Exam 1 GI Memorization Flashcards
OTC dose of cimetidine
200mg BID
OTC dose of famotidine
10mg BID
OTC dose of nizatidine
75mg BID
OTC dose of ranitidine
75mg BID
Nonerosive GERD dose of cimetidine
400mg BID
Nonerosive GERD dose of famotidine
20mg BID
Nonerosive GERD dose of nizatidine
150mg BID
Nonerosive GERD dose of ranitidine
150mg BID
OTC dose of esomeprazole
20mg daily x 14 days every 4 months
OTC dose of lansoprazole
14mg daily x 14 days every 4 months
OTC dose of omeprazole
20mg daily x 14 days every 4 months
OTC dose of omeprazole + sodium bicarbonate
20mg/1100mg daily x 14 days every 4 months
Nonerosive/maintenance dose of dexlansoprazole
30mg daily
Nonerosive/maintenance dose of esomeprazole
20mg daily
Nonerosive/maintenance dose of lansoprazole
15-30mg daily
Nonerosive/maintenance dose of omeprazole
20mg daily
Nonerosive/maintenance dose of pantoprazole
40mg daily
Nonerosive/maintenance dose of rabeprazole
20mg daily
Nonerosive/maintenance dose of omeprazole + sodium bicarbonate
20mg/1100mg daily
Erosive GERD dose of dexlansoprazole
60mg daily
Erosive GERD dose of esomeprazole
40mg daily
Erosive GERD dose of lansoprazole
30mg BID
Erosive GERD dose of omeprazole
20mg BID
Erosive GERD dose of pantoprazole
40mg BID
Erosive GERD dose of rabeprazole
20mg BID
Erosive GERD dose of omeprazole + sodium bicarbonate
20mg/1100mg daily
What PPIs are available IV?
Pantoprazole and esomeprazole
What PPI is available as ODT?
Lansoprazole
Which PPIs may not be crushed?
Pantoprazole, rabeprazole
Which PPIs may be opened and dissolved in applesauce or water?
Omeprazole, esomeprazole, lansoprazole, and dexlansoprazole
Dose of docusate?
100mg daily or BID
Dose of sorbitol for constipation?
30-60mL daily
Dose of lactulose for constipation?
30-60mL daily
Dose of PEG for constipation?
17g dissolved in 4-8oz fluid daily
Dose of senna for constipation?
2 tablets 1-2 times daily
Dose of bisacodyl for constipation?
1-2 tablets daily
Dose of castor oil for constipation?
30-60mL daily
Dose of bisacodyl suppository?
10mg daily PR
Dose of lubiprostone for constipation?
24mcg BID with food
Dose of linaclotide for constipation?
145mcg daily 30 minutes before 1st meal of the day
Dose of methylnaltrexone?
8-12mg SC QOD
Dose of naloxegol?
25mg PO daily
Dose of loperamide?
4mg PO initially, then 2mg after each loose stool. NTE 16mg per day
Dose of diphenoxylate/atropine?
5mg (2 tablets) 4x daily, NTE 20mg per day.
Dose of difenoxin/atropine?
2mg (2 tabs) initially, then 1 with each loose stool, NTE 8 tabs daily
Dose of pepto-bismol for diarrhea?
2 tablets or 30mL q30-60minutes prn, up to 8 doses per day.
Dose of linaclotide for IBS-C?
290mcg daily on empty stomach 30 min before 1st meal of day
Dose of lubiprostone for IBS-C?
8mcg BID
Dose of dicyclomine for IBS?
20-40mg PO q6h, 30-60 min before meals
Dose of hyoscyamine for IBS?
0.125-0.25mg PO/SL q4h prn (MAX 1.5mg/day)
Dose of rifaximin for IBS-D?
550mg TID x 14 days
Dose of eluxadoline for IBS?
75-100mg BID with food
How is lorazepam dosed for prevention of acute CINV in high emetic risk?
0.5-2mg IV or PO q4-6h prn days 1-4
How is olanzapine dosed for prevention of acute CINV in high emetic risk?
10mg PO on days 1-4
How is dexamethasone dosed for prevention of acute CINV in high emetic risk?
12mg I/PO on day 1, then 8mg daily on days 2-4 (can be up to 12mg or BID)
How is palonosetron dosed for prevention acute CINV (in regimens excluding netupitant) in high emetic risk?
0.25mg IV on day 1
How is palonosetron dosed for prevention of acute CINV in a regimen including netupitant in high emetic risk?
0.5mg IV on day 1
How is budesonide to induce UC remission?
6-8mg/day for up to 8 week
How is prednisone dosed to induce UC remission?
40-60mg PO daily, taper 5-10mg/week until dose of 20mg/day is reached, then taper 2.5mg/week
How is Solu-Merol dosed to induce UC remission?
16-20mg q6h
How is Solu-Cortef dosed to induce UC remission?
100mg q8h
Azathioprine dose for IBD?
0.5-1.5mg/kg IBW, may increase to max of 2.5mg/kg/day
Mercaptopurine dose for IBD?
0.25-0.5mg/kg IBW, increase to max of 1-1.5mg/kg/day
Methotrexate dose for CD?
15-25mg SC/IM weekly
Cyclosporine dose for UC?
2-4mg/kg/day IV, double the IV dose for PO, divide BID
Infliximab dose for UC/CD?
5mg/kg IV infusion over 2 hours at 0, 2, 6, then q8weeks. May increase to 10mg/kg q8.
Adalimumab dose for UC/CD?
160mg SQ at week 0, 80mg at week 2, then 40mg QOW after
Golimumab dose for UC?
200mg SQ at week 0, 100mg week 2, 100mg q4w after
Certolizumab pegol dose for CD?
400mg SQ at week 0, 2, 4 then 400mg q4weeks
Natalizumab dose for CD?
300mg IV infusion over 1 hour q4 week
What is the bedside schwartz equation for calculating GFR in pediatric patients?
0.413 x height in cm / SCr = mL/min per 1.73 m^2
Pediatric dose of ranitidine IV and oral?
IV: 1-2mg/kg q8-12h (MAX 300mg)
PO: 4-8 mg/kg/day divided BID
Pediatric dose of famotidine IV and oral?
IV: 0.5mg/kg 1-2 times daily (MAX 40mg)
PO: 1mg/kg/day divided BID (MAX 40mg)
Used 3months-12yo
Pediatric dose of lansoprazole?
1mg/kg/day in infants in children
Pediatric dose of omeprazole?
~1mg/kg/day in infants and children.
Dose of PEG for pediatric disimpaction?
1-1.5g/kg/day x 3-6 days
Dose of mag citrate for pediatric disimpaction?
4mL/kg/day x 2 consecutive days
Dose of PEG for pediatric maintenance?
1g/kg/day
Docusate dose for pediatric constipation prevention?
5mg/kg/day (up to 400mg/day)
Octreotide dose for acute variceal bleeding?
50-100mcg IV bolus then 25-50mcg/hr infusion x1-3 days
Esomeprazole or pantoprazole dose for variceal bleeding?
Initial 80mg IV load then 8mg/hr infusion x 3-5 days, then high dose x 4 weeks
How should you start propranolol post variceal bleed?
10mg BId or TID, titrate to BP and HR tolerance
How should you start nadolol post variceal bleed?
20mg daily, titrate to HR/BP, adjust for renal failure
How is albumin dosed after therapeutic paracentesis?
If removed volume is >5L, give albumin at 8gm/L of ascitic fluid
Metronidazole dose to prevent hepatic encephalopathy?
250mg PO q6-12h
Lactulose dose to treat then prevent hepatic encephalopathy?
Initial: 45mL/hr until catharsis
15-45mL q8-12h, titrate to 3-4 soft bowel movements daily
Neomycin dose for HE prevention?
3-6g/day (divided doses)
Rifaximin dose for HE?
Treatment: 400mg q8h x5-10 days
Prevention: 550mg BID
Famotidine dose for SRMD prophylaxis?
PO: 20mg BID
IV intermittent: 20mg BID
IV continuous: 1.7mg/hr
Ranitidine dose for SRMD prophylaxis?
PO: 150mg BID
IV intermittent: 50mg q6-8h
IV continuous: 6.25mg/hr
Cimetidine dose for SRMD prophylaxis?
300mg QID PO
Cimetidine dose for active ulcer?
800mg at bedtime
400mg BID
300mg QID
Cimetidine dose for PUD maintenance?
400-800mg at bedtime
Famotidine dose for active ulcer?
40mg at bedtime
20mg BID
Famotidine PUD maintenance dose?
20-40mg at bedtime
Nizatidine dose for active ulcer?
300mg at bedtime
150mg BID
Nizatidine dose for PUD maintenance?
150-300mg at bedtime
Ranitidine dose for active ulcer?
300mg at bedtime
150mg BID
Ranitidine dose for PUD maintenance?
150-300mg at bedtime
Esomeprazole dose for active ulcer?
20-40mg daily/BID
Lansoprazole dose for active ulcer?
15-30mg daily/BID
Omeprazole dose for active ulcer?
20-40mg daily/BID
Pantoprazole dose for active ulcer?
40mg daily/BID
Rabeprazole dose for active ulcer?
20mg daily/BID
Esomeprazole dose for PUD maintenance?
20-40mg daily
Lansoprazole dose for PUD maintenance?
15-30mg daily
Omeprazole dose for PUD maintenance?
20-40mg daily
Pantoprazole dose for PUD maintenance?
40mg daily
Rabeprazole dose for PUD maintenance?
20mg daily
Sucralfate dosing?
1gm QID or 2g BID 2 hours before or 4 hours after other medications.
Misoprostol dose for NSAID induced PUD prophylaxis?
200mcg PO BID-QID
How long should H2RA or sucralfate therapy be continued for PUD?
6-8 weeks
How long should PPI therapy for PUD be continued?
4 weeks
Omeprazole dose for NSAID induced PUD prevention?
20mg daily
Lansoprazole dose for NSAID induced PUD prevention?
15-30mg daily
Rabeprazole dose for NSAID induced PUD prevention?
20mg daily
Pantoprazole dose for NSAID induced PUD prevention?
40mg daily
Esomeprazole dose for NSAID induced PUD prevention?
20-40mg daily
How long should PPI/H2RA/sucralfate be continued for an NSAID induced ulcer if the NSAID was discontinued?
6-8 weeks
How long should PPI be continued for an NSAID induced ulcer if the NSAID was NOT discontinued?
PPI for 8-12 weeks