| Question |
Answer |
| What is the results of inbalance between stomach acid and the normal defense barrier |
PUD |
| What does PUD cause |
Gastric and duodenal ulcers |
| Signs and symptoms of an ulcer |
gut pain, epigastric pain, |
| What causes breakdown in body's defense system |
oversecretion of acids, and the use of RX |
| How does smoking affect gurd |
increases acid production, alters blood flow in stomach and irritates the defense mechanisms in the stomach. |
| What does NSAID's drugs do to the stomach |
decrease prostoglandins, which cause the stomach lining to get irritated. |
| What lifetime changes need to be made to lessen the chances of gerd returning |
lower weight, avoid foods and beverages that increase acid production, stop smoking, no alcohol, and small meals |
| Lowers acidity of gastric secretions by buggering HCL and PH 3-4 |
antacids |
| Defoaming agent that breaks up bubbles |
simethicone |
| What tests need to be done before taking antacids |
renal function tests, and magnessium |
| Blood in vomit that looks like coffee grounds |
hematic emesis |
| People that are pregnant, have edema, salt restrictions or high blood pressure should take what kind of antacids |
LOW Na (Sodium) |
| when should antacids be given with other drugs |
1 hr before or 2 hrs after |
| Side effects of antacids |
diarrhea, constipation and tastes like chalk |
| Antacids should not be mixed with |
Digoxin, Iron, and antibiotics |
| What do histamines do to acid secretion |
lower |
| What are the names of histamines |
cimetadine-Tagament |
| What do gastrointsinal prostoglandins RX do |
protect stomach and lessens pain, and promotes healing |
| Type of gastrointsinal prostoglandins |
cytotec-mesoprostal |
| What do proton inhibitors do, and what do they treat |
decrease gastric secretions, and used for sever esophagitis, gerd, and h. pylori |
| What are some proton pumps |
esomeprazole - Nexium |
| What is a coating agent |
sucralfate - Carafate |
| What increases lower esophageal sphincter pressures & lowers reflux, increase stomach contractions, relaxes pyloric valve, increases peristalysis which results in increasing the speed of gastric emptying |
Prokinetic Agent |
| metoclopramide |
Reglan |
| proton pumps |
Nexium, Prevacid, Prilosec, Protonix |
| esomeprazole |
Nexium |
| lansoprazole |
Prevacid |
| omeprazole |
Prilosec |
| pantoprazole |
Protonix |