Elimination Flashcards

1
Q

Diseases associated with IBD?

A

Chron’s disease
Ulcerative Colitis

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2
Q

Sxs of IBD?

A

bleeding
frequent/urgent bowel movements
immune response
permanent damage

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3
Q

Sxs of IBS?

A

Bloating
constipation
no immune response
reversible damage

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4
Q

What are environmental triggers of IBD?

A

smoking
infections
NSAIDS
stress

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5
Q

What are pharmacotherapy goals for IBD?

A

reduce sxs
maintain remission
change course of progression

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6
Q

Treatment of IBS?

A

lifestyle changes
fiber and laxities
antidepressant
antispasmodic drugs
meds that regulate intestinal motility

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7
Q

Definition of Prophylaxis?

A

action to prevent disease

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8
Q

Prophylaxis of constipation?

A

prevent straining
pregnancy
elderly with weak muscles
patients with decreased mobility
meds that cause constipation

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9
Q

What is brand name of psyllium?

A

Metamucil

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10
Q

What is psyllium?

A

bulk-forming laxative
brings water back into stool to normal level

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11
Q

What is brand name of polyethylene glycol?

A

Miralax

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12
Q

What is polyethylene glycol?

A

osmotic laxative
soften stool and increase bowl movements
can be used as bowel prep

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13
Q

What is brand name of bisacodyl?

A

Dulcolax

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14
Q

What is bisacodyl?

A

stimulant laxative
causes peristalsis and clears ball
watch for dehydration

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15
Q

What is brand name of naloxegol?

A

Movantic

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16
Q

What is naloxegol?

A

opioid antagonist
blocks mu receptors
opioid-induced constipation
watch for opioid withdrawal

17
Q

What is brand name of docusate?

18
Q

What is docusate?

A

stool softener
mild; not fast acting

19
Q

What is brand name of senna?

20
Q

What is senna?

A

herbal stimulant
acute constipation and bowel prep

21
Q

What is lubiprostone?

A

increases intestinal fluid

22
Q

What does lubiprostone treat?

A

chronic constipation
IBS-C
Opioid-induced

23
Q

What is brand name of loperamide?

24
Q

What does loperamide do?

A

non-opioid antidiarrheal
slows peristalsis
ileostomy management

25
How long to use loperamide for chronic diarrhea?
10 days
26
How long to use loperamide for acute diarrhea?
48 hours
27
What is diphenoxylate w/atropine?
opioid with anticholinergic Schedule 5 Opioid slow peristalsis