Save
Busy. Please wait.
Log in using Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

GI System

Petic ulcers, GI disorders, vitmamins/minerals

QuestionAnswer
amoxicillin (Amoxil) bismuth (Pepto-Bismol) clarithromyocin (Biaxin) metronidazole (Flagyl) tetracycline (Achromycin V, Sumycin) Antibiotics
ranitidine (Zantac) cimetidine (Tagamet) famotidine (Pepcid) nizatidine (Axid) H2 Antagonists
SE- decreased libido and impotence CNS effects-lethargy, depression, confusion Tagamet
Use caution with patients that have high risk for pneumonia
H2 antagonists- concurrent use of this med can decrease absorption antacids
Which H2 antagonist inhibits metabolizing enzymes? cimetidine
omeprazole (Prilosec) pantoprazole (Protonix) Proton Pump Inhibitor
Levels of digoxin, phenytoin, warfarin may be increased when taking omeprazole
When to take PPIs once a day before AM meal
Mucosal Protectant sucralfate (Carafate)
sucralfate-to prevent constipation advise patients to increase dietary fiber and drink at least 1500 mL/day
When to take sucralfate 4x day, 1hr before meals and at bedtime
Interferes with absorption and should not take within 30 mins of sucralfate antacids
aluminum hydroxide (Amphojel) aluminum carbonate (Basaljel) magnesium hydroxide (Milk of Magnesia) sodium bicarbonate calcium carbonate (Tums) Antacids
Aluminum and calcium cause constipation
Magnesium cause diarrhea
Amphojel can lead to hypophosphatemia and hypomagnesemia
Binds to warfarin and tetracycline and interfere with absorption. Take 1 hr apart aluminum
How to take antacids chew tablets thoroughly drink 8oz of water or milk
Take all meds one hour before taking antacids
Prostaglandin misoprostol (Cytotec)
Used to prevent gastric ulcers misoprostol
Using magnesium antacids and misoprostol can increase diarrhea
When to take misoprostol meals and bedtime
Managing peptic ulcer disease Avoid eating too many meals Avoid excessive intake of mile and cream Low dose aspirin is permitted Reduce stress wherever possible Avoid smoking
dexamethasone (Decadron) aprepitant (Emend) ondansetron (Zofran) gransisetron (Kytril) prochlorperazine, metoclopramide (Reglan) promethazine (Phenergan) dronabinol (Mairnol) lorazepam (Ativan) Antiemetics
scopolamine dimenhydrinate (Dramamine) treats motion sickness
Increase appetite in patients who have AIDS dronabinol
SE of antiemetics Hypotension, anticholinergic effects, sedation
SE only with prochlorperazine Extrapyramidal symptoms- restlessness, anxiety, spasms of face and neck (RAS)
Tx of EPS anticholinergics
psyllium (Metamucil) docusate sodium (Colace) bisacodyl (Dulcolax) magnesium hydroxide (Milk of Magnesia) senna (Senokot) lactulose (Cephulac) Laxatives
Bulk-forming laxatives-softens fecal mass and increases bulk (like fiber) psyllium
Surfactant laxatives- lowers surface tension of the stool to allow water in docusate sodium
Stimulant laxatives- stimulates intestinal peristalsis bisacodyl
Osmotic laxatives- draw water into the intestine to increase mass of stool magnesium hydroxide
Side effects of laxatives GI irritation, rectal burning
SE of magnesium hydroxide magnesium toxicity
SE of sodium phosphate risk of sodium absorption and fluid retention
Laxative contraindications fecal impacation, bowel obstruction, nausea, cramping and abdominal pain
Interactions with bisacodyl Milk and antacids- take 1 hr apart
Take psyllium and docusate with glass of water
Time to take effect- laxatives oral-6-12 hrs rectal 15 mins
diphenoxylate plus atropine (Lomotil) loperamide (Immodium) paregoric Antidiarrheals
What should patients avoid when taking antidiarrheals? Caffeine-increase GI motility Alcohol- enhances CNS effects Plain water
Prokinetic agents metoclopramide (Reglan)
Which med blocks dopamine and seretonin receptors in the CTZ? metoclopramide
Side effects of metoclopramide sedation, EPS, diarrhea
What meds decrease effect of metoclopramide? Opiods and anticholinergics
IBS with Diarrhea alosetron (Lotronex)
How long does it take for alosetron to work? 1-4 weeks
IBS with constipation lubiprostone (Amitiza)
SE of lubiprostone diarrhea and nausea
Contraindicated for patients with hx of bowel obstruction, Crohns dz, ulcerative colitis, diverticulitis
When to take lubiprostone? BID
sulfasalazine (Azulfidine) mesalamine (Asacol, Rowasa) Olsalazine (Dipentum) 5-aminosalicylates
SE of 5-aminosalicylates blood disorders nausea, cramps, rash, arthalgia
Alter the absorption of sulfasalazine iron, antibiotics
Mesalamine decreases absorption of digoxin
Used to tx numerous GI disorders (ex. c.diff) Consist of bacteria normally found in digestive tract Probiotics
When to take probiotics 2hr after antibiotics
Created by: vescobar
 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards