Upper GI Ch 40

Question 1

HCI = Hydrochloric acid is a substance that

Answer 1

<p>aid in the initial digestive process</p>

Question 2

Problems of the upper GI occurs when

Answer 2

<p>Tissue damage and Ulcers</p>

Question 3

Drugs that neutralize HCL and protect the mucosal singing are called

Answer 3

<p>Ant-acids </p>

Question 4

Drugs that reduce the production of HCL include

Answer 4

<p>H2 Antagonist , Proton Pump Inhibitors and Misc. acide reducing agents. </p>

Question 5

Proton pump inhibitors are particularly important in the treatment of

Answer 5

<p>H. Pylori with active duodenal ulcers</p>

Question 6

GI stimulants facilitate

Answer 6

Emptying of the stomach contents into the Small Intestine

Question 7

GI stimulants are used to treat both

Answer 7

<p>Ulcer Treatments and Antiemetics </p>

Question 8

Action of ant-acids

Answer 8

1. Neutralized/Reduce acid of the stomach and duodenal activity. 2.Acids are reduced by commingling HCL and increasing the PH of stomach acid

Question 9

Do Ant-Acids coat the stomach

Answer 9

NO

Question 10

Examples of Antacids

Answer 10

Aluminum, magaldrate and magnesium

Question 11

What would I used to treat hyperacidity

Answer 11

Ant-acids

Question 12

Hyperacidity is caused by

Answer 12

Heart burn 
Acid indigestion 
Sour Stomach 
GERD
Peptic Ulcer

Question 13

Aluminum Cabonate may be used in treating

Non-Antacid action

Answer 13

Hyperphosphatemia (Chronic Renal Failure)

Question 14

Calcium may be used to treat (Non-Ant-acid action)

Answer 14

Calcium deficiencies in menopausal osteoporosis

Question 15

Magnesium may be used to treat (Non Antiacid action)

Answer 15

Treating deficiencies or depletions from malnutrition, restricted diet or alcoholism .

Question 16

What kind of adverse effect does magnesium and sodium containing antacids have

Answer 16

Laxative/Diarrhea

Question 17

What kind of adverse effect does calcium havce

Answer 17

Constipations

Question 18

Antacids are contraditcted in patients with

Answer 18

Patients with severe abdominal pain and during lactation

Question 19

Sodium containing antacids are contradicted in patients with

Answer 19

Cardiovascular problems (Hypertension Heart Failure) Patients on Low Sodium Diets

Question 20

If I have a patients on a low sodium diet what kind of antacid would I NOT give them

Answer 20

Sodium containing antacids

Question 21

Calcium containing antaicds are contradicred in patients with

Answer 21

Renal Calculi and HyperCalemia

Question 22

I have a patient with renal calculi what kind of Antacid would I not give her

Answer 22

Calcium containing antacid

Question 23

Aluminum Cabonate are used cautiously in patients with

Non-Antacid action

Answer 23

Upper GI bleeding and Gastric outlet obstruction

Question 24

Magneisum and Aluminium are used cautiously in patients with

Answer 24

Decreased Kidney function

Question 25

Calcium containing are used cautiously in paitnes with

Answer 25

respritory insuffiency, renal impariment or cardiac disease

Question 26

Drugs that reduce the production of HCL include

Answer 26

Histamine H2, Proton Pump Inhibitors, Pepsin inhibitors, prostaglandins and cholinergic blockers

Question 27

Histamine H2 antagonist inhibit

Answer 27

the action of histmaine at the H2 recpetor calls of the stomach

Question 28

Inhhibiting the action of histamine at the H2 receptor does what?

Answer 28

Reduced the secretaion of gastric acid

Question 29

When ulcers are present in the stomach these are used to allow the ulcerated areas to heal

Answer 29

Histamine H2 Antagonist

Question 30

Examples of H2 Antagonists

Answer 30

Cimetidine, famotidine and ranitidine

Question 31

Uses of Histamine H2 Antagonists

Answer 31

1. Stress-related uclers 2. Acute upper GI bleeding 3. Heart burn 4. Acid Indegestion 5. Sour Stomach 6. GERD 7. Gastric Duodental Ulcer 8. Gastric Hypersecretory conditions

Question 32

Adverse reactions to Histamine H2 antagonist

Answer 32

Dizziness, somnolence, headache, confusion, hallucinations, diarrhea and reversible impotence

Question 33

Histmine is contrdicted in patients with

Answer 33

Heptic impairment, severly ill, older or debilitated patients.

Question 34

Cimetidine is used cautiusly in patients with

Answer 34

Diabetes

Question 35

Proton pump inhibitors do what?

Answer 35

Supress gastric acid secreation

Question 36

Examples of Proton Pump Inhibitor examples

Answer 36

Esomeprazole and omeprazole

Question 37

Proton Pumo Inhibitors are used to treat

Answer 37

Gastric Duodenal Ulcers (H.Pylori) GERD and erosive esophagitis, pathologic hypersecretory conditions prevention of bleeding in high risk patients using anti platelet durgs

Question 38

Proton Pumo Inhibitor adverse reactions

Answer 38

Headache, Nausea, Diarrhea and Abdominal pain

Question 39

Prolonged treatment with Proton Pump Inhibitor may cause a decrease in the bodies ability to absorb

Answer 39

Vitamin B12 resulting in Anemia

Question 40

Proton Pump Inhibitors are used cautiously in these patients

Answer 40

Older Adults with heptaic impairment