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68WM6 Ph 2 GI Meds

Gastrointestinal Medications

QuestionAnswer
this class of GI medications in general should be taken on a regular schedule, 1 to 3 hours after each meal and at bedtime antacids
to provide maximum benefit, an antacid treatment should elevate gastric pH above... 5
to prevent reactions with other medications, you should allow ___ ______ between antacid administration and the administration of other medications 1 hour
these antacids are slow acting, contain significant amounts of sodium, and commonly cause constipation aluminum hydroxides
these antacids are rapid acting and release carbon dioxide in the stomach, causing belching and flatulence calcium carbonates
these antacids are rapid acting and can also act as saline laxatives, causing diarrhea, and are contraindicated in patients with obstruction, appendicitis, or undiagnosed abdominal pain magnesium hydroxides
this antacid has a rapid onset, increases flatulence and abdominal pressure, and can induce systemic alkalosis sodium bicarbonate
magnesium hydroxide is usually administered in combination with _______ _________ to prevent diarrhea aluminum hydroxide
this gastric protectant agent is administered with meals, and can cause diarrhea and abdominal pain misoprostol (cytotec)
this gastric protectant agent should be taken on an empty stomach and may cause constipation sucralfate (carafate)
this glass of gastrointestinal medications supresses the secretion of gastric acid by blocking histamine at the receptor site; used for long tem management of GERD H2 Receptor Antagonists
this H2 receptor antagonist passes the blood-brain barrier, and can also cause hypotension and dysrhythmias cimetidine (tagamet)
this H2 receptor antagonist does not cross the blood brain barrier and rarely produces side effects ranitidine (zantac)
this class of GI medications suppresses gastric acid secretion and is used to treat active ulcer disease, erosive esophagitis, and hyperseretory conditions proton pump inhibitors
common H2 receptor antagonists cimetidine (tagamet), famotidine (pepsid), nizatidine (axid), and ranitidine (zantac)
common proton pump inhibitors esomeprazole (nexium), lansoprazole (prevacid), omeprazole(prilosec) pantoprazole (protonix), rabeprazole (aciphex)
dual therapy for H pylori infection usually includes either zantac or prilosec in combination with clarithromycin (biaxin)
triple therapy for H. pylori includes what components? two antibacterial agents and a proton pump inhibitor
this class of medications stimulates the motility of the GI tract and increases the rate of gastric emptying without stimulating gastric, biliary, or pancreatic secretions GI stimulants
at what time of day are GI stimulants generally administered? 30 minutes before meals and at bedtime
when are GI stimulants contraindicated? mechanical obstruction, perforation, or GI hemorrhage
this GI stimulant can cause parkinson's like symptoms reglan (metoclopramide)
commonly used GI stimulants bethanechol chloride (urecholine, duvoid), dexpanthenol (ilopan), metoclopramide (reglan), neostigmine methylsulfate (prostigmin)
these two medications are used to treat hepatic encephalopaty lactulose(cholac), neomycin (mycifradin)
this medication for hepatic encephalopathy lowers colonic pH, causing ammonia to be pulled into the bowel and excreted in the feces and improves protein tolerance in patients with advanced hepatic cirrhosis lactulose (cholac)
this medication for hepatic encephalopathy reduces the number of colonic bacteria thus reducing ammonia production neomycin (mycidfradin)
how is the choice of an antiemetic determined? by the cause of nausea
these 5 classes of medications are used in the treatment of inflammatory bowel disease antimicrobials, 5-aminosalicylates, corticosteroids, immunosuppressants, immunomodulators
this class of medication is used to prevent or treat secondary infection associated with inflammatory bowel disease antimicrobials
these two classes of medications are used to decrease gastrointestinal inflammation in inflammatory bowel disease 5-aminosalicylates, corticosteroids
this class of medication is used to suppress the immune system in inflammatory bowel disease immunosuppressants
this class of medication reduces inflammation and interrupts the movement of leukocytes, which reduces inflammatory response in the treatment of inflammatory bowel disease immunomodulators
the antimicrobial most commonly used in the treatment of inflammatory bowel diseases metronidazole (flagyl)
5-aminosalicylates that are commonly used in the treatment of inflammatory bowel disorders sulfasalazine(azulfidine), mesalamine (rowasa), olsalazine (dipentum)
corticosteroids commonly used in the treatment of inflammatory bowel disorders cortisone, prednisone, budesonide (entocort), hydrocortisone
immmunosuppressants commonly used in the treatment of inflammatory bowel disorders azathioprine (imuran), cyclosporine (neoral), mercaptopurine
immunomodulators commonly used in the treatment of inflammatory bowel disease infliximab (remicade), natalizumab (tysabri)
common side effect of antiemetics drowsiness
this type of laxative absorbs water into feces and helps produce large, soft stools; contraindicated in bowel obstruction bulk-forming laxatives
this type of laxative stimulates motility of the large intestin stimulant cathartic
this type of laxative attracts water into the large intestine to produce bulk and stimulate peristalsis saline (osmotic) cathartics
this type of laxative interferes with the absorption of fat soluble vitamins and softens stool lubricant
these medications inhibit absorption of water in the large intestine resulting in softer stool stool softerners
commonly used bulk forming laxatives fibercon, citrucel, metamucil
commonly used stimulant cathartics bisacodyl, castor oil
commonly used saline (osmotic) cathartics lactulose, mag citrate, milk of magnesia, golytely, sodium phosphates (fleet enema)
commonly used stool softeners docusate calcium (surfak), docusate sodium (colace)
commonly used lubricant laxative mineral oil
when should opoids not be used to control diarrhea? poisons, infections, or bacterial toxins
these medications relax the smooth muscle of the GI tract antispasmodics
opioids used to treat diarrhea codeine, difenoxin with atropine (motofen), diphenoxylate with atropine (lomotil), loperamide (imodium), tincture of opium
commonly used antispasmodic dicyclomine hydrochloride (antispas, bentyl)
Created by: ewoff85