GI Pharm

Question 1

GI motility enhancer for constipation only, take BID with food, never use in a patient with history of bowel obstruction

Answer 1

Amitiza

Question 2

side effects of Amitiza

Answer 2

diarrhea, abdominal distention and pain

Question 3

indicated of CIC and IBS-C, for adults only, taken once a day 30 minutes before the first meal, approved for adults

Answer 3

Linzess

Question 4

side effects of Linzess

Answer 4

diarrhea, dehydration, headache, fatigue

Question 5

Dulcolax, Senekot, and Ex-Lax are all examples of _________ laxatives

Answer 5

Stimulant

Question 6

activate smooth muscle for peristalsis, chronic use leads to dependence, and NEVER USE WITH BOWEL OBSTRUCTION

Answer 6

Stimulant Laxatives

Question 7

include fleetphosphosoda, milk of magnesia, and magnesium citrate

Answer 7

Saline Laxatives

Question 8

draw in fluid to stimulate peristalsis, effect achieved within 1-3 hours, SE’s of mild cramping and flatulence

Answer 8

Saline Laxatives

Question 9

include Metamucil, Citrucel, and Fibercon

Answer 9

Bulk Laxatives

Question 10

work by absorbing water in the intestine, promote peristalsis and decrease transit time, for chronic constipation and diarrhea, NEVER USE IN FECAL IMPACTION, safe in children

Answer 10

Bulk Laxatives

Question 11

include fleet suppositories

Answer 11

Glycerine Laxatives

Question 12

stimulate peristalsis and fecal lubrication, retain in rectum for 5-15 minutes, don’t use routinely or dependence will occur, safe in children

Answer 12

Gylcerine Laxatives

Question 13

Colace is the only drug in this class of laxatives

Answer 13

Stool Softeners

Question 14

increase the amount of water and fat in the stool, used in people who need to avoid straining with bowel movements, prolonged use may lead to dependence

Answer 14

Stool Softeners

Question 15

Lactulose syrup is the only drug in this class of laxatives

Answer 15

Hyperosmotic

Question 16

work by degrading NH4, draw in water, distend the colon, produce peristalsis, caution in diabetics due to galactose

Answer 16

Hyperosmotic

Question 17

given to a patient before a GI Exam, cause cramping, bloating and nausea, strong electrolyte and osmotic effects

Answer 17

PEG solution (Miralax)

Question 18

used to decrease pain and bloating from intestinal gas

Answer 18

Simethicone (GasX)