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29 terms

Ch 17*

STUDY
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peptic ulcers
sores that affect the mucous membranes of the digestive system. 75% because of H. Pylori, 25% because of NSAIDs
tx for H. Pylori and peptic ulcers
Prevpa- prepackaged dosage of
*amoxicillin
*clarithromycin
*lansoprazole
Herbal Alert- Comfrey
is hepatotoic or damaging to liver cells
Antisecretory agents
H2 Blockers
PPI
PGE2 analogue
H2 blockers
Tagament- to tx peptic ulcers and Zollinger-Ellison syndrome (combo of peptic ulcer and pacreatic tumors
Pepcid
Zantac
Tagament alert for older patients
causes mental confusion, aggitation, dizziness, psychosis, and hallucination. Galactoria, gynecomastia and impotence in men
PPIs
Nexium
Prevacid
Prilosec
Protonix
PGE2 analogue
Cytotec
antacids- destroy the gastric acid
aluminum hydroxide gel- Amphogel
magnesium oxide
sodium carbonate- baking soda
Carafate
Herbal alter- Ginger
can be used for heartburn, antiemetic, antiinflammatory, laxative, motion sickness and morning sickness. Inhances antiplatelet action of NSAIDS and warfarin. Should be avoided in pts with gallstones and bleeding disorders
digestants
Lactaid
Ku-Zyme, Pancrease
Herbal alert- Cayenne
taken orally, stimulates the production of gastric juices and helps relieve gas. Reduces the effect of antihypertensive medication
Absorption inhibitors
Xenical
Xenical alert
not recommended for pregnant or nursing women becasue it may reduce the gastric absorption of fat soluble vitamins and beta-carotene
Emetics- produce vomiting
ipecac syrup
Antimetics- relieve nausea and vomiting
Dramamine
Antivert
Herbal Alert- Chamomile
used for nervous stomach- inhances the effects of sedatives, warfarin and the antiplatelet effects fo NSAIDS
Cathartics-relieve constipation
bulk increasing laxatitives
lubricant laxatives
saline cathartics
irritant cathartics
fecal softeners
enemas
bulk increasing laxatives
agar- Agoral
Citrucell
Metamucil
lubricant laxatives
mineral oil- *disadvantage-prevents absorption of fat-soluble vitamins
Saline cathartics
Go-LYTELY- for colonoscopies and enemas
milk of magnesium - mildest, preferred for childred
magesium citrate solution
irritant cathartics
Dulcolax
castor oil
Senokot
fecal softners
Surfak
enemas
made from mineral oil or soap suds
Antidiarrheals for simple diarrhea
Demulcents- boiled starch and boiled milk
Absorbents- activated charcoal, Kaolin and Kaopectate
Antidiarrheals for severe diarrhea
Lomotil
Imodium
Antisecretory
OTC Pepto-Bismol (Bismuth) antimibrobial
opiums
antidiarrhea medication
antidiarrheals
demulcents
absorbents
antisecretory
opiums