Final Exam

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Final Exam
2011-04-13 18:46:15

G.I. Medications
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  1. patients with renal insufficiency should be cautious when taking medications that contain what?
  2. magnesium has what kind of effect on the body?
    laxative effect
  3. these are alkaline chemical agents that reduce corrosiveness of gastric acid and decrease pepsin activity
  4. these are used for relief of symptoms of hyperacidity and PUD, the primary goal being the relief of pain by neutralizing acids
  5. this type of antacid is rapidly absorbed in the stomach and sm. intestine and are capable of causing pH changes in the blood
    systemic antacid
  6. long term use of this kind of antacid puts a high burdon on the kidneys
    systemic antacids
  7. an example of a systemic antacid would be what?
    sodium bicarbonate....baking soda
  8. this type of antacid is most useful for long term therapy, most of the dose remains in the GI tract, and does not alter acid base balance
    non-systemic antacids
  9. prolonged use of compounds with aluminum hydroxide can cause ______ depletion
  10. antacids containing these two salts cause constipation
    • Al-aluminum
    • Ca-Calcium
  11. these drugs are considered non-systemic antacids
    • Aluminum Carbonate Gel-Basaljel
    • Ca Carbonate-Tums
    • Dihydroxy-Al Na Carbonate-Rolaids
    • magaldrate-riopan
    • milk of mag
    • mag oxide
  12. these drugs are used in the Tx of duodenal ulcers, gastric ulcers, and disorders that cause secretion of excessive stomach acid
    H2 receptor antagonists
  13. these drugs inhibit the action of histamine at sensitive H2 receptor sites of parietal cells in stomach
    H2 receptor antagonists
  14. side effects of H2 receptor antagonists are
    • diarrhea
    • muscle pain
    • rash
    • sleepiness
    • dizziness
    • confusion
  15. this is an H2 receptor antagonist that may have its effects decreased my smoking, it may also increase the effects of other drugs and is not to be give with antacids
  16. this H2 receptor antagonist may be given with antacids and is given once a day
  17. this H2 receptor antagonist is for heartburn and the pt should drink a full glass of water with medication....smoking interferes with drugs effects
  18. this H2 receptor antagonist is not to be given with antacids, do not crush of chew these alcohol, NSAIDS and salicylates
  19. these drugs are used for GERD and promote ulcer healing, relief of pain and decreases gastric acid production.....Tx of active duodenal ulcer
    PPI-proton pump inhibitor
  20. these block the final step of acid production by inhibiting H, K, AT-pase system at secretory surface of gastric parietal cell...usually short term
  21. the side effects of these meds are headache, dizziness, pancreatitis, liver necrosis, hepatic failure, N/V, diarrhea
  22. this PPI drug is given before meals, and alcohol and OTC drugs should be avoided...short term use to prevent gastric tumors
  23. this PPI drugs should be administered with or immediately after a mean....confusion may occur in the elderly or those with kidney or liver disease
    raberprazole sodium- Aciphex
  24. while on this PPI drug you need to avoid alcohol and OTC products, and if unable to swallow capsule can be seperated
  25. this is a PPI drug and can be given with or w/o food
    pantoprazole sodium-protonix
  26. this PPI med needs be be decreased if pt. has liver disease, and should be taken before meals...also avoid alcohol, ASA, NSAIDS and OTC
  27. these meds are used for duodenal ulcers, reflux and peptic esophagitis and are thought to form a barrier on the ulcer-adherent complex with albumin and fibrinogen at sire of ulcer to protect it from further damage by gastric acid
    mucosal protectants
  28. this side effect of this type of medication is constipation
    mucosal protectant
  29. this mucosal protectant is an antiulcer and is to be taken on an empty stomach and 30 min before or after not crush or smoking, EOTH or caffine
    sucralfate- Carafate
  30. this mucosal protectant is an antisecretory and inhibits gastric acid secretion...protects gastric mucosa by ^ bicarb and mucous production
  31. these meds are used for symptomatic gastric reflux, prevention of N/V in cancer chemo therapy
    -stimulate motility in the upper GI tract w/o stimulating production of gastric, biliary or pancreatic secretions
    Prokinetic agent
  32. this drug increases peristalsis in duodenum and jejunum without increasing motility in lrg. intestine...relaxes pyloric sphincter... accelerates gastric emptying
    prokinetic agent
  33. these drugs can cause CND depression, GI upset, Development of parkinsonism like reactions
    prokinetic agent
  34. this drug is a prokinetic agent that cant be taken with EOTH or CNS depressants
    Metoclopramide-Reglan, Maxolon
  35. these drugs are used to treat peptic ulcers prior to the discovery of safer drugs, and they have side effects such as dry mouth and constipation
    • anticholinergic
    • atropine
    • gastrozepine-pirenzepine
  36. this is a synthetic form of prostaglandin that stimulates the production of protective mucus and inhibits gastric acid secretion
  37. these are bulk forming laxatives
    • fibercon-ca polycarbophil
    • citrucel
    • metamucil-naturacil
  38. these are saline and osmotic laxatives
    • Milk of mag
    • miralax-polythylene glycol
    • sodium biphosphate-fleet
  39. these are stimulant laxatives
    • bisacodyl-ducolax
    • castor oil-emulsoil
    • penolphthalein-ex lax
  40. this is a stool softener/surfactant
  41. these drugs are antidiarrheal medications that are opiods
    • paregoric
    • motofen
    • lomotil
    • imodium
  42. this antidiarrheal drug can cause Reyes syndrome
    bismouth subsalicylate-pepto, kaopectate