Chapter 39 Flashcards
(29 cards)
Which gland in the stomach has the most cells
Gastric
Which cells produce hydrochloric acid
Parietal cells
Which cells secret pepsinogen which becomes pepsin when exposed to acid
Chief cells
Which cells produce mucous to protect the lining of the GI from acid
Mucous cells
Hydrochloric acid maintains the stomach at what PH
1-4
What treats peptic ulcer disease
Triple therapy or Quadruple therapy. Uses PPI, 2 antibiotics, and bismuth subsalicylate
What are the 3 types of acid controlling drugs
Antacids
H2 antagonists
PPI
What are antacids
Neutralize stomach acid
What compound is found in antacids that counteracts the constipating effects of aluminum and calcium
Magnesium
Which type of antacid can cause kidney stones
Calcium
Which type of antacid cannot be given in renal failure
Magnesium
Which antacid has a quick onset but short duration
Sodium bicarbonate
What acid drug category does not prevent the over production of acid but neutralizes it
Antacids
When should antacids not be given
Intestinal obstruction
Which antacid is recommended for patients with renal disease
Aluminum salts
Which antacid causes metabolic alkalosis
Sodium bicarbonate
What is in antacids to relieve painful symptoms
Simethicone
What do H2 receptor antagonists do
Reduce acid secretion
H2 antagonists can cause what in the elderly
Confusion
Which acid controlling drug can cause erectile dysfunction
Cimetidine
Which anti acid drug can cause thrombocytopenia
Ranitidine
Which acid controlling drugs can inhibit the absorption of other drugs requiring an acid environment
H2 antagonists
What do proton pump inhibitors do
Stop the parietal cells from releasing position hydrogen ions
Which acid controlling drug can cause C diff
PPI