Pharm Classification

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Author:
saturn1212
ID:
241438
Filename:
Pharm Classification
Updated:
2013-10-25 00:17:34
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Nursing pharmacology
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Description:
Pharm classification, study, and review.
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  1. Antacids
    • MOA: Neutralize stomach acid
    • Who gets: Peptic ulcer, gastritis, heartburn, hyperacidity
    • Who doesn't: renal failure, electrolyte imbalance, & GI obstruction
    • Mks us sad: diarrhea (Mg), constipation (Al, Ca), rebound hyperacidity (Ca)
    • Names: Has -salt in it
  2. H2 Receptor Antagonists (H2 blockers)
    • MOA: Reduce acid and cell responsiveness by blocking H2 receptor of parietal cells
    • Who gets: GERD, PUD, Erosive esophagitis, hypersecretory conditions (Zollinger- Ellison syndrome)
    • Who doesn't: Liver/ and kidney dysfunction
    • Mks us sad: ALOC, hypotension, gynecomastia, gastro disturbances, impotence
    • Names: -tidine
  3. Proton Pump Inhibitors (PPIs)
    • MOA: bind to H-K pump to completely block acid secretion from parietal cells
    • Who gets: erosive esophagitis (first line), GERD, ulcers, and hypersecretory conditions, H. pylori (with abx)
    • Who doesn't: drug allergy
    • Mks us sad: malig gastro tumors & osteoporosis (w/ long term use)
    • Names: -prazole
  4. Miscellaneous acid-controlling drugs
    • MOA: reduce incidence of gastric ulcers 
    • Who gets: pts taking NSAIDs
    • Who doesn't: Pregnant women (Category X)
    • Mks us sad: abd cramps & diarrhea
    • Names: Misoprostol (Cytotec)
  5. Adsorbent Antidiarrheals
    • MOA: coat walls of GI tract and bind causative bacteria to wall for excretion thru stool. Has ASA in it
    • Who gets: milder cases of diarrhea
    • Who doesn't: children or teens recovering from flu or chickenpox.
    • Mks us sad: Constipation, bleeding, blue gums
    • Names: Bismuth subsalicylate (Pepto-Bismol), Activated Charcoal
  6. Anticholinergic Antidiarrheals
    • MOA: works to slow peristalsis by reducing contractions and smooth muscle tone of GI tract (SNS)
    • Who gets it: Severe cases of diarrhea
    • Who doesn't: narrow-angle glaucoma, GI obstruction, MG, paralytic ileus, preg cat C-X
    • Mks us sad: urinary retention, impotence, hypotension, constipation, anxiety
    • Names: Atropine, hyoscyamine
  7. Opiate Antidiarrheal
    • MOA: works to slow peristalsis by reducing contractions and smooth muscle tone of GI tract (SNS)
    • Who gets: severe diarrhea
    • Who doesn't: alcohol intolerance, abd pain, peds, OB, lactation, hepatic dysfunction
    • Mks us sad: constipation, abd px/ distention/ discomfort, N/V
    • Names: codeine, diphenoxylate, loperamide
  8. Intestinal Flora Modifiers
    • MOA: suppress growth of diarrhea-causing bacteria & reestablish normal flora
    • Who gets: uncomplicated severe diarrhea caused by abx therapy that destroys norm flora
    • Who doesn't: no pathogens
    • Mks us sad: constipation
    • Names: Lactobacillus
  9. Bulk-forming laxative
    • MOA: Absorb water into intestines, which increases bulk, promoting BM
    • Who gets: acute & chronic constipation, IBS, diverticulosis
    • Who doesn't: any abd problems (px, sx, N/V, impaction, GI obstruction)
    • Mks us sad: impaction, F&E imbalance, gas formation, esophageal blockage, allergic reaction.
    • Names: Citrucel, Metamucil
  10. Emollient Laxatives
    • MOA: directly lubricates stool and intestines
    • Who gets: acute & chronic constipation, fecal impaction
    • Who doesn't: any abd problems (px, sx, N/V, impaction, GI obstruction)
    • Mks us sad: decreased absorption, F&E imbalance
    • Names: Docusate salts (stool softner), mineral oil (lubricant laxative)
  11. Hyperosmotic Laxatives
    • MOA: Increasing fecal water content, which results in BM
    • Who gets: chronic constipation, bowel prep
    • Who doesn't: any abd problems (px, sx, N/V, impaction, GI obstruction)
    • Mks us sad: abd bleeding, rectal irritation, electrolyte imbalance
    • Names: Glycerin, Lactulose, GoLYTELY)
  12. Saline Laxative
    • MOA: increase osmotic pressure and draw water into the colon, producing a watery stool
    • Who gets: Constipation, bowel prep
    • Who doesn't: renal disease, abd pain, N/V, obstruction, rectal bleed
    • Mks us sad: Mg toxicity, electrolyte imbalance, cramping, diarrhea, increased thirst
    • Names: Mg hydroxide, mg sulfate, mg citrate
  13. Stimulant Laxatives
    • MOA:induce intestinal peristalsis
    • Who gets: acute constipation, bowel prep
    • Who doesn't: any abd problems (px, sx, N/V, impaction, GI obstruction)
    • Mks us sad: discolored urine, rectal irritation, gastric irritation, nutrient malabsorption, electrolyte imbalances
    • Names: Senna, bisacodyl
  14. Active Artificial Immunization
    • MOA: results from an antigen-antibody response similar to that after antigen exposure in natural disease process
    • Use: prevent development of active disease in the event of exposure
    • Type: Toxoid or vaccine
  15. Active Natural Immunization
    MOA: Production of one's own antibodies during actual infection
  16. Passive Artificial Immunization
    • MOA: Results from direct administration of exogenous antibodies
    • Use: Provides temp protection against disease
    • Type: Immunoglobulin or antitoxin
  17. Passive Natural Immunization
    MOA:Transmission of antibodies from mother to infant through placenta or during breast-feeding

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