lesson 7 pharmacology of the GI tract Flashcards
vomiting
- natural defence
- signals disease/organ dysfunction
- may be involuntary/self induced
- associated with many causes including flu, pregnancy, motion sickness
how vomiting works
- vomiting center
- chemoreceptor trigger zone (sends signal to VC) then we start vomiting
emesis drugs
- ondansetron (bind to 5-HT receptors blocks stimulation)
- metoclopramide (medulla)
- dimenhydrinate (gravol) (works on CTZ/VC)
adverse effects of emesis
- dry mouth
- sedation
- diarrhea
- blurred vision
phases of digestion
cephalic
gastric
intestinal
phases of digestion cephalic
sight, smell, taste or thought of food stimulates the release of gastric juices
phases of digestion gastric
stomach distends more release of gastric juices
phases of digestion intestinal
fats and acids prevent the secretion of gastric juices
peptic ulcer causes
long term use of NSAIDs
peptic ulcer symptoms
heart burn, nausea, vomiting and loss of appetite
what does GERD stand for
gastrointestinal esophageal reflux disease
GERD
symptoms
causes
heartburn
inappropriate constriction of the lower esophageal sphincter
how to treat GERD
antibiotics
antiulcer drug therapy
lose weight/eat healthy/stop smoking/evaluate head of bed
what drugs inhibit vomiting
antiemetics