Shared Flashcard Set

Details

Pharm - GI - Test 2
1
78
Philosophy
Undergraduate 2
10/10/2011

Additional Philosophy Flashcards

 


 

Cards

Term
duodenal
Definition
ulcer that occurs 1-3 hours after a meal
- gnawing or burning pain in the upper abdoment
Term
duodenal
Definition
ulcer whose pain is worse on an empty stomach and disappears with ingestion of food
Term
30-50
Definition
duodeal ulcers are most common in ___ to ____ year olds
Term
gastric
Definition
ulcer that may be relived by food, but pain may continue after meal
Term
gastric
Definition
ulcer that causes anorexia, weight loss, vomiting
Term
gastric
Definition
ulcers more common in people over 60
Term
crohns disease
Definition
disease of ulcerations in the lower small intestine
Term
IBS
Definition
disease of ulcerations in the large intestine
Term
immunosupressents
Definition
severe cases of Crohn's disease may require _____________ drugs
Term
GERD
Definition
disease where acidic contects of the stomach move upward into the esophagus
Term
Zantac (ranitidine)
Definition
preferred H2 receptor blocker for PUD
Term
Zantac (ranitidine)
Definition
preferred H2 receptor blocker for PUD
Term
Prilosec(omeprazole)
Definition
preffered proton-pump inhibitor for PUD
Term
H2 receptor blockers
Definition
reduced the amount of acid secreted into the stomach
Term
digoxin, anticoagulants, metoclopramide, carmustine
Definition
4 drugs that interact H2 receptors blockers
Term
dizzy, drowsy, H/A, confusion, hallucination, dirrhea, impotence
Definition
adverse effects of H2 Blockers
Term
antacids
Definition
_____ should not be taken within 2 hours of H2 blockers because it will decrease the absorption
Term
proton-pump inhibitors
Definition
drugs of choice treatment of PUD and GERD
- only for short-term control
Term
proton-pump inhibitors
Definition
block ATPase which is responsible for secreting HCL into the stomach
Term
proton-pump inhibitors
Definition
the best at reducing acid secretion and last longer
Term
4 weeks
Definition
90% of duodenal ulcers heal withing ______
Term
6-8 weeks
Definition
90% of gastric ulcers heal within _______
Term
3-5 days
Definition
the beneficial effects of proton-pump inhibitors last ______ after therapy stops
Term
anemia
Definition
prolonged use of proton-pump inhibtors can cause ______
Term
antacids
Definition
alkaline, inorganic compounds of aluminum, magnesium, or calcium
Term
aluminum and magnesium
Definition
most common type of antacids are a combination of ____ and _____
Term
simethicone
Definition
an antiflatulant that is added to some antacids to reduce bloating and discomfort
Term
kidney stones
Definition
avoid Ca antacids in pts with _____
Term
kidney disease (dialysis)
Definition
Al and Mg antacids should be avoided in pts with ___________-
Term
hourly - decrease
Definition
to treat PUD, antacids may be given _____ for 2 weeks, then should be _______
Term
magnesium
Definition
_____ based antacids have a laxative effects
Term
rebound hyperacidity
Definition
taking too much antacids may cause _____ _______
Term
2 weeks
Definition
do not take max dose of antacids for more than ___________-
Term
aluminum
Definition
_______ based antacids cause constipation, impaction, anorexia, weakness, tremors, bone pain
Term
magnesium
Definition
_____ based antacids cause diarrhea, dehydration, n/v, hypotension, decrease respirations
Term
Calcium
Definition
______ based antacids cause rebound hyperacidity, metabolic alkalosis, emesis, confusion, h/a, renal calculi, neuro changes
Term
sodium bicarbonate
Definition
_____ based antacids can cause systemic alkalosis, rebound hyperacidity
Term
amphogel
Definition
Al antacids used to treat kidney stones
- lower phosphate and raises pH
Term
amoxacillin, clarithromycin, metronidazole(Flagyl), tetracycline
Definition
4 antibiotics used the treat H. pylori
Term
sucralfate (Carafate)
Definition
- Sugar and Al hydroxide (antacid)
- coats the ulcer for protection so it can heal
Term
sucralfate (carafate)
Definition
drug that must be chewed to make protective paste
Term
duodenal
Definition
sucralfate (carafate) is used for short term treatment of ______ ulcers
Term
proton pump inhibotors
Definition
sucralfate(carafate) has similar drug interactions as ____________
Term
misoprostil
Definition
prostaglandin like substance that helps prevent gastric ulcers with NSAID use
Term
misoprostol (cytotec)
Definition
drug that inhibits gastric acid secretion and stimulates the production of protective mucous lining
Term
misoprostol (cytotec)
Definition
GI drug that causes abortion and severe birth defects (preg cat X)
Term
metoclopramide (Reglan)
Definition
drug that increase upper GI motility (empties stomach faster) and reduces nausea (antiemetic)
Term
metoclopramide (Reglan)
Definition
drug used the treat GERD, gastric stasis, and reduce risk of paralytic ilius
Term
CNS tremors, restless, tardive dyskinesia, facial grimacing, depression
Definition
adverse effects of Reglan
Term
stimulant
Definition
type of laxative that is rapid acting and promotes peristalsis by irritating the bowel
- should be used occasionally (dependence - dehydration)
Term
stimulant
Definition
type of laxative that is likely to cause diarrhea and cramping
Term
saline/osmotic
Definition
type of laxative that causes water to be retained in the stool
- BM w/in 1-6 hours
- not for long term (F&E imbalance)
Term
stool softener/surfactant
Definition
type of laxative that causes more water and fat to be absorbed in the stools
- prevents constipation
Term
hyperosmotic laxatives
Definition
laxative that dehydrates local tisues, draws water into feces, iritates intestines, increasing peristalsis
Term
bowel evacuates
Definition
laxatives that evacuate colon for complete emptying, causes sudden GI discomfort and flushing action, large or small volumes
Term
psyllium muciloid (metamucil, naturacil)
Definition
preferred laxative that is bulk forming
- used for diarrhea and as an aid in lowering cholestrol
Term
opiods
Definition
drugs of choice for treatment of diarrhea
- rapid onset and effectiveness
Term
diphenoxylate (Lomotil)
Definition
most common opiod antidiarrheal
Term
loperamide (Immodium)
Definition
opiod antidiarrheal that carries no risk for dependence and is OTC
Term
adsorbents
Definition
type of antidiarrheal that coat the GI tract (Bismuth products)
Term
anticholenergic
Definition
type of antidiarrheal that slows motility of the GI tract to decrease peristalsis
Term
decreasing motility
Definition
narcotic/opiods treat diarrhea by _________ ________________
Term
dizzyness, drowsy, H/A, sedation, euphoria, rash
Definition
non GI adverse effects of antidiarrheals
Term
antiemetic drugs
Definition
drugs that stop impulses to the brain (medulla) which create N/V by inhibiting neurotransmitters
Term
drowsiness
Definition
antiemetics can cause varying degrees of _______
Term
scopalamine
Definition
patches used for motion sickness (1 hours before travel)
Term
prochlorperazine (Compazine)
Definition
antiemetic drug of choice
Term
syrup of Ipecac
Definition
common emetic
Term
orlistat (Xenical)
Definition
anti-obesity drug that blocks the enzyme lipase in the GI tract which blocks the absorption of fat
Term
coumadin
Definition
orlistat(Xenical) may also decrease the absorption of fat-soluble vitamins and ___________
Term
sibutramine (Meridia)
Definition
most widely prescribed anti-obesity
- appetite supressant
- short-term control
Term
H/A, tachycardia, hypertension
Definition
adverse effects of sibutramine (Meridia)
Term
pancrelipase
Definition
pancreatic enzyme supplement that has significantly more enzyme activity
Term
pancreatin
Definition
pancreatic enzyme supplement that contains the neccessary enzymes to digest fats, carbohydrates,, and proteins
Term
Cotazym, pancrease
Definition
two examples of pancrelipase
Term
entozyme, viokase
Definition
two examples of pancreatin
Term
pancreatin
Definition
used for pancreatic insufficiency, chronic pancreatitis, and cystic fibrosis to assist with digestion
Term
simethicone, charcoal
Definition
two antiflatulants
Supporting users have an ad free experience!