GI

Question 0

What are the action of systemic anti acids ?

Answer 0

Easily dissolve in gastric fluid

Has rapid onset and short duration

Question 1

Anti acids are used as adjuncts for what d/o?

Answer 1

Peptic ulcer
Gerd
Heartburn

Question 2

What does anti acids do ?

Answer 2

• Neutralize gastric acids

- Help control ulcer pain

Question 3

What are causes of systemic anti acid ?

Answer 3

• Acid base and electrolyte balance

- Rebound hyperacidity

Question 4

If systemic anti acids are used for chronic condition , how will it need to be given ?

Answer 4

Many does at frequent intervals

Question 5

When does acid rebound happen in systemic or no systemic anti acids ?

Answer 5

Both

Question 6

What is rebound hyperactivity ?

Answer 6

• Second effect from takin the med

- Recreations the problem

Question 7

When a patient rebound , how much do you wan the stomach ph to be ?

Answer 7

4-5 ph

Question 8

When you neutralize the stomach and make it less acidic , it makes you feel better and what condition is the stomach in ?

Answer 8

Equilibrium

Question 9

If you have acid secretion in your body and neutralize it too much , what condition does the stomach become ?

Answer 9

Too alkaline

Question 10

How does the stomach become acid again to get back into equilibrium ?

Answer 10

It secretes more acid

Then makes more anti acid to neutralize

Question 11

What is the rebound affect used for ?

Answer 11

-To reduce congestion

After so many days of usage it’s causes congestion because of vasodilation

Question 12

How does the stomach respond to alkalization ? (Acid rebound ) -overdoing it

Answer 12

• Secrete more acid

- Cause pt to take more anti acid to neutralize and cause to body to produce more acid

Question 13

What would cause the patient to go into metabolic alkalosis or metabolic acidosis ?

Answer 13

Based on how much systemic anti acid is given

Question 14

What can sodium bicarbonate cause ?

Answer 14

Liver problems

Question 15

What are non systemic Antiacids useful for ?

Answer 15

• Long term therapy
• Does not alter systemic Acid base imbalance
• Remain in the GI tract

Question 16

What does magnesium base anti acids cause ?

Answer 16

Diarrhea

Question 17

What magnesium base anti acid cause diarrhea ?

Answer 17

MOM ( milk of magnesia )

Question 18

What anti acid med has dual action ? Both diarreah and constipation

Answer 18

MOM ( Milk of magnesia

Question 19

When in gentle large dosage , what is MOM used as ?

Answer 19

A laxative

Question 20

When in small dosage what is MOM used as ?

Answer 20

Antacid

Question 21

What patient would large dosage of MOM be used for :recommended for ?

Answer 21

Upper GI surgery
Barium and barium enema
Light constipation

Question 22

What does magnesium base anti acid do ?

Answer 22

Pulls water out of the GI tract

Question 23

What does aluminum base anti acid cause ?

Answer 23

Constipation

Question 24

What action does aluminum have ?

Answer 24

- It's septic | - Astringen action ( pushes the stool back and causes constriction of the blood vessel

Question 25

Magnesium

Answer 25

Diarreah ( cleans out )

Question 26

Aluminum

Answer 26

Push it back ( constipation )

Question 27

What is the action of anti acid that has magnesium and albuminum ?

Answer 27

No constipation or diarreah

Question 28

What is and anti acid that does not cause constipation or diarreah ?

Answer 28

Maalox

Question 29

What is the best way to administer anti acid ?

Answer 29

1 hour after meals | Then 2-3 hrs after at bedtime (hs )

Question 30

Why is anti acids given after meals , what is the rationale ?

Answer 30

Because you want the food to digest

Question 31

What is produced at bedtime ?

Answer 31

Gastric acid

Question 32

Why is anti acid not given before meal ?

Answer 32

- Because food does not digest properly | - Chemical digestion does not take place

Question 33

When taking liquid antacid why do you drink 8 oz glass of water after ?

Answer 33

So it coats the stomach and spread

Question 34

What are two liquid base anti acids ?

Answer 34

Maalox and mylanta

Question 35

What are effervescent tablets ?

Answer 35

They dissolve in water eg: alka seltzer

Question 36

When takin anti acid tablets , what do you want to do when teaching pt ?

Answer 36

Demonstrate and get feedback

Question 37

What is a chewable antiacid tablet ?

Answer 37

Pepto - bismol

Question 38

What do you want to teach patient about chewable tabs ?

Answer 38

-chew it completely -do not swallow whole Comes in cellophane ( take of cover -drink a glass of water

Question 39

Maalox & Gelusil

Answer 39

Magnesium and aluminum base | Prevent diarreah and constipation

Question 40

What patient should magnesium base antiacid not be given too ?

Answer 40

Pt with renal failure

Question 41

What can tums cause ?

Answer 41

Rebound hyperacidity

Question 42

What patient are baking soda contraindicated with ?

Answer 42

-Patient that has metabolic alkalosis because it causes metabolic alkalosis

Question 43

What are s/s of maalox, Gelusil and pepto bismol ?

Answer 43

Blacking of the tongue and stool

Question 44

What are pronton pump inhibitor primarily used for ?

Answer 44

Gerd

Question 45

What do proton pump inhibitors do ?

Answer 45

Blocks secretion of gastric acid in stomach by inhibitin gastric acid ?

Question 46

What are the proton inhibitor med?

Answer 46

``` P n purple pills Prilosec Prevacid Protonix Nexium ```

Question 47

What's another name for proton pump inhibitors ?

Answer 47

H2 blockers

Question 48

How are proton pump inhibitors meds taken ?

Answer 48

Must be taken whole and not crushed

Question 49

What is carafate( sucrafate) used for ?

Answer 49

Peptic ulcer or artificial scab

Question 50

What does carafate do ?

Answer 50

Forms a protective barrier at ulcer site ( like a bandaid )

Question 51

How often is carafes precribed ?

Answer 51

Ihr ac&hs | 4x a day

Question 52

How long do you want to wait to give carafet after other meds are given ?

Answer 52

- 2hrs | - because it tends to bind with other drugs

Question 53

What are meds that carafet bind too ?

Answer 53

Digoxin Dilantin Warfarin H2 blockers

Question 54

What are histamine h2 receptor antagonist do ?

Answer 54

Decrease acid secretion (HCL secretion )

Question 55

What are h2 blocker antagonist meds ? A-z

Answer 55

Axid Pepcid Tagamet Zantac

Question 56

What decrease the effectiveness of h2 blocker antagonist ?

Answer 56

Smoking