***GI meds only (no patho)*** Flashcards

(114 cards)

1
Q

what meds are contraindicated in severe abdominal pain?

A

laxatives

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2
Q

with what drug is there an increased risk of gastric cancer?

A

PPIs

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3
Q

what drugs can cause hypotension?

A

H2 Blockers

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4
Q

what is used for short term constipation?

A

bulk stimulant laxatives

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5
Q

what drugs require B12 lab monitoring?

A

PPIs

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6
Q

what drug is magnesium hydroxide?

A

Antacid

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7
Q

what med should caution be used in those with renal impairment? (2)

A

1) osmotic stimulant laxatives
2) Sucralfate

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8
Q

what drug causes restlessness?

A

Diphenoxylate HCL/atropine (Lomotil)​

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9
Q

what meds increase GI motility by increasing size of fecal matter?

A

bulk stimulant laxatives

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10
Q

what meds cause nausea? (6)

A

1) chemical stimulant laxatives
2) bulk stimulant laxatives
3) osmotic stimulant laxatives
4) Diphenoxylate HCL/atropine (Lomotil)​
5) Loperamide (Imodium)​
6) Proton Pump Inhibitors (PPI)

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11
Q

what needs to be taken with plenty of water?

A

bulk stimulant laxatives

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12
Q

with what drug is there an increased risk of cardiovascular events?

A

PPIs

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13
Q

what drugs are indicated for GERD? (3)

A

1) H2 Blockers
2) Proton Pump Inhibitors (PPI)
3) Antacids

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14
Q

what are given when straining to have a BM is harmful?

A

surfactant laxatives

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15
Q

what drug interacts with brabiturates?

A

Diphenoxylate HCL/atropine (Lomotil)​

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16
Q

what kind of med is Docusate​ (Colace)?

A

Lubricant laxative

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17
Q

what drugs require calcium lab monitoring?

A

PPIs

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18
Q

what meds cause diarrhea? (6)

A

1) chemical stimulant laxatives
2) bulk stimulant laxatives
3) osmotic stimulant laxatives
4) H2 Blockers
5) Proton Pump Inhibitors (PPI)
6) Antacids → magnesium

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19
Q

what drugs are indicated for H. Pylori?

A

1) Proton Pump Inhibitors (PPI)

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20
Q

what drug is contraindicated in pts with pseudomembranous colitis?

A

Loperamide (Imodium)​

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21
Q

what kind of med is Bisacodyl (Dulcolax)?

A

chemical stimulant laxative

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22
Q

what drug forms a protective coating on the mucosal lining, particularly in ulcerated areas?

A

Sucralfate

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23
Q

what kind of meds are Polyethylene glycol (Miralax) & Polyethylene glycol electrolyte solution (GoLytely)?

A

osmotic stimulant laxatives

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24
Q

what drugs are indicated for peptic ulcer disease? (3)

A

1) H2 Blockers
2) Proton Pump Inhibitors (PPI)
3) Antacids

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25
what drug causes sedation?
Diphenoxylate HCL/atropine (Lomotil)​
26
what drugs cause constipation? (5)
1) Loperamide (Imodium)​ 2) H2 Blockers 3) Antacids → aluminum 4) Antacids → calcium 5) Sucralfate
27
what drugs require magnesium lab monitoring?
PPIs
28
the side effects of antacids depends on what?
the type
29
smoking can decrease the effectiveness of what drug?
H2 Blockers
30
what meds are contraindicated in nausea?
laxatives
31
when should H2 blockers be taken?
30 mins before meals
32
can you take other meds w antacids?
yes but they should all be taken AT LEAST 1 hr before or after taking the antacid
33
what meds are AKA stool softener?
surfactant laxatives
34
how much fluid should you drink w antacids?
at least 8 oz
35
what drug is a polymer of sucrose with aluminum hydroxide?
Sucralfate
36
what drug can cause fluid retention?
antacids → sodium compound
37
with what drug is there an increased risk of kidney disease?
PPIs
38
what is best to give at night bc it is slow acting?
bulk stimulant laxatives
39
what drugs Suppress gastric acid production?
Proton Pump Inhibitors (PPI)
40
what drug is contraindicated in children under 2?
Loperamide (Imodium)​
41
what drugs neutralize stomach acid by direct contact?
Antacids
42
what kind of med is mag sulfate (epsom salts)?
osmotic stimulant laxatives
43
what drug causes dry mouth?
Diphenoxylate HCL/atropine (Lomotil)​
44
what irritates the mucosa and increases water in the stool?
chemical stimulant laxatives
45
what drug should NOT be used in hepatic impairment?
Diphenoxylate HCL/atropine (Lomotil)​
46
what meds are contraindicated in abd cramps?
laxatixes
47
what is the drug of choice for constipation in elderly, during post-partum, and people with poor diets​?
bulk stimulant laxatives
48
what drug is contraindicated in pts w bloody stools & high fever?
Loperamide (Imodium)​
49
with what drug should overeating be avoided?
H2 Blockers
50
what drug is calcium carbonate?
Antacid
51
what drugs cause dizziness? (2)
1) Diphenoxylate HCL/atropine (Lomotil)​ 2) Loperamide (Imodium)​
52
what drugs can cause fatigue?
1) Proton Pump Inhibitors (PPI)
53
what is used to tx diarrhea? (2)
1) Diphenoxylate HCL/atropine (Lomotil)​ 2) Loperamide (Imodium)
54
what drug interacts w antacids?
Sucralfate
55
what drugs require iron lab monitoring?
PPIs
56
what drugs can cause headache?
H2 Blockers
57
what drug can cause alkalosis?
antacids → sodium compound
58
with what drug is there an increased risk of fractures?
PPIs
59
what meds are contraindicated in ulcerative colitis?
laxatives
60
what drugs may stimulate prostaglandins?
Antacids
61
what drugs are indicated for dyspepsia?
1) Proton Pump Inhibitors (PPI)
62
what drug interacts with tranquilizers?
Diphenoxylate HCL/atropine (Lomotil)​
63
what drug is contraindicated with acute ulcerative colitis?
Loperamide (Imodium)​
64
what kind of med is mag citrate ?
osmotic stimulant laxatives
65
what drugs decrease HCL production by about 70%?
H2 blockers
66
what meds are contraindicated in acute surgical abdomen?
laxatives
67
what meds cause fluid & electrolyte imbalances? (3)
1) chemical stimulant laxatives 2) bulk stimulant laxatives 3) osmotic stimulant laxatives
68
what meds are contraindicated in fecal impaction?
laxatives
69
what drug is sodium bicarb?
Antacid
70
what drugs have an interaction with Clopidogrel?
PPIs
71
what what drugs should you NOT smoke?
H2 Blockers
72
what is the suffix for H2 blockers?
"tidine"
73
what can cause sodium loading?
Antacids
74
what meds are contraindicated in habitual use?
laxatives
75
what kind of med is mag hydroxide (milk of mag)?
osmotic stimulant laxatives
76
what drugs cause urinary retention? (2)
1) Diphenoxylate HCL/atropine (Lomotil)​ 2) Loperamide (Imodium)​
77
what drug interacts w warfarin?
Sucralfate
78
NSAIDs should NOT be taken with what drug?
H2 Blockers
79
what can be given up to 4 times a day?
Diphenoxylate HCL/atropine (Lomotil)​
80
what drugs can cause drowsiness?
1) H2 Blockers
81
with what drug is there an increased risk of dementia?
PPIs
82
what should not be used if the pt has impaired kidney function?
magnesium antacids
83
what meds cause abdominal cramping/pain? (5)
1) chemical stimulant laxatives 2) bulk stimulant laxatives 3) osmotic stimulant laxatives 4) Loperamide (Imodium)​ 5) Proton Pump Inhibitors (PPI)
84
what type of laxative is used to make defecation easier without stimulating the movement of the GI tract​? (2)
1) Lubricant laxatives 2) Surfactant laxatives
85
what drug interacts w alcohol?
Diphenoxylate HCL/atropine (Lomotil)​
86
what antacid should you monitor for CNS depression?
magnesium compound
87
what drugs cross placenta and breast milk?
H2 Blockers
88
what kind of med is Senna (Sennokot)​?
chemical stimulant laxative
89
what drug should NOT be used in children under 4?
Diphenoxylate HCL/atropine (Lomotil)​
90
what kind of med is Psyllium (Metamucil)?
bulk stimulant laxatives
91
what drug is aluminum hydroxide?
Antacid
92
how long does oral chemical stimulant laxatives take to work? rectal?
oral: 6-12 hrs rectal: 15-20 mins
93
what drug interacts w phenytoin?
Sucralfate
94
what antacid should be avoided if the pt has a hx of HTN or HF?
sodium compound
95
what meds should only be used periodically?
chemical stimulant laxatives
96
what meds are safe in pregnancy?
bulk stimulant laxatives
97
what meds have abuse concerns?
osmotic stimulant laxatives
98
what kind of med is lactulose?
osmotic stimulant laxatives
99
what GI Opioid Receptor Antagonists are used to tx constipation?
Methylnaltrexone (Relistor) Naldemedine (Symproic)
100
what drug is contraindicated in pts with bacterial enterocolitis caused by invasive organisms including Salmonella, Shingella, and Campylobacter?
Loperamide (Imodium)​
101
what drugs Block histamine 2 receptors on parietal cells leading to decrease gastric acid secretion?
H2 blockers
102
with what drug is there an increased risk of infection?
PPIs
103
what is the suffix for proton pump inhibitors?
"prazole"
104
what drug is indicated for gastritis?
Antacids
105
Antacids have multiple what?
drug interactions
106
what antacid compound can cause hypophosphatemia?
aluminum
107
what antacid compound can cause hypermagnesemia?
magnesium
108
what antacid compound can cause hypercalcemia?
calcium
109
what drug interacts w fluoroquinolones?
Sucralfate
110
what meds decrease gastric acid production? (3)
1) H2 blockers 2) PPIs 3) Prostaglandin analog
111
what meds neutralize activity of acid & pepsin?
antacid
112
what med neutralizes the activity of pepsin?
sucralfate
113
what meds eradicate H. Pylori? (5) what else can be used? (2)
1) ABX Amoxicillin 2) ABX Clarithromycin 3) ABX Metronidazole 4) ABX Tetracycline 5) Proton pump inhibitors (raise the pH) 1) bismuth (antibacterial effect) 2) H2 blockers
114
what meds increase esophageal sphincter tone? (2)
Antacids​ Metoclopramide