Therapeutics E2: Taylor's Blanks

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Heartburn:

mild symptoms ________
dont interfere with daily activities
Heartburn:

moderate symptoms ______
interfere with daily activities
Heartburn:

GERD is a _____ symptom
severe
Heartburn:

Dietary lifestyle modifications should ____ LES pressure
increase
Heartburn:

Dietary lifestyle modifications should _____ intragastric pressure
decrease
Heartburn:

Patients should eat _______ meals
small, frequent
Heartburn:

Patients shouls avoid eating at least _______
3hrs before reclining
Heartburn:

H2 antagonists may be taken ____/day
2
Heartburn:

H2 antagonist onset/duration is _____ than antacids
longer
Heartburn:

_______ is the H2 antagonists that has the most drug interactions (theophylline, phenytoin, quinidine, and warfarin)
cimetidine
Gas:

Simethicone works in the stomach to _______
decrease surface area of bubbles to produce less gas
Gas:

Lactase breaks down _____________
lactose into glucose & galactose
Gas:

Alpha-glucosidase is useful for ______
patients who have consumed a lot of fiber
Gas:

Probiotics may be helpful in ________ patients
lactose intolerant
Gas:

Probiotics should be used in a trial of _____ days
14
Constipation:

Bulk-forming agents (methylcellulose, polycarbophil, psyllium) onset is _______
12-14 hrs but can be delayed up to 72 hrs
Constipation:

Emollient agents (docusate sodium/calcium) onset is between ______
24-72 hrs
Constipation:

Emollient agents (docusate sodium/calcium) are not recommended in children under ____
6
Constipation:

Lubricant agents (mineral oil) onset is ______ orally and _____ rectally
6-8hrs
5-15 min
Constipation:

Lubricant agents (mineral oil) may impair absorption of vitamins ______
A D E K
Constipation:

Lubricant agents (mineral oil) should be avoided in kids younger than _____
6
Constipation:

Saline (magnesium, sodium, or sulfate salts) onset is between _______ orally, and _____ rectally
30 min- 3 hrs
2-5 min
Constipation:

Saline (magnesium, sodium, or sulfate salts) should not be used for more than _____ for constipation
1 week
Constipation:

Hyperosmotic agents (glycerin, PEG) rectal use produces BM within _____
30 min
Constipation:

Hyperosmotic agents (PEG) onset is _____
1-3 days
Constipation:

Stimulant agents (senna, bisacodyl, cascara sagrada) onset is ________ orally but can take up to 24 hrs for BM, or _______ rectally
6-12 hrs
15-60 min
Constipation:

Castor oil onset is _______ orally
2-6 hrs
Diarrhea:

_______ BM/day is considered abnormal
>3
Diarrhea:

Bismuth subsalicylate should be taken every ________ up to ____ doses/day
30-60 min
8
Anorectal disorders:

Further medical attention recommended:
-Hemorrhoids on ______ y/o
-UC
-Crohn's disease
-Family history of colon cancer
-Symptoms that don't respond to self-treatment after ____ days
<12
7
Anorectal disorders:

Dietary modifications should increase dietary fiber to _____ per day
20-30 g
Anorectal disorders:

avoid sitting on toilet for _____
>10 min
Anorectal disorders:

Local anesthetics (benzocaine, benzyl alcohol, lidocaine, pramoxine HCl, tetracaine, dibucaine) are used up to ______/day
3-6x
Anorectal disorders:

Vasoconstrictors (ephedrine, epinephrine, phenylephrine) are used up to ______/day
4x
Anorectal disorders:

Protectants (aluminum hydroxide, cocoa butter, glycerin, kaolin, lanolin, mineral oil, white petrolatum, zinc oxide, calamine) are used up to _____/day
6x
Anorectal disorders:

Astringents (calamine, zinc oxide, witch hazel) are used up to ____/day
6x
Anorectal disorders:

When using astringents (calamine, zinc oxide, witch hazel) beware of __________
zinc toxicity
Anorectal disorders:

Keratolytics/Counterirritants (resorcinol, menthol, camphor) should be used sparingly up to ____/day
6x
Pinworm infection:

change linennes every ____ days for ____ weeks
3-7
3
Pinworm infection:

wash anal area ___
daily
Pinworm infection:

Patients _____ y/o are excluded from self treatment
<2
Pinworm infection:

Patients ____ pounds are excluded from self treatment
<25
Nausea & Vomiting:

For motion sickness, cyclizine can be take up to _____/day
6x
Nausea & Vomiting:

For motion sickness, dimenhydrinate can be take up to _____/day
6x
Nausea & Vomiting:

For motion sickness, diphenhydramine can be take up to _____/day
6x
Nausea & Vomiting:

For motion sickness, meclizine should be taken ___ before travel
1 hr
Nausea & Vomiting:

_____ is the most common side effect of antihistamines
drowsiness
Poisoning:

most cases are result of ______
ingestion
Poisoning:

activated charcoal should be given within _______ after ingestion
1 hr
Headache:

Agents associated with medication overuse HA are ______, ______, ________, triptans, opioids, butalbital, and ergot alkaloids
acetaminophen
aspirin
caffeine
Headache:

Med overuse HA usually associated with frequent use for _______
>3 months
Headache:

________ HA: OTC analgesics for episodic; physical therapy & relaxation exercises + OTC anagesics +/- Rx med for chronic
tension
Headache:

______ HA: treat with OTC analagesics
migraine
Headache:

_______ HA: tapper off offending agent then eliminate; Rx med may be needed
Rebound/Med overuse
Headache:

_______ HA: treat with decongestants +/- OTC analgesics
Sinus
Headache:

Acetaminophen is potentially hepatotoxic is doses exceed _____
4g/day
Headache:

Acetaminophen adverse toxicities include _____, ______, _______, ______, increased LFTs and bilirubin, prolonged PT
N/V
Drowsiness
confusion
abdominal pain
Headache:

Duration of action of naproxen is up to ______
12 hrs
Headache:

Duration of action of ibuprofen is _____
6-8 hrs
Headache:

Patients of age _____ are at risk of GI bleeding with salicylates
>60 yo
Headache:

Patients are excluded from self treatment if HA lasts longer than _______ +/- treatment
10 days
Headache:

Patients of age ______ are excluded from self treatment
<8 yo
Fever:

Fever is body temperature higher than the normal core temperature of ______
100 F
Fever:

normal average temperature is usually maintained between ______
97.5 - 98.9 F
Fever:

acetaminophen should be dosed every ____ NTE ______/day
4-6 hr
5 doses
Fever:

ibuprofen should be dosed every ____ NTE ______/day
6-8 hr
4 doses
Musculoskeletal injuries/disorders:

________- inflammation of a tendon due to acute injury or from chronic overuse
tendonitis
Musculoskeletal injuries/disorders:

________- results from either acute injury to the joint or over-repetitive joint action
bursitis
Musculoskeletal injuries/disorders:

_______- due to gradual softening and destruction of the cartilage between the bones
osteoarthritis
Musculoskeletal injuries/disorders:

systemic analgesics should be used typically for ____ days
1-3
Musculoskeletal injuries/disorders:

counterirritants should not be applied more that 3-4x/day for up to ____
7 days
Musculoskeletal injuries/disorders:

Duration of capsicum it ______, relief occurs 14+ days after therapy. Must be used ______/day
4-6 hrs
3-4x
Musculoskeletal injuries/disorders:

patients should consult PCP is pain persistant or worsened after ______
10 days
Colds:

majority of colds caused by _____
rhinovirus
Colds:

peak viral concentrations occur ______ after initial infection
2-4 days
Colds:

_____- watery eyes; itchy nose, eyes, or throat; repetitive sneezing; nasal congestion; watery rhinorrhea; red, irritated eyes with conjunctival infection
allergic rhinitis
Colds:

________- cough, dyspnea, wheezing
asthma
Colds:

______- sore throat; nasal congestion; rhinorrhea; sneezing common; low grade fever; chills; HA; malaise; myalgia; cough possible
cold
Colds:

_______- myalgia, arthralgia, fever; sore throat; nonproductive cough; moderate-severe fatigue
influenza
Colds:

_________ is a decongestant recommended for pregnant patients
oxymetazoline
Allergic rhinitis:

________: symptoms <4 days/week or <4weeks
intermittent
Allergic rhinitis:

________: symptoms >4 days/week and >4weeks
persistant
Allergic rhinitis:

for pregnant patients __________ is the recommended nasal spray, and ______ is the recommended antihistamine
cromolyn sodium
loratadine
Allergic rhinitis:

recommeneded dosage of cromolyn sodium is 1 spay in each nostril ______/day
3-6x
Allergic rhinitis:

Triamcinolone is an intranasal steroid approved for ______ and older
2y/o
Allergic rhinitis:

Fluticasone is an intranasal steroid approved for ______ and older
4y/o
Allergic rhinitis:

Budesonide is an intranasal steroid approved for ______ and older
6y/o
Cough:

codeine concentration may not exceed ______
200mg/100ml
Cough:

______- only FDA approved nonprescription expectorant
guaifenesin
Cough:

patients with cough lasting ____, or coming/going, or keeps coming back are excluded from self care
>7 days
Cough:

patients with fever of ________ or lower fever that does not resolve with usual self care are excluded from self treatment
103 F