Gastrointestinal

Question 1

H2-Antagonist

Answer 1

“tadine” ending
Tx: peptic ulcer disease, heartburn
S/S: confusion among older people, n/v
Don’t give to children <12

Question 2

Omeprazole (Prilosec)

Answer 2

PPI
Take 1hr before food
S/S: long-term = osteoporosis

Question 3

Sucralfate

Answer 3

Coats stomach, coating the ulcers
Take at bedtime and 1hr before meals

Question 4

Misoprostol

Answer 4

Tx: NSAID ulcers, cervical ripening in labor

Question 5

Ondansetron (Zofran)

Answer 5

S/S: headache, EPS, anticholinergic
Scheduled

Question 6

Dimenhydrinate

Answer 6

Tx: motion sickness, vertigo, emesis management
S/S: sedation, paradoxical excitation in peds, anticholinergic

Question 7

Metoclopramide

Answer 7

Increases gastric emptying
S/S: diarrhea, cramping, EPS
Watch for bloody stool
CI: obstruction of bowels

Question 8

Psyllium

Answer 8

Increases water into the stool
Take with 8oz of water
CI: obstruction

Question 9

Docustate sodium, senna

Answer 9

Tx: prevent straining, consipation
S/S: diarrhea
Don’t combine with oils or herbal supplements

Question 10

Bisacodyl

Answer 10

May be abused for weight loss
S/S: Atonic colon = intestines lose the ability to self-stimulate
Tx: constipation

Question 11

Lomotil, Imodium

Answer 11

Tx: diarrhea
S/S: CNS depression, sedation, anticholinergic

Question 12

Alosetron

Answer 12

REPORT CONSTIPATION
Only indicated for females, need consent
Tx: IBS-D

Question 13

Lubiprostone

Answer 13

“lube up a stone”
Vasodilator
S/S: headache, dizziness, flatulence
Tx: IBD

Question 14

Sulfasalazine

Answer 14

Look for sensitivity
S/S: photosensitivity, orange-tinted secretions
Tx: IBD

Question 15

Immunosuppressants (azathioprine, cyclosporine, methotrexate)

Answer 15

S/S: bone marrow suppression, immunocompromised - watch for infection
Get regular CBC monitoring
Tx: IBD