ANTACIDS Flashcards
What compounds cause constipation
Aluminium
what compounds in antacids cause diarrhoea
Magnesium
What should be avoided in renal impairment
Avoid anatacids that contain magnesium or large amount of sodium
What can cause encephalopathy?
Bismuth sulphate containing antacids caused by neurotoxicity
What are risk factors for peptic ulcers?
65 yrs>
high dose NSAIDs;
other drugs that increase the risk of gastro-intestinal adverse-effects (e.g. anticoagulants, corticosteroids, selective serotonin reuptake inhibitors);
serious co-morbidity (e.g. cardiovascular disease, hypertension, diabetes, renal or hepatic impairment);
heavy smoker;
excessive alcohol consumption;
previous adverse reaction to NSAIDs;
prolonged requirement for NSAIDs.
what antacid must be avoided in pregnant women and why?
Misoptrolol- can induce labour or abortion
What is treatment options in peptic ulcer?
PPI
H2 Antagonist
sucralfate
Why should sucralfate be avoided in those with feeding tubes?
reports if bezoar formation, used in caution in those seriously ill, enteral feeds or delayed gastric emptying.
What does gaviscon contain?
Alginate
Bicarbonate
C Calcium carbonate
What is GORD?
Term used to describe; heart burn, acid regurgitation , dysphagia, ulceration, oesphagisits
What is treatment against GORD in pregnancy?
Lifestyle advice
Antacid
PPI- omeprazole in severe or complicated reflux disease
What is treatment against GORD in children?
Lifestyle changes;
change of frequency and volume of feed; thickened formula can be used
Antacid alginate
H2 antagonist
