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GI
10211973
| 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 |