GI Flashcards
Bismuth subsalicylate (pepto)
Use: PUD, H. Pylori
SE: long term neuro injury
Nurse: black stool. Rule out melena
ANTI-MICROBIAL
1 for PUD!!!
clarlthromycin
Use: PUD, H. Pylori
SE: N/D, ALTERED TASTE
Watch: renal
amoxicillin
Use: PUD, H. Pylori
SE: diarrhea
Watch: allergy and renal pts. (BUN, Cr)
Tetracycline
Use: PUD, H. Pylori
SE: renal, liver, prey and post prey
NO PREG! Turns teeth grey/green
No milk, Ca, Fe, mag, antacids
Metronidazole (Flagyl)
Use: PUD, H. Pylori
SE: H/A, nausea, METALLIC taste, dry mouth
NO PREG
watch warfarin
Avoid alcohol
54% of strains resistant
H2 Receptor Antagonists
“-tidine”
Ranitidine (PO, IV, IM)
Cimetidine (PO, IV, IM)
Famotidine (PO, IV)
Use: gastric and peptic ulcers, GERD
SE: cimetidine = decrease libido, ED, lethargy, depression, confusion
Watch: pt with decrease resp (increas infec)
Nurse: epigastric, chest pain. Watch antacids, no smoke/ alcohol. no NSAID. REST AND DECREASE STRESS
Protein Pump Inhibitors
“-prazole”
omeprazole
esomeprazole
Use: peptic ulcer, gastric ulcer, GERD, esophagitis
SE: must be long term. N/V/D, H/A
Watch: breastfeed, kids, COPD, osteoporosis
Med: dig, phenytoin, warfarin, antiviral
Nurse: DONT CRUSH. Avoid NSAID/Alcohol
Irreversibly inhibits enzyme causing gastric acid
Antacids
Aluminum hydroxide
Magnesium hydroxide
Calcium carbonate (tums)
Use: combo with PPI, H2.
TX: PUD and GERD
SE: constipation, hypophosphate, hypomag (diarrhea and toxicity in renal)
Watch: Pt with GI perforation. FIND CAUSE OF ABD PAIN.
Med: warfarin, tetracycline (hr apart)
Nurse: chew tablets and 8oz of water. Shake liquid well. 1 hr before, 3 hrs after meals, and before bed
Mucosal protection “protective barriers”
Sucralfate
Use: duodenal ulcers
SE: constipation (increase fiber)
Med: warfarin, phenytoin, dig, cipro, antacids
Nurse: empty stomach and b4 bed. Don’t crush or chew. Finish tx fully
Prostaglandins E “decrease secretions”
Misoprostal
Use: PREVENT ULCERS CAUSED BY NSAIDS
SE: diarrhea, abdominal pain, dysmenorrhea and spotting in women
