Gastroparesis And Malabsorption

Question 1

What 3 drugs should you d/c for gastroparesis?

Answer 1

1. Anticholinergic agents
2. Glp 1 agonists
3. Opioids

Question 2

What is the first line treatment for gastroparesis?

Answer 2

Metoclopramide

Question 3

What is the boxed warning for Metoclopramide?

Answer 3

Tardive dyskinesia

Question 4

What are the 3 common adr for Metoclopramide?

Answer 4

1. Sedation
2. Restlessness
3. QTC prolongation

Question 5

What is the MOA of erythromycin in gastroparesis?

Answer 5

Agonist of the motilin receptor

Question 6

What are the main ADR for domperidone?

Answer 6

1. Severe QTc prolongation leading to cardiac death

Question 7

What do most patients who have short bowel syndrome have to go on lifelong?

Answer 7

TPN

Question 8

When do patients likely need all nutrition via a TPN?

Answer 8

First 3 months

Question 9

When are patients with SBS likely needing most nutrition via TPN but trying to ween off?

Answer 9

Months 3-6 of TPN use

Question 10

When do you slow down a TPN?

Answer 10

After 6 months