Exam 3 GI Flashcards
Phenergan Indication/MOA?
Antiemetic
D, M, H block
Phenergan C/I?
< 2 yo
Elderly
Severe resp dz
CNS depressants
Phenergan S/E?
Sedation
Resp depress
Zofran Indication/MOA?
Antiemetic - prevention
5-HT3 block
Safer for preggos
Zofran S/E?
Very few
Reglan Indication? (4)
Antiemetic/Promotility N/V prevent GERD Gastroparesis NOT 1st choice (s/e)
Reglan S/E?
EPS
TARDIVE DYSKINESIA
Imodium Indications/MOA?
Antidiarr
Binds gut opioid recep -> inhib peristalsis, ↑anal sphincter
Imodium precautions? (3)
S/E? (3)
Bloody/bacterial diarr
Diarr > 48 hrs
IBD
Toxic mega
Ileus
Constp
Lomotil Indication/MOA?
Antidiarr
Inhib peristalsis
Lomotil precautions?
S/E? (4)
Same as imodium
Toxic mega
Ileus
Constp
Resp depress
Pepto-Bismol MOA? (4)
Absorb H2O
↓secretions
Binds toxins
Antimicrobial
Pepto precautions?
S/E? (2)
C/I ASA allergy, kids
Black stool
Black tongue
Docusate Na+ Indication/MOA?
Laxative
Mix stool/fat/H2O
Docusate Na+ precautions?
Acute abd
Obstruction
Safe for preggos
Mineral Oil Indications/MOA?
Laxative
Coats/lubes stool
Mineral Oil precautions?
Old
Mg citrate Indication?
Precautions? (3)
S/E? (2)
Laxative - ACUTE
Acute abd
Obstruction
Renal dysf
e-
Cramping
Miralax Indication?
Precaution?
S/E?
Laxative - chronic
Obstruction
e-
Amitiza (lubiprostone) Indication/MOA?
Precaution?
S/E? (3)
Laxative - Chronic, IBS
Activate Cl- chan -> ↑secretions/motility
Obstruction
N/D
HA
Abd pain
Antacids indications?
S/E?
Occastional dyspep, mild GERD
Inhib absorb/elim many meds
H2 Blockers meds?
Indications?
Precautions?
Zantac, Pepcid
Dyspep, GERD, PUD
↑Warfarin
↓absorb lots of meds
PPI meds?
Indications? (4)
-prazoles
Mod/Sev GERD
PUD
Erosive esoph
Ulcer prophy w/ NSAIDs
Works best in a.m.
PPI S/E?
Precautions?
N/D
HA
↓Ca2+ absorp
↓efficacy of Plavix
↑risk of infection
