Anti-ulcer Drugs Flashcards
Where do peptic ulcers cause mucosal lining erosion?
- esophageal
- gastric
- duodenal
What do peptic ulcers cause hyper-secretion of?
- HCl
- Pepsin
- pH of 2 to 5
Which bacteria is a predisposing factor to peptic ulcers?
Helicobacter pylori (H. pylori)
What are predisposing factors to peptic ulcers?
- Mechanical
- Genetic
- Environmental
- Drugs
What is the main symptom of peptic ulcers?
aching pain
What foods should you avoid with peptic ulcers?
- Hot, spicy,and greasy foods
- Alcohol
What are the recommendations when you take NSAIDS (including aspirin and oral glucocorticoids) to prevent peptic ulcers?
Take with food or in decreased dosages
What are the nonpharmacological measures to treat peptic ulcers?
- Avoid tobacco
- Sit upright
- Do not eat before bedtime
- Wear loose clothes
How does the tranquilizer Glycopyrrolate (Robinul) treat peptic ulcers?
Reduce vagal stimulation and decrease anxiety
How does the anticholinergic Propantheline (Pro-Banthine) treat peptic ulcers?
Inhibits the release of HCl by blocking acetylcholine and histamine
Why is the anticholinergic Propantheline (Pro-Banthine) given?
To take with meals to decrease acid secretion
What are most antacids made out of?
- Aluminum
- Magnesium
- Calcium
What is the action of an antacid?
- Neutralize gastric acid
- Reduce pepsin activity
What are the systemic side effects of antacids?
- Sodium excess
- Water retention
- Metabolic alkalosis
- Acid rebound
What is a side effect of magnesium based antacids?
Diarrhea