Self Care

Question 1

Gastroentertis OTC Tx

Answer 1

Peptobismol >12y/o
Emetrol >2y/o

Question 2

Overeating OTC Tx

Answer 2

1. Famotidine >12 y/o
2. peptobismol >12 y/o

Question 3

Motion sickness/vertigo/dizziness OTC

Answer 3

1. Meclizine >12 y/o
2. Dimenhydrinate >2 y/o
3. Acupressure band

Question 4

NVP OTC tx

Answer 4

Nausea only: Pyridoxine (B6)

Nausea + Vomit: B6 + Doxyalamine

Ginger
Acupressure band

Question 5

Hemorrhoids TX

Answer 5

Avoid strain- soften stool
Internal:
1. Vasoconstrictors (phenylephrine, ephedrine)
2. Protectants
3. astringents - zinc oxide, calamine
4. steroids
External
1. local anesthetics - benzocaine, lidocaine, pramoxine
2. analgesics - bengay
3. Glycerin
4. steroids

Question 6

N/V alarm conditions

Answer 6

Jaundice
Stiff neck +/- headache, light sensitivity (meningitis)
Head injury, blurring vision, numbness/tingling
Severe presentation

Question 7

Hemorrhoids alarm condition

Answer 7

anal/rectal malignancy
black tarry stools (upper GI bleed)
Abscess, fistula, fissures

Question 8

Heartburn/dyspepsia Alarm conditions

Answer 8

Hematemesis
black stools
Chronic hoarseness, wheezing, coughing, choking
unexplained weight loss
esophageal cancer

Question 9

Diarrhea alarm symptoms

Answer 9

DM, CHF
immunosuppression
pregnancy

Question 10

C.diff concerns with diarrhea and abx use

Answer 10

Call the provider about C.diff, refer to higher level of care

Question 11

Onset of GERD med

Answer 11

Famotidine - 30 min
Omeprazole - 2 hr

Question 12

Onset of laxatives

Answer 12

docusate (prevent strain)- 1-3 days
Bulk forming metamucil: 1-2 days

Saline laxatives - AVOID IN CHF or ESRD
- mag citrate: 15-30 min
- Na fleet enema: 2-15 min

Stimulants - much faster, good for opioid induced
- senna PO 6-10 hours
- bisacodyl PR: 15-60min

Lubricant agents
- Mineral oil PO 6-8 hr
- mineral oil PR <15 min

Question 13

Exclusions for diarrhea self-care

Answer 13

<6 months
Pregnant
Severe dehydration
Infection, fever
Blood, mucus, pus in stool
Severe abdominal pain
Immunosupression
Diarrhea >14 days
recent abx use

Question 14

Heartburn exclusions

Answer 14

symptoms last more than 3 months
Sx persist despite OTC therapy
Dysphagia (difficulty swallowing)
Emesis
Chronic hoarseness, wheezing, coughing
Continuous N/V/D
Children <2
SOB
pregnant/nursing

Question 15

Nonpharm treatment GERD

Answer 15

Small frequent meals
Remain upright after/while eating
Don’t eat before bed
Avoid trigger foods
Weight loss
Smoking cessation
Prop head of bed using foam wedge
Avoid tight fitting clothing

Question 16

if Pregnant and have GERD

Answer 16

use antacids only

Question 17

age limit PPI

Answer 17

18_

Question 18

age limit H2RA

Answer 18

12

Question 19

age limit antacid

Answer 19

2

Question 20

pregnant and hemorrhoid?

Answer 20

only use external products (protectants)
- cacao butter, glycerine, lanolin, petrolatum, AlOH gel, etc