Clinical Questions Flashcards
1st line pharmacologic treatment for GERD
PPI 8 week trial
Lifestyle modifications for GERD
Weight loss
Elevate head
Avoid eating within 2-3 hours before bed
Avoid caffeine, chocolate, spicy foods, carbonated beverages
GERD treatment after PPI 8 week trial fails
- Maintenance PPI at lowest dose
- H2RA if there is no erosive esophagitis
Acute symptom relief of heart burn
1st Antacids (fast onset)
2nd HR2A
H. Pylori PUD treatment 1st line
Bismuth
Metronidazole
Tetracycline
PPI
H. pylori PUD treatment for pregnancy women
Amoxicillin
Clarithromycin
Metronidazole
PPI
**avoid tetracycline
NSAID induced PUD treatment
- misoprostol
- sucralfate
Which PPIs come as OTC?
Lansoprazole (Prevacid)
Omeprazole (Prilosec)
Esomeprazole (Nexium)
Which PPIs would you recommend for people you need to after a meal?
Dexlansoprazole (Dexilant)
Pantoprazole (tablets)
Patient is also on clopidogrel. What PPIs should you avoid?
Omeprazole
Esomeprazole
Which PPIs could you choose from if the patient is NPO?
Pantoprazole (Protonix)
Esomeprazole (Nexium IV)
A patient has been taking OTC medication for constipation for several weeks without relief. How would you classify this?
Chronic Idiopathic Constipation (CIC)
Which conditions commonly cause constipation?
Hypothyroidism
Parkinson
IBS
Multiple Sclerosis
CVA/Stroke
Diabetes
A pregnant woman walks into your pharmacy complaining of constipation. What would you recommend?
Bulk forming drugs
EX: psyllium (Metamucil), polycarbophil (FiberCon), methylcellylose (Citrucel)
Eat more fiber and drink more water
A patient is 62 years old who is healing from a recent surgery. The patient is taking Vicodin and Naproxen. Now, the patient is complaining of constipation. What would be your recommendation?
Stimulant laxatives like bisacodyl (Dulcalax) or Senna
+ stool softener if needed like docusate (Colace)
