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Advanced Clinical Procedures > GI Medications > Flashcards

GI Medications Flashcards

1
Q

What are the symptoms of GERD?

A

heartburn and regurgitation

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2
Q

How does a patient with GERD present?

A

worse when laying down and after eating fatty foods

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3
Q

Who is at risk for GERD?

A

infants and those >40 yo

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4
Q

What can be noticed on a PE in a patient with GERD?

A

erosion of tooth enamel

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5
Q

How do we treat GERD?

A

PPI, H2 receptor antagonist, endoscopy

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6
Q

When do you take a PPI?

A

in the morning with breakfast

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7
Q

What are examples of medications used to treat GERD?

A

omeprazole (Prilosec) & esomeprazole (nexium)

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8
Q

What causes PUD?

A

H. pylori and NSAIDS

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9
Q

What are common symptoms of PUD?

A

epigastric pain (gnawing), burning that is aggravated with food

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10
Q

How is PUD diagnosed?

A

clinically, endoscopy to confirm, stool antigen test

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11
Q

What is the most common complication of PUD?

A

bleeding

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12
Q

How do we treat PUD?

A

lifestyle modification, [amoxicillin, clarithromycin & PPI] -> (Prevpac) for 7-14 days

the PPI is iansoprazole

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13
Q

How do we treat PUD caused by H. pylori?

A

switch to acetaminophen, then PPI (omeprazole/iansoprazole) for 4-8 wks.

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14
Q

What are the characteristics of Ulcerative Colitis?

A

inflammation present in the colon and rectum, more common in Jews, rectal bleeding, tenesmus, and pseudo polyps.

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15
Q

What are the characteristics of Chrons disease?

A

mouth to anus inflammation, RLQ pain, fever, fistulas and cobble stonning

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16
Q

How do we diagnose IBD?

A

colonoscopy, sigmoidoscopy

17
Q

How do we treat IBD?

A

aminosalycilates (5-ASA) for moderate, budesonide for mild, prednisone for severe. SULFASALAZINE

18
Q

How do we treat n/v due to vertigo or motion sickness?

A

give anticholinergics/antihistamines (scopalamine is best)

19
Q

How do we treat n/v due to chemo?

A

metoclopramide

20
Q

How do we treat reg n/v?

A

haloperidol

21
Q

What do you give for constipation?

A

bulk laxatives (metamucil), mirolax/milk of magnesia (osmotic laxative), ex-lax

22
Q

What do you give for diarrhea?

A

fluids, bismuth, loperamide

23
Q

What is the hallmark characteristic of IBS-C?

A

visceral hypersensitivity

24
Q

T/F: in IBS-C pain is relieved by defecation

A

true

Advanced Clinical Procedures (18 decks)

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