meds HIV liver panc gi.txt

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golfdiva
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175590
Filename:
meds HIV liver panc gi.txt
Updated:
2012-10-04 18:38:26
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medication HIV AIDS liver pancreatitis
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medication HIV AIDS liver pancreatitis
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  1. HAART
    • HIV
    • Highly Active Antiretroviral Therapy
    • combination of 3+ antiretroviral drugs
    • reduces drug resistance
    • decr viral load
    • keeps immune system strong
    • expensive, severe GI symptoms
  2. NRTI - Nucleoside-analog Reserse Transcriptase Inhibitor
    • HIV
    • antiretroviral agent
    • 1 of the 3 main drugs that prevent HIV from getting stronger
    • works from w/in the cells
    • severe GI symptoms
  3. NNRTI - Non-Nucleosided Reverse Transcriptase Inhibitors
    • HIV
    • antiretroviral agent
    • 1 of the 3 main drugs that prevent HIV from getting stonger
    • works from w/in the cells
  4. Protease Inhibitors
    • HIV
    • antiretroviral agent
    • 1 of the 3 main drugs that prevent HIV from getting stonger
    • works from w/in the cells
  5. Entry (Integrase?) inhibitors
    • HIV
    • antiretroviral agent
    • GI symptoms
  6. Fusion Inhibitors
    • HIV
    • antiretroviral agent
    • respiratory symptoms
  7. Atripla
    • HIV
    • antiretroviral agent
    • most common viral suppressant
    • used in combination w/ others
    • recommended as an initial antiretrovirus regimen
  8. Compera
    • HIV
    • antiretroviral agent
    • most common viral suppressant
    • used in combination w/ others
  9. vitamin and mineral supplements
    • chronic and acute Pancreatitis
    • maintains good nutrition, compensated for inability to digest fats and staches
  10. steroids
    • chronic and acute Pancreatitis
    • for pain and inflammation
  11. pancreatic enzymes
    chronic and acute Pancreatitis
  12. pancrelipase (lipancreatin)
    • pancreatitis
    • replaces pancreatic enzymes used for digestion of fats and starches
    • improves nutrition
    • dec stooling
    • GI, headache
  13. Hydromorphone (dilaudid) IV /PO
    • pancreatitis pain
    • narc
  14. Meperidine (demerol) IV/PO
    • pancreatitis pain
    • narc
  15. Morphine IV /PO
    • pancreatitis pain
    • narc
  16. Hydrocodone (vicodin) po
    • pancreatitis pain
    • narc
  17. Acetaminophen (tylenol)
    pancreatitis pain
  18. Ibuprofen (motrin)
    pancreatitis pain
  19. Probantheline b romide
    • chronic pancreatitis pain
    • *take 30mins ac
    • *do not give within 1hr of an antacid/antidiarrheal
  20. Insulin
    • acute/chronic pancreatitis
    • improve digestion, control blood glucose
    • corrective and meal coverage
  21. Tums, Mylanta, Maalox
    • pancreatitis
    • antiacids
    • neutralize stomach acids
    • *1hr apart from orals
    • *Empty stomach
    • *Chew/glass water
  22. Octreotide (Sandostatin)
    • acute pancreatitis
    • IV, sick pt, calm down auto digesting
    • Inhibits secretion of panc. Enzymes
  23. H2 blockers
    • acute and chronic pancreatitis, liver failure
    • decr production of HCL
    • HCL signals pancreatic enzymes to be activate
    • *Give with or immed. After meals
  24. Cimetidine (Tagamet)
    • acute and chronic pancreatitis, liver failure
    • H2blockers
    • decr production of HCL
    • HCL signals pancreatic enzymes to be activate
    • *Give with or immed. After meals 
  25. Ranitidine (Zantec)
    • acute and chronic pancreatitis, liver failure
    • H2blockers
    • decr production of HCL
    • HCL signals pancreatic enzymes to be activate
    • *Give with or immed. After meals
  26. Famotidine (Pepcid)
    • acute and chronic pancreatitis, liver failure
    • H2blockers
    • decr production of HCL
    • HCL signals pancreatic enzymes to be activate
    • *Give with or immed. After meals
  27. Protein Pump inhibitors
    • pancreatitis, liver failure
    • suppress gastric acid secretion
    • **caution use with Digoxin, dilantin, blood thinners,
    • because it causes toxicity issues
  28. Lansoprazole (Prevacid)
    • pancreatitis, liver failure
    • Protein Pump inhibitors
    • suppress gastric acid secretion
    • **caution use with Digoxin, dilantin, blood thinners,
    • because it causes toxicity issues
  29. Omeprazole (Prilosec)
    • pancreatitis, liver failure
    • Protein Pump inhibitors
    • suppress gastric acid secretion
    • **caution use with Digoxin, dilantin, blood thinners,
    • because it causes toxicity issues
  30. Pancrealipase (lipancreatin)
    • chronic pancreatitis
    • Replaces the enzymes used for digestion of fats and starches,
    • improves nutrition, and decreases stooling
    • give With meals
    • Monitor stools/frequency/consistency
    • If enteric do not crush, chew or mix with milk or ice cream
    • If powder sprinkle on food, pt must rinse after use as this is irritating to the mouth
  31. potassium sparing Spironolactone (aldactone)
    Furosemide (lasix)
    • used together have the best outcome for controlling ascites and edema
    • Diuretics
  32. Lactulose
    • liver and kidney failure, high ammonia levels
    • Laxative
    • draws ammonia into poop
  33. Neomycin
    • liver and kidney failure, high ammonia levels
    • Laxative
    • draws ammonia into poop
  34. Propanolol (inderal)
    • liver failure
    • Beta blocker
    • for portal hypertension, relaxes blood vessels
  35. Isosorbide (isordil)
    • liver failure
    • Nitrates
    • vasodilates
    • dizzy, flushing, headache
  36. Vitamin K
    • liver failure
    • blood clotting
    •  
  37. Oxazepam (serax)
    • dt's,
    • Antianxiety (valium)
    • Valium is easier on the liver,
  38. steroids
    do not take w/ liver failure
  39. tylenol
    do not take with liver failure
  40. barbituates
    do not take with liver failure
  41. seditives
    do not take with liver failure
  42. hypnotics
    do not take with liver failure
  43. Methylprednisone
    • Crohn's UC
    • steroid
  44. Prednisone
    • Crohn's, UC
    • steroid
  45. Imuran,
    • Crohn's, UC
    • immune suppressant
  46. cyclosporine (Sandimmune)
    • Crohn's, UC
    • immune suppressant
  47. Methlytrexate (Mexate)
    • Crohn's, UC
    • immune suppressant
  48. Remicade
    • Used for moderate to severe cases of Crohn's, UC
    • biological therapy
    • targets specific immune responses
    • Significant Adverse effects
  49. Humira
    • Used for moderate to severe cases of Crohn's, UC
    • biological therapy
    • targets specific immune responses
    • Significant Adverse effects
  50. Sulfasalazine (Azulfidine)
    • Crohn's, UC
    • Aminosalicylates (Local Anti-inflammatory Agents targets intestines)
    • Local effects on the intestinal mucosa,
    • it blocks prostaglandin which plays into normal inflammatory response
  51. Balsalazide (Colazal)
    • Crohn's, UC
    • Aminosalicylates (Local Anti-inflammatory Agents targets intestines)
    • Local effects on the intestinal mucosa,
    • it blocks prostaglandin which plays into normal inflammatory response
  52. Loperamide (Imodium)
    • Crohn's, UC
    • Anti diarrhea
    • Dosing is dependent upon stools/day
    • ***Antidiarrheals are not given in severe flareups of Colitis as this may cause toxic megacolon!
  53. Diphenoxylate with atropine (Lomotol)
    • Crohn's, UC
    • Anti diarrhea
    • Dosing is dependent upon stools/day
    • ***Antidiarrheals are not given in severe flareups of Colitis as this may cause toxic megacolon!
  54. Metronidazole (Flagyl)
    • Crohn's, UC
    • Antibiotics
    • reactive to certain GI flora that may be causing inflamm, infection
    •  
  55. Ciprofloxin (Cipro)
    • Crohn's, UC
    • Antibiotics
    • reactive to certain GI flora that may be causing inflamm, infection

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