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CARDIOLOGY > GASTRO > Flashcards

GASTRO Flashcards

1
Q

Magnesium

A

Laxatives

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2
Q

Aluminium

A

Constipation

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3
Q

Bismuth

A

Neurotoxic - chelates

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4
Q

Calcium

A

Milk alkali syndrome, rebound acid secretion

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5
Q

Child constipation - avoid

A

Lifestyle and dietary advice alone - risk of complications

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6
Q

Pregnancy constipation - avoid

A

Senna near term

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7
Q

Opioid induced constipation - avoid

A

Bulk forming laxatives

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8
Q

Adequate fluid intake

A

Bulk forming and osmotic laxatives

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9
Q

Short duration constipation

A

1st line - lifestyle and diet

2nd line - bulk forming

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10
Q

Opioid constipation

A

1st line - osmotic with stimulant/docusate with stimulant

2nd line - Nalexogol, Methylnaltrexone adjunct

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11
Q

Faecal impaction

A

1st line - macrogols
2nd line - stimulant
3rd line - sodium enema which may require repeating

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12
Q

Pregnancy/Breastfeeding constipation

A

1st line - lifestyle/diet changes
2nd line - bulk forming
Other - glycerol, senna, bisacodyl, docusate

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13
Q

Children constipation

A

1st line - laxative and lifestyle

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14
Q

Bulk forming examples

A

Ispaghula husk - Fybogel, PO medicine
Methycellulose
Sterculia

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15
Q

Bulk forming onset

A

2 to 3 days

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16
Q

Bulk forming counselling

A

Adequate fluid intake, do not take before bedtime

17
Q

Stimulant examples

A

Senna, Bisacodyl, Docusate sodium, Glycerol, Sodium picosulfate

18
Q

Stimulant onset

A

Suppositories - 15 to 60 mins

Tablet - 6 to 12 hours, take at bedtime to produce an effect next morning

19
Q

Osmotic laxatives examples

A

Lactulose
Macrogols
Magnesium salts

20
Q

Osmotic onset

A

1 to 3 days

21
Q

Osmotic counselling

A

Adequate fluid intake

22
Q

Faecal softener examples

A

Liquid paraffin

Docusate sodium

23
Q

Faecal softener onset

A

1 to 2 days

24
Q

Faecal softener counselling

A

Anal seepage, lipoid pneumonia and malabsorption of fat soluble vitamins

25
Q

Lactulose

A

0+

26
Q

Senna

A

12 +

27
Q

Bisacodyl

A

10 +

28
Q

Sodium picosulfate

A

10 + and under 10 on medical advice

29
Q

Ispaghula husk, sterculia

A

6 +

30
Q

Docusate sodium

A

12 +

31
Q

Loperamide

A

12 +

CARDIOLOGY (8 decks)

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