Exam 2 Gastrointestinal Drugs

Question 1

You need an antacid, you reach for what 3 types of antacids?

Answer 1

Aluminum hydroxide
Magnesium hydroxide
Calcium carbonate (Tums)

Question 2

What might be a side effect of taking calcium carbonate (Tums)?

Answer 2

constipation

Question 3

Name 2 magnesium antacids?

Answer 3

Milk of Magnesia

Maalox

Question 4

Name an aluminum antacid?

Answer 4

Amphojel

Question 5

Name an antacid that forms a protective barrier over an ulcer?

Answer 5

sucralfate

Question 6

What to prescribe a patient with multiple GI acid issues for nocturnal acid control?

Answer 6

Zantac

Question 7

OTC drug for long-term acid suppression?

Answer 7

Prilosec

Question 8

What drug for a patient to prevent NSAID-induced GI lesions?

Answer 8

Nexium

Question 9

Prilosec and Nexium are poor antacids for what?

Answer 9

nocturnal acid control

Question 10

Antacids interfere with what?

Answer 10

absorption of many drugs

Question 11

How long should you wait to take medications after taking an antacid?

Answer 11

2 hours

Question 12

H Pylori associated with what cancer?

Answer 12

lymphoma (cancer of gastric mucosa)

Question 13

Using what can increase risk for stomach cancer?

Answer 13

chronic use of proton pump inhibitors (prilosec, nexium)

Question 14

First line therapy for H. pylori detection?

Answer 14

amoxicillin, clarithromycin, and a proton pump inhibitor like Nexium or Prilosec for one week (yep, all 3)

Question 15

Sometimes H. pylori is resistant to clarithromycin, so what should be prescribed?

Answer 15

levofloxacin

Question 16

What to avoid prescribing with someone with H. pylori peptic ulcer?

Answer 16

aspirin, NSAIDS

Question 17

Name 2 distinct conditions of Inflammatory Bowel Sydrome (IBS)?

Answer 17

ulcerative colitis

Chrohn’s disease