Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Normal Size Small Size show me how
Unit 3 Meds
GI Drugs
| Question | Answer |
|---|---|
| Drugs for Peptic Ulcer Disease | Tagamet, Pepcid, Zantac, Prilosec, Nexium, Prevacid, Protonix, Carafate, Cyotec |
| H2 Receptor Antagonist - Blocks secretion of gastric acid | Tagamet, Pepcid, Zantac |
| Tagamet | Use cautiously in elderly, may cause confusion. Interferes with coumadin and dilantin |
| Pepcid | Can decrease platelet count (thrombocytopenia) |
| Proton Pump Inhibitors | Prilosec, Nexium, Prevacid, Protonix |
| Prilosec, Nexium, Prevacid, Protonix | Permanently inhibit enzymes that produce gastric acid. Recommended to take for 4-8 weeks, not long term. Increases pH of stomach which increases bacterial growth making an increased risk for pneumonia |
| Carafate | Adheres to opening of ulcer and creates barrier against acid. Does not neutralize acid or decrease secretion. Administer on empty stomach and do not give w/ other meds |
| Cytotec | Used to prevent ulcers from NSAID use. Category X. S/E: Diarrhea, vaginal spotting, stimulates uterine contractions |
| Zofran | Treats nausea, vomiting from radiation, chemo and post surgicals |
| Scopalamine | Used for motion sickness. S/E: (anticholinergic) dry mouth, blurred vision, urinary retention, constipation |
| Compazine | Increased prolonged QT which can lead to dysrhythmias. Sedative effect. S/E: (anticholinergic) dry mouth, blurred vision, urinary retention, constipation |
| Inapsine & Phenergan | Used with kids. Has a sedative effect |
| Reglan | Works in brain to block vomiting, increases peristalsis (moves bowel) |
| Imodium | Anti-diarrheal. Suppresses bowel motility. Decreases fluids in bowel lumen. If take to much get constipated |
| Pepto Bismol | Anti-diarrheal S/E: Can cause blackened stools and tongue. |
| Zellnorm | Used for irritable bowel syndrome. Do not use if cardiovascular risks. Increased GI motility & secretions. Decreased bloating, constipation and abdominal pain. |
| Laxatives | Citrucel, Colace, Golytely, Senakot, Dulcolax |
| Citrucel | Laxative that produces soft formed stool in 1-3 days. Absorbs water (draws H2O) into bowel. Softens and enlarges fecal mass stimulating peristalsis |
| Colace | Laxative that facilitates penetration of water and electrolytes into bowel (stool softener). Used for post-op patients |
| Golytely | Laxative: Powder form: Used as osmotic laxative to make you go and go. Used pre-op (colonoscopy). Low dose (1x day) = semi-fluid BM in 6-12 hours. High Dose = liquid stool in 2-6 hours |
| Senakot | Laxative that stimulates peristalsis. See stool in 6-12 hours |
| Dulcolax | Laxative that can be given as suppository. BM in 15-60 minutes |
| Antacids | Taken 1-3 hours after meal & at bedtime. Bases/alkaline compounds that neutralize stomach acid |
| Milk of Magnesia | Magnesium based. Can cause diarrhea. Do not give if obstruction or appendicitis. Avoid w/ renal patients |
| Mylanta, Maalox, Gaviscon | Have aluminum and magnesium (antacids) |
| Magnesium based | causes diarrhea |
| Aluminum based | causes constipation |
| Drugs for Inflammatory Bowel Diseases | Sulfasalazine, Asacol, Prednisone, Imuran, Remicade |
| Sulfasalazine | First choice drug for IBD, decreases inflammation in bowel. S/E: yellow/orange discoloration of skin/urine, photosensitivity, nausea, fever, rash. Avoid w/ sulfa allergy |
| Asacol | Used for IBD, decreases inflammation. S/E: headache and GI upset |
| Prednisone | Used for IBD. Gets them into remission |
| Imuran | Used for IBD. Gets them into remission, only used for patients who do not respond to other therapy. Not a first choice drug |
| Remicade | Inhibits tubonecrosis factor. Given IV. Give initial infusion again at 2, 6, 8 weeks then q8 weeks. Watch for infection, TB opportunis. Infusion reaction (fever, chills, hives, chest pain, dyspnea). Not always covered by insurance, very expensive |
| Hepatitis (viral) | Alpha-interpheron, Epivir, Hepsera, Ribavirin |
| Alpha-interpheron | Blocks viral entry into cells and synthesis of viral proteins, given subcut. S/E: arthrodial (joint) pain, fatigue, depression, insomnia, & injection site reactions |
| Epivir | Used for Hep B. Given po for 1 year. Inhibits viral DNA synthesis. Use caution in renal patients. reserved for pregnant women or immune compromised |
| Hepsera | Used with Epivir for resistant Hep B. Given po for 1 year. Nephrotoxic |
| Rebetol | Used for Hep C given 2x week. S/E: Anemia, anorexia. Avoid in pregnancy. Treat yourself and your partner |
| Cirrhosis | Vitamin K, Lactulose, Inderal, Aldactone, Questran |
| Vitamin K | Given subcut or IV. Stimulates liver to increase clotting factors |
| Lactulose | Decreases ammonia levels which is secreted in feces. Still give if patient has diarrhea |
| Inderal | Beta blocker. Used for portal HTN and for patients with esophagogastritis to decrease bleeding. |
| Aldactone | Potassium sparing diuretic. Blocks action of aldosterone |
| Questran | Binds to bile salts. Decreases cholesterol and irritation of gastric mucosa. Administered before or w/ meals |
| Pancreatic Enzymes | Pancreatin & Pancrealipase |
| Pancreatin & Pancrealipase | Replacement enzymes for pancreas. Enteric coated to protect medicine. Taken w/ every meal and snack |
| Bentyl | Decreases pain from pancreatitis |
| Meridia | Appetite suppression. used short term <12 weeks. S/E: Increased BP and heart rate, dry mouth and insomnia |
| Xenical | Blocks fat breakdown and absorption in intestines. Undigested fat is excreted in feces. S/E: Leakage of stool, flatulance, diarrhea, and bloating |
| Pitressin | Vasopressor that can be used like epinephrine to vasoconstrict around an ulcer to slow bleeding |
| Sandostatin | an IV med for GI bleed that decreases acid and irritability in the stomach |
| Actigall | Breaks apart gallstones clogging duct |
| Neomyocin | Antibiotic, Decreases ammonia producing bacteria in gut. Give po |
| Cyclosporine | Given to transplant patients to bring down chance of rejecting organ |
Created by:
kristyd02
Popular Nursing sets