Elimination Flashcards
Diseases associated with IBD?
Chron’s disease
Ulcerative Colitis
Sxs of IBD?
bleeding
frequent/urgent bowel movements
immune response
permanent damage
Sxs of IBS?
Bloating
constipation
no immune response
reversible damage
What are environmental triggers of IBD?
smoking
infections
NSAIDS
stress
What are pharmacotherapy goals for IBD?
reduce sxs
maintain remission
change course of progression
Treatment of IBS?
lifestyle changes
fiber and laxities
antidepressant
antispasmodic drugs
meds that regulate intestinal motility
Definition of Prophylaxis?
action to prevent disease
Prophylaxis of constipation?
prevent straining
pregnancy
elderly with weak muscles
patients with decreased mobility
meds that cause constipation
What is brand name of psyllium?
Metamucil
What is psyllium?
bulk-forming laxative
brings water back into stool to normal level
What is brand name of polyethylene glycol?
Miralax
What is polyethylene glycol?
osmotic laxative
soften stool and increase bowl movements
can be used as bowel prep
What is brand name of bisacodyl?
Dulcolax
What is bisacodyl?
stimulant laxative
causes peristalsis and clears ball
watch for dehydration
What is brand name of naloxegol?
Movantic
What is naloxegol?
opioid antagonist
blocks mu receptors
opioid-induced constipation
watch for opioid withdrawal
What is brand name of docusate?
Colace
What is docusate?
stool softener
mild; not fast acting
What is brand name of senna?
Senokot
What is senna?
herbal stimulant
acute constipation and bowel prep
What is lubiprostone?
increases intestinal fluid
What does lubiprostone treat?
chronic constipation
IBS-C
Opioid-induced
What is brand name of loperamide?
Imodium
What does loperamide do?
non-opioid antidiarrheal
slows peristalsis
ileostomy management
How long to use loperamide for chronic diarrhea?
10 days
How long to use loperamide for acute diarrhea?
48 hours
What is diphenoxylate w/atropine?
opioid with anticholinergic
Schedule 5 Opioid
slow peristalsis
