for 2-4 weeks
    • Administer 30 minutes before breakfast ( and at bedtime if ordered twice a day). Do not crush tablets.
    • can interfere with calcium absorption
    • black tarry stools (melena)
    • abdominal pain
    • diarrhea
    • Monitor liver function tests
    • take all meds, even if symptoms are gone
  4. reglan
  5. promotility agent;
    • acting on the central nervous system,
    • stimulates upper gastrointestinal motility and gastric emptying
    • 10-15mg PO q6ht 30 min before meals and HS
    • no more than 80 mg qday
    • drowsiness
    • tardive dyskinesia
    • difficulty speaking or swallowing
    • loss of balance
    • Do not administer this drug to patients with possible gastrointestinal obstruction or bleeding, or a history of seizure disorders, pheochromocytoma, or Parkinson´┐Żs disease.
    • Give oral doses 30 minutes before meals and at bedtime.
  6. carafate
    • anatiulcer agent;
    • reacts with gastric acid to form a thick paste that adheres to damaged gastric mucosal tissue.
    • 1g PO BIDAdminister on an empty stomach,
    • 1 hour before meals and at bedtime.
    • constipation
    • Do not crush tablets.
    • Separate administration time from antacids by at least 30 minutes.
    • Take as directed, even after symptoms have been relieved.
    • Increase your intake of fluids and dietary fiber to prevent constipation.
  7. Insulin aspart
    • NovoLog
    • onset: 10-20 minutes
    • peak: 1-3 hours
    • duration: 3-5 hours
    • clear
    • dose time: 5-10 minutes before meals
  8. Regular Insulin
    • onset: 30-60 minutes
    • peak: 1-5 hours
    • duration: 6-10 hours
    • clear
    • dose time: 30 minutes before meals
  9. Insulin glargine
    • Lantus
    • onset: 1.1 hours
    • peak: none
    • duration: 24 hours
    • clear - do not mix
    • dose time: usually HS but any time
  10. actos
    • diabetes - improves cell response to insulin, decreases liver release of glucons
    • dose: 15-45mg
    • dose time: same time every day
  11. glucophage
    • diabetes - increases glucose uptake, decreases liver production of glucone, ldl, trig., choles
    • dose: 500-1000mg, 1-3 times / day
    • max dose: 2500mg/day
    • dose time: with meals
  12. Glucotrol
    • diabetes - stimulates pancreas, inhibits liver
    • dose: 5-10mg
    • dose time: 1/2 hour ac meals
  13. prandin
    • diabetes - stimulates panreas to produce a small burst of insulin
    • dose: 1- 8 mg, max dose 16mg/day
    • dose time: 0-30 minutes before each meal
  14. precose
    • diabetes - delays digestion of carbs, inhibits metabolism of glucose
    • dose: 35mg-100mg
    • dose time: before each meal

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