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Acid Controlling Drugs Flashcards

1
Q 
Antacids?
Cimetidine
Omeprazole (Prilosec)
(aluminum, magnesium salts, calcium salts, sodium bicarbonate)
Ranitidine 
Sucralfate (Carafate)
Simethicone
Bismuth subsalicylate
Misoprostol
A

Antacids: aluminum, magnesium salts, calcium salts, sodium bicarbonate

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2
Q 
H2RA's (Histamine2 Receptor Antagonists)?
Cimetidine
Omeprazole (Prilosec)
(aluminum, magnesium salts, calcium salts, sodium bicarbonate)
Ranitidine 
Sucralfate (Carafate)
Simethicone
Bismuth subsalicylate
Misoprostol
A

Histamine 2 Receptor Antagonists (H2RA) : cimetidine 1st Generation, & Ranitidine

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3
Q 
Proton Pump Inhibitors?
Cimetidine
Omeprazole (Prilosec)
(aluminum, magnesium salts, calcium salts, sodium bicarbonate)
Ranitidine 
Sucralfate (Carafate)
Simethicone
Bismuth subsalicylate
Misoprostol
A

Proton Pump Inhibitors/PPI: Omeprazole, “Prazole”

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4
Q 
Anti-Ulcer Agents?
Cimetidine
Omeprazole (Prilosec)
(aluminum, magnesium salts, calcium salts, sodium bicarbonate)
Ranitidine 
Sucralfate (Carafate)
Simethicone
Bismuth subsalicylate
Misoprostol
A

Anti-Ulcer: Sucralfate

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5
Q 
Extra?
Cimetidine
Omeprazole (Prilosec)
(aluminum, magnesium salts, calcium salts, sodium bicarbonate)
Ranitidine 
Sucralfate (Carafate)
Simethicone
Bismuth subsalicylate
Misoprostol
A

Extra
Simethicone
Bismuth Subsalicylate

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6
Q

Treat:
GERD/Heart burn
ALUMINUM- (Hyperphosphatemia) due to CKD (except magnesium!)
NOT for treating PUD
Many antacid combinations include simethicone to reduce the surface tension of gas bubbles

Cimetidine
Omeprazole (Prilosec)
(aluminum, magnesium salts, calcium salts, sodium bicarbonate)
Ranitidine 
Sucralfate (Carafate)
Simethicone
Bismuth subsalicylate
Misoprostol
A

Antacids: aluminum, magnesium salts, calcium salts, sodium bicarbonate

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7
Q

ALUMINUM- (Hyperphosphatemia or Hyperphosphatemia) due to CKD (except pottasium or magnesium!)

A

Hyperphosphatemia

Magnesium

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8
Q 
NOT for treating PUD?
Omeprazole (Prilosec)
(aluminum, magnesium salts, calcium salts, sodium bicarbonate)
Ranitidine 
Sucralfate (Carafate)
Simethicone
Bismuth subsalicylate
Misoprostol
A

(aluminum, magnesium salts, calcium salts, sodium bicarbonate)

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9
Q 
Many antacid combinations include ? to reduce the surface tension of gas bubbles?
Ranitidine 
Sucralfate (Carafate)
Simethicone
Bismuth subsalicylate
Misoprostol
A

simethicone

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10
Q

Neutralize gastric acid (hydrochloric acid) by producing neutral salts

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

aluminum

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11
Q

Antacids: Aluminum Salts

Has constipating effects. Often used with (Pottasium or magnesium) to counteract constipation.

A

magnesium

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12
Q

Can be used in CKD to treat hyperphosphatemia?

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

aluminum

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13
Q 
Antacids: Magnesium Salts
Commonly cause (Constipation or Diarrhea) with other drugs.
A

Diarrhea

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14
Q

CONTRA-INDICATION
Dangerous when used with renal failure; the failing kidney cannot excrete extra (pottasium or magnesium) resulting in (Retention or Accumulation)

A

magnesium

Accumulation

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15
Q

Cause
Constipation, Kidney stones, Milk Alkali Syndrome (don’t give with milk!), Rebound Hypersecretion of Acid

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

calcium salts

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16
Q

Long duration of acid action—may cause increased gastric acid secretion (hyperacidity rebound)

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

calcium salts

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17
Q

Often advertised as an extra source of dietary calcium (such as Tums®)

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

calcium salts

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18
Q

don’t give with milk!

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

calcium salts

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19
Q

Antacids: Sodium Bicarbonate

Lowly or Highly soluble

A

Highly soluble

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20
Q

Buffers the acidic properties of HCl

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

sodium bicarbonate

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21
Q

Quick onset but short duration

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

sodium bicarbonate

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22
Q

May cause metabolic (alkalosis or acidosis)

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

alkalosis

sodium bicarbonate

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23
Q

? content may cause problems in patients with heart failure (HF), hypertension, or renal insufficiency.

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

sodium bicarbonate

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24
Q

Constipation:

aluminum
magnesium salts
calcium salts
sodium bicarbonate

A

Aluminum/Calcium

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25
Diarrhea: aluminum magnesium salts calcium salts sodium bicarbonate
Magnesium
26
? is given for CKD (hyperphosphatemia) aluminum magnesium salts calcium salts sodium bicarbonate
Aluminum
27
Heart Failure: Avoid any that have ? aluminum magnesium salts calcium salts sodium bicarbonate
SODIUM (Sodium Bicarb)
28
Antacids: aluminum, magnesium salts, calcium salts, sodium bicarbonate Generally ? to ? hours after a meal, bedtime too Reminder to take other medications before or after if possible to avoid any binding problems or absorption issues (minimum ?-? hour window- both directions)
1 to 3 hours | 1-2
29
If someone is using chronically, we need to investigate! ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Ranitidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Antacids: aluminum, magnesium salts, calcium salts, sodium bicarbonate
30
MECHANISM OF ACTION Antagonizes H2 receptors in gut; Decreases acid production; Increases pH in stomach, decreases damage ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Ranitidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Histamine 2 Receptor Antagonists (H2RA) : cimetidine 1st Generation, ranitidine and famotidine
31
``` Treat: Peptic Ulcer Disease (PUD) GERD Stress Ulcer Prophylaxis (SUP) Immune responses (histamine blockade) ``` ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Ranitidine Cimetidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Histamine 2 Receptor Antagonists (H2RA) : cimetidine 1st Generation, ranitidine and famotidine
32
1st Generation Famotidine Cimetidine Ranitidine
Cimetidine
33
2nd Generation Famotidine Cimetidine Ranitidine
Famotidine | Ranitidine
34
Anti-Androgen Famotidine Cimetidine Ranitidine
Cimetidine
35
Liver Enzyme Inhibition Famotidine Cimetidine Ranitidine
Cimetidine
36
Cleaned up version (no androgen/liver issues) Famotidine Cimetidine Ranitidine
Ranitidine | Famotidine
37
Can accumulate in renal impairment (geriatrics) ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Cimetidine Ranitidine Famotidine
38
``` Change pH in the gut- High risk for Pneumonia & C Diff? Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Cimetidine | Ranitidine/ Famotidine
39
KIDNEY DISEASE/GERIATRICS: Can take at night b/c of drownesness. Cns - confusion, hallucinations and disorientation. ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Cimetidine | Ranitidine/ Famotidine
40
PH CHANGE IN GI TRACT- Pneumonia & C Diff, notify prescriber of foul smelling/greenish diarrhea. ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Cimetidine | Ranitidine/ Famotidine
41
ANTI-ANDROGEN: ? may induce impotence and gynecomastia. ? blocks androgen, educate patients to monitor for libido changes, gynecomastia, impotence Cimetidine Ranitidine/ Famotidine
Cimetidine
42
Renal impairment (begins to act like Benadryl-H1RA) Cimetidine Ranitidine/ Famotidine
Cimetidine
43
Thrombocytopenia and Hepatotoxicity have been reported- rare Cimetidine Ranitidine/ Famotidine
ranitidine and famotidine
44
Cimetidine Ranitidine/ Famotidine Intended Use Intended Outcome: Reduced heartburn/dyspepsia/healing of ulcers•NOTE: USUAL DURATION is ?-? weeks for Ulcer healing. •
4-8 weeks
45
Cimetidine Ranitidine/ Famotidine Long term use is indicated for (hypersecretory or hyposecretory) conditions
hypersecretory
46
? interacts with many drugs- caution with other drugs Cimetidine Ranitidine/ Famotidine
Cimetidine
47
``` Cimetidine Ranitidine/ Famotidine Administration H2RAs and antacids should be administered at least ?-? hours apart Can administer at bedtime or with meals ```
1-2 hours apart
48
Can administer at bedtime or with meals ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Cimetidine | Ranitidine/ Famotidine
49
Treat: G.I. Bleed, Peptic Ulcer Disease (PUD), GERD, Stress Ulcer Prophylaxis (SUP) ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
50
MECHANISM OF ACTION Inhibits H+ / K+ ATPase in parietal cells Decreases acid production; irreversible inhibition ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
51
ADVERSE EFFECTS Change in gut pH Increased risk for pneumonia and Clostridium difficile ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
52
Rare antifungals/antivirals may not absorb ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
53
Avoid “vir” or “azole” ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
54
Change in absorption of electrolytes ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
55
Long term –hypomagnesemia ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
56
Long term- hypocalcemia◦Fractures and Osteoporosis (due to hypocalcemia) ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
57
Drug to Drug Other drugs may not absorb efficiently ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
58
Omeprazole (Prilosec) Intened outcome Intended Outcome: Reduced heart burn/dyspepsia/healing of ulcers•NOTE: USUAL DURATION is ?-? weeks for Ulcer healing.
4-8 weeks
59
Omeprazole (Prilosec) Long term use is indicated for (hypersecretory or hyposecretory) conditions
hypersecretory
60
Monitor For long term treatment complications: Osteoporosis (Vitamin D + Calcium intake) ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
61
Pneumonia/C.Diff (patients monitor S/S) ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
62
Magnesium (monitor for muscle cramps, more dangerously- seizures) ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
63
Taper off if you can, sudden stoppage can cause rebound hypersecretion of stomach acid ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Omeprazole (Prilosec)
64
Omeprazole (Prilosec) Administration Patients should take first thing in the morning, ? minutes before their first meal
30
65
Treat: Peptic Ulcer Disease ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Anti-Ulcer: Sucralfate
66
Composed of aluminum hydroxide and sulfated sucrose. When ingested, creates a protective barrier/gel at active ulcer sites for up to 6 hours ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Anti-Ulcer: Sucralfate
67
Anti-Ulcer: Sucralfate Composed of aluminum hydroxide and sulfated sucrose. When ingested, creates a protective barrier/gel at active ulcer sites for up to ? hours?
6 hours
68
BAND AID BARRIER ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Anti-Ulcer: Sucralfate
69
Drug to drug May bind other drugs ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Anti-Ulcer: Sucralfate
70
Anti-Ulcer: Sucralfate ADVERSE EFFECTS Diarrhea or Constipation
Constipation
71
Nursing Considerations Patients may develop constipation- encourage fiber intake ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Anti-Ulcer: Sucralfate
72
Remember, it works for several hours at a time. ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Anti-Ulcer: Sucralfate
73
Anti-Ulcer: Sucralfate Administration Administer on ? stomach for best mechanism, ideally ? hour before meals and at bedtime (make a protective barrier in stomach BEFORE you eat!) Separate administration of other drugs (? hours before/after)
empty 1 2
74
Treat: Ulcers Promotes Cervical Ripening (Labor Induction) ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
75
Treat Postpartum Hemorrhage ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
76
Can be used for termination of Pregnancy ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
77
MECHANISM OF ACTION Prostaglandin analog- suppress stomach acid promote secretion of bicarbonate and mucus ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
78
Promotes Cervical Ripening (cervix becomes thinner- facilitates labor) Can be used for termination of Pregnancy-- stimulates uterine contractions ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
79
ADVERSE EFFECTS Diarrhea (up to 40%) and abdominal pain (up to 20%) Spotting, dysmenorrhea ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
80
Pregnancy Category X ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
81
Nursing Considerations If using the drug, must have negative serum pregnancy test prior to use and be educated about risks. ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
82
Avoid touching this medication with hands (precautions for nurses!) ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
83
Educate patients they may have dysmenorrhea, spotting Educate patients that diarrhea is fairly common ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
84
Administration Give with meals (reduce GI upset) ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Prostaglandin Analog: Misoprostol
85
Treat: Gas Pain ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Simethicone
86
MECHANISM OF ACTION Decreases the surface tension of gas bubbles, gas bubbles become smaller, easier to leave ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Simethicone
87
Commonly given with antacids because they can produce gas ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Simethicone
88
Administration Comes in chewable tablets/liquids ``` Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Cimetidine Ranitidine/ Famotidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Simethicone
89
Treat: Diarrhea (traveler’s diarrhea) Indigestion/Heartburn Simethicone H. pylori Treatment Bismuth Subsalicylate
Bismuth Subsalicylate
90
MECHANISM OF ACTION ? component has bactericidal properties ? component may act as anti-inflammatory Bismuth Subsalicylate
Bismuth | Salicylate
91
ADVERSE EFFECTS May stain tongue, bowel movements green/black Simethicone H. pylori Treatment Bismuth Subsalicylate
Bismuth Subsalicylate
92
Avoid in children (especially if they have a virus > risk for Reye’s Syndrome) Simethicone H. pylori Treatment Bismuth Subsalicylate
Bismuth Subsalicylate
93
Chronic use could accumulate (risk for salicylism) Simethicone H. pylori Treatment Bismuth Subsalicylate
Bismuth Subsalicylate
94
Drug to Drug Can bind to antibiotics/other drugs Simethicone H. pylori Treatment Bismuth Subsalicylate
Bismuth Subsalicylate
95
Treat: Minimum of two antibiotics prescribed (up to three may be used) to reduce risk of resistance developing FOR ?WEEKS (? days) Amoxicillin, Clarithromycin, Bismuth compounds, Tetracycline, Metronidazole Simethicone H. pylori Treatment Bismuth Subsalicylate
2 14 H. pylori Treatment
96
Nursing Considerations None is effective aloneIf these drugs are used alone, the risk of resistance developing increases Simethicone H. pylori Treatment Bismuth Subsalicylate
H. pylori Treatment
97
Administration OAC (Omeprazole, amoxicillin, clarithromycin) Simethicone H. pylori Treatment Bismuth Subsalicylate
H. pylori Treatment
98
BMT (Bismuth Subsalicylate, Metronidazole, Tetracycline) Simethicone H. pylori Treatment Bismuth Subsalicylate
H. pylori Treatment
99
LAC (Lansoprazole, Amoxicillin, Clarithromycin) Simethicone H. pylori Treatment Bismuth Subsalicylate
H. pylori Treatment
100
TIP: These are used to treat H.pylori induced PUD Simethicone H. pylori Treatment Bismuth Subsalicylate
H. pylori Treatment
101
PUD- three letters, needs three drugs!14 days Simethicone H. pylori Treatment Bismuth Subsalicylate
H. pylori Treatment
102
Prostaglandin Analog ``` Cimetidine Omeprazole (Prilosec) (aluminum, magnesium salts, calcium salts, sodium bicarbonate) Ranitidine Sucralfate (Carafate) Simethicone Bismuth subsalicylate Misoprostol ```
Misoprostol

Phamacology (13 decks)

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