GI Meds Flashcards
Metronidazole
Antibacterial antibiotics
Causes N&V
Most effective against H. Pylori
Avoid alcohol
Should not be taken during pregnancy
When treating h.pylori- more than one antibiotic should be used
TEACH MUST TAKE MEDS
Causes hangovers
Peptic ulcers, cholecysitis, diverticulitis, intestinal obstruction
Ranitidine
Histamine receptor antagonist h2 blocker
Suppresses the production of acid
Serious SE uncommon
GERD, peptic ulcers
Pantoprazole
Proton pump inhibitors PPI
Suppress the production of acid
Most effective
Diarrhea, headache
Pt needs to take lowest dose for shortest time possible
Tablets cannot be crushed
Acute pancreatitis, GERD, peptic ulcers, diverticulitis
Sucralfate
Anti ulcer drug
Creates a protective barrier against acid
Administer one hour before meals and bedtime
Peptic ulcers
Aluminum hydroxide
Antacid
Neutralize stomach acid
Causes constipation
Take with glass of water
GERD
Ondansetron
Antiemetic
Prevents N&V
Causes headache and diarrhea
Should not be given to pt with long QT syndrome
Cholecystisis
Intestinal obstruction
Promethazine
Antiemetic
Decreases vomitting
Involuntary repetitive body movements which may include grimacing, sticking out the tongue or smacking the lips
Causes respiratory depression, local tissue damage injection site
Cholecystisis and intestinal obstruction
Dimenhydrinate
Antiemetic
For motion sickness
Can cause sedation, dry mouth and constipation
Cholecystisis
Intestinal obstruction
Metoclopramide
Prokinetic
Increases upper GI motility and suppresses emesis
Can cause long term high therapy- tardive dyskinesia- repetitive involuntary movement of arms, legs and facial muscles
GERD
Psyllium
Bulk forming laxative
Acts fiber in the bowel, increases bulk of fecal volume- therefore stimulates peristalsis
Causes rare..
Work 1-3 days, take with a full glass of water
Constipation
Docusate sodium
Stool softner
Constipation
Bisacodyl
Stimulant laxative
It increases the number of water/electrolytes within the intestinal lumen
Teach acts withink 6-12 hours after taking
Need to teach pt about key factors to establishing good bowel habits and reducing laxative abuse
For endoscopy
Diphenoxylate (Lomotil) and Loperamide (Imodium)
Antidiarrheal
Decrease intestinal motility
Diarrhea
Peptic ulcer
PPI (IVP, drip)
Metronidazole
Sulcrafate
H2 blocker
(Main cause h pylori)
Cirrhosis of the liver
Scarring down then go into liver failur
