GI Medications Flashcards
What are the symptoms of GERD?
heartburn and regurgitation
How does a patient with GERD present?
worse when laying down and after eating fatty foods
Who is at risk for GERD?
infants and those >40 yo
What can be noticed on a PE in a patient with GERD?
erosion of tooth enamel
How do we treat GERD?
PPI, H2 receptor antagonist, endoscopy
When do you take a PPI?
in the morning with breakfast
What are examples of medications used to treat GERD?
omeprazole (Prilosec) & esomeprazole (nexium)
What causes PUD?
H. pylori and NSAIDS
What are common symptoms of PUD?
epigastric pain (gnawing), burning that is aggravated with food
How is PUD diagnosed?
clinically, endoscopy to confirm, stool antigen test
What is the most common complication of PUD?
bleeding
How do we treat PUD?
lifestyle modification, [amoxicillin, clarithromycin & PPI] -> (Prevpac) for 7-14 days
the PPI is iansoprazole
How do we treat PUD caused by H. pylori?
switch to acetaminophen, then PPI (omeprazole/iansoprazole) for 4-8 wks.
What are the characteristics of Ulcerative Colitis?
inflammation present in the colon and rectum, more common in Jews, rectal bleeding, tenesmus, and pseudo polyps.
What are the characteristics of Chrons disease?
mouth to anus inflammation, RLQ pain, fever, fistulas and cobble stonning
How do we diagnose IBD?
colonoscopy, sigmoidoscopy
How do we treat IBD?
aminosalycilates (5-ASA) for moderate, budesonide for mild, prednisone for severe. SULFASALAZINE
How do we treat n/v due to vertigo or motion sickness?
give anticholinergics/antihistamines (scopalamine is best)
How do we treat n/v due to chemo?
metoclopramide
How do we treat reg n/v?
haloperidol
What do you give for constipation?
bulk laxatives (metamucil), mirolax/milk of magnesia (osmotic laxative), ex-lax
What do you give for diarrhea?
fluids, bismuth, loperamide
What is the hallmark characteristic of IBS-C?
visceral hypersensitivity
T/F: in IBS-C pain is relieved by defecation
true
