Diarrhea

Question 1

What is the most common bacterial cause of diarrhea?

Answer 1

E. coli

Question 2

Most cases of diarrhea are

Answer 2

Viral

Question 3

Replace fluid and electrolytes with oral rehydration solutions such as:

Answer 3

pedialyte or Enfamil Enfalyte (v important for children and elders)

Question 4

Most patients with non-infectious diarrhea who require symptomatic relief can use short-term: _____ or ____ as needed

Answer 4

Pepto-bismul or loperamide

Question 5

These anti motility drugs are used to slow intestinal motility and prolong the time for water an absorption

Answer 5

loperamide and diphenoxylate

Question 6

Pand and abdominal discomfort of IBS-D can be managed with:

Answer 6

antispasmodics (dicyclomine) and antidepressants in some cases

Question 7

This mu-opioid receptor agonist binds to the opioid receptors as an agonist to treat diarrhea

Answer 7

Eluxadoline

Question 8

List drugs that can cause diarrhea

Answer 8

Antacids containing Mg
Antibiotics
Metformin, GLP-1 agonists
methotrexate, irinotecan
Colchicine
Misoprostol
Mycophenolate
Metaclopramide, cisapride
Nelfinavir
Quinidine
Roflumlast

Question 9

Loperamide, Lomotil, and pepto-bismul are examples of

Answer 9

Anti-diarrheals

Question 10

Children and teenagers who are recovering from the flu, chickenpox, or any other viral infection should NOT use?

Answer 10

pepto-bismul (Reye’s)

Question 11

This medication can cause black tongue/stool, tinnitus, and nasuea

Answer 11

Pepto

Question 12

This medication has a boxed warning for TdP, cardiac arrest and sudden death with doses higher than recommended; do not use in children <2; do not use >48hrs

Answer 12

Loperamide

Question 13

This drug has a contraindication with risk of respiratory and CNS depression in children: do not use if <2 of age or <6 for tablets

Answer 13

Lomotil

Question 14

This anti-diarrheal is a C-V

Answer 14

Lomotil

Question 15

Bentyl

Answer 15

Dicyclomine

Question 16

Diphenoxylate/atropine

Answer 16

Lomotil

Question 17

Bentyl is an example of

Answer 17

antispasmodic

Question 18

Viberzi

Answer 18

Eluxadoline

Question 19

Viberzi is an example of

Answer 19

Peripherally-acting mu-opioid receptor AGONIST

Question 20

What drug is contraindicated to those without a gallbladder?

Answer 20

Viberzi

Question 21

This drug is approved for women only but has restricted use due to the risk of ischemic colitis

Answer 21

Alosetron (Lotronex)

Question 22

Why does Lomotil have anticholinergic effects?

Answer 22

the atropine component - added to dec abuse as it can cause euphoric effects

Question 23

When should you refer to a PCP?

Answer 23

<6 months of age, preg, high fever (101f), severe abdominal pain or blood in the stool