GI Flashcards
What is the trade name of Bethanechol?
Urecholine
What is the the therapeutic and pharmacologic name of Bethanechol?
Therapeutic:urinary tract stimulant
Pharmacologic: genitourinary, cholinergic
What is the indication and action of Urecholine?
Indication: treats urinary retention, heartburn and increases peristalsis
Action: stimulates cholinergic receptors to empty bladder; increases peristalsis
What are the side effects of Bethanechol?
flushing, sweating, urgency, abdominal discomfort, diarrhea, N/V, salivation, heart block, syncope/ cardiac arrest
How do you treat an OD for Bethanechol?
atropine sulfate
What is the implementation for Bethanechol?
take on an empty stomach, one hour or two hour after meals to prevent N/V
What is the trade name for Metoclopramide?
Reglan
What is the therapeutic and pharmacologic name of Reglan?
T: antiemetic
P: prokinetic agent
What is the indication and action of Metoclopramide?
indication: Decrease N/V, decrease S/S of gastric stasis, easier for NG tube to be inserted into the small bowel
action: blocks dopamine from entering the CNS causing a stimulation in motility of GI and accelerates gastric emptying
What is the side effect of Metoclopramide?
drowsiness, restless, extrapyramidal syndrome, tardive dyskinesia , neuroleptic malignant syndrome
What are the implications of Metoclopramide?
monitor for N/V, abdominal distension, bowel sounds, and antipsychotic med type symptoms (neuorleptic malignant syndrome, tardive dyskinesia, extrapyramidal syndrome, neuroleptic malignant syndrome
What is the trade name for sucrulfate?
Carafate
What is the therapeutic and pharmacalogic name for sucrulfate?
T: antiulcer
P: gi protectant
What is the indication and action of sucrulfate?
indication: treats ulcers
action: aluminum salt+gastric acid=paste to cover ulcers
What is the side effects of sucrulfate?
constipation, anaphylaxis, rash, dizziness and hyperglycemia
What is the implementation of sucrulfate?
take on an empty stomach, one hour before meals or at bedtime
What is the trade name for Misoprostol?
Cytotec
What is the therapeutic and pharmacologic name of misoprostol
therapeutic: antiulcer, cytoprotective agent
pharmacologic: prostaglandin
What is the indication and action of misoprostol?
indication: prevents mucosal injury from NSAIDS including aspirin
action: acts as a prostaglandin analogue decreasing gastric secretion and increasing production of protective mucosa and causes uterine to contract
What is the side effect of misoprostol?
abortion, diarrhea, abdominal pain
What is the implication of misoprostol?
assess child bearing age, advise patient that this may cause abortion, and take with meals or at bedtime to reduce diarrhea
What is the trade name for omeprazole?
Prilosec
What is the therapeutic and pharmacologic name for omeprazole?
T: antiulcer
P: PPI
What is the indication and action of omeprazole?
indication: treats gerd, and heals ulcerative colitis
action: prevents hydrogen from entering the gastric lumen
What is the side effect of omeprazole?
diarrhea, constipation, headache, dizzy, abdominal pain
What is the implication of omeprazole?
monitor for diarrhea, cramps and administer before meals
What is the trade name for famotidine?
Pepcid
What is the therapeutic and pharm name of famotidine?
T: antiulcer
P: histamine H2 antagonist
What is the action and indication of famotidine?
indication: treats ulcers
action: inhibits H2 receptors of the parietal cells to reduce gastric secretions
What is the side effect of famotidine?
constipation, diarrhea, arrythmia, erectile dysfuction
CNS s/s: dizzy, confusion, headache, hallucination, drowsy
What is the implications of famotidine?
take with meals or at bedtime and caution patient not to drive or make any important decisions until patient knows how they react to the medication
