Diarrhea & AntiDiarrheal Drugs Flashcards
Oral Rehydration Solution ???
Oral Rehydration Salt + Adequate water = ORS
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Different types of ORS ??`
- Citrate saline
- Bicarbonate saline
- Rice saline
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Trisodium Citrate Dihydrate in ORS ?
2.9gm/L
according to lecture slide
NaCl in ORS ?/
2.6 gm/L
KCl in ORS ??
1.5 gm/L
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Dehydration consequences?
- Shock
- Hypovolemia
- Renal failure
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Anhydrous glucose in ORS ?/
13.5gm/L
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Water of the ORS function ??
Corrects fluid loss
Dehydration
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NaCl & KCl function ??
- Correct electrolyte loss
- Maintain electrolyte balance
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Citrate function of ORS >??
Trisodium Citrate dehydrate - 2.5gm/L
- inc absoprtion of Na+ & Glucose
- dec stool output
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HCO3- Bicarbonate function ?/
Correct the acidosis
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Glucose function of ORS ??
Na+ absorption by Na+ Glucose Co-Transporter
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Opioid agonists name ??
AntiMotillity drugs name
- Codeine
- Loperamide
- Diphenoxylate
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A/E of antimotility drugs ??
- Sequestration of fluid in the intestine
- Shock without any diarrhea
- Toxic megacolon
- Abdominal distension
Indiscriminate use of antimotility drugs ??
- Antimotility drugs reduce gastric motility - thats why used in diarrhea
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Contraindication of antimotility drugs»_space;??
Should not be used in young childrens and pts with severe colitis
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Criticize indiscriminate use of antimicrobials in acute diarrhea ??
D caused by Virus Toxins Drugs – NO need of antibiotics
Antibiotics in D when ??
Only if D is caused by Bacteria
Indication of antibiotics ??
- Diagnosed case of cholera
- Dysentry
- Systemic manifestation of endotoxic shock
- Presence of fecal leukocytes (pus cells ) for more than 10/HPF
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Tx of infective diarrhea ??
- Correction of dehydration
- Correction of electrolyte balance
- Use appropriate antibiotics
Shigella – D - Drugs of 1st choice ?
Quinolones
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E coli – D – Drugs ??
- Cephalosporin
- TMP-SMZ
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Complylobacter jejuni - D– Drugs ??
- Arithromycin
- Erythromycin
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v cholerae ?
tetracycline
ciprofloxacin