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N201 anti-diarrheal meds > meds > Flashcards

meds Flashcards

1
Q

Lomotil

A

diphenoxylate/atropine

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2
Q

Lomotil
diphenoxylate/atropine
Action:

A

difenoxine binds to gut wall opioid receptors, inhibits peristalsis. Atropine present to discourage overdose.

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3
Q

Lomotil
diphenoxylate/atropine
Route:

A

1-2 tabs PO bid-qid PRN
2 tabs qid no more than 8 tabs or 40ml/day
D/C after 48h if no improvement

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4
Q

Lomotil
diphenoxylate/atropine
Side effects:

A

Nausea, vomiting, anorexia, abdominal pain, paresthesia, euphoria, depression, confusion, sedation, gingival hyperplasia

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5
Q

Lomotil
diphenoxylate/atropine
Lab monitoring:

A

Monitor before for liver disease or volume depletion

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6
Q

Lomotil
diphenoxylate/atropine
Precautions:

A

presence of hepatic impairment
obstructive jaundice
risk of hepatic coma
many drug interactions

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7
Q

Imodium

A

loperamide

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8
Q

Imodium
loperamide
Action:

A

binds gut wall opioid receptors. inhibits peristalsis

increases anal sphincter tone

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9
Q

Imodium
loperamide
Route:

A

2mg PO per dose
start 4 mg x1 then 2mg po after each loose stool
max 16mg/day

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10
Q

Imodium
loperamide
Side effects:

A

constipation
nausea, abdominal cramps, dizziness
Serious: urinary retention

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11
Q

Imodium
loperamide
Lab monitoring:

A

monitor liver function labs for hepatic impairment

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12
Q

Imodium
loperamide
Precautions:

A

many drug interactions

monitor parameters for s/sx CNS toxicity if hepatic impairment

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13
Q

Kaopectate

Pepto-Bismol

A

bismuth subsalicylate

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14
Q

Kaopectate
Pepto-Bismol
bismuth subsalicylate
Action:

A

reduces secretions binds bacterial toxins

possesses antimicrobial effects

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15
Q

Kaopectate
Pepto-Bismol
bismuth subsalicylate
Route:

A

2 tab PO q1h PRN
max 4200mg/24h
30ml PO q1h PRN
H pylori infections 2 tab PO qid x 7-14 days

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16
Q

Kaopectate
Pepto-Bismol
bismuth subsalicylate
Side effects:

A

blackened stool, blackened tongue, constipation, tinnitus

Serious: encephalpathy, Reye’s syndrome

17
Q

Kaopectate
Pepto-Bismol
bismuth subsalicylate
Lab monitoring:

A

Large dose may prolong PT clotting time

Can cause abnormal alkaline, phosphatase, AST, ALT levels

18
Q

Kaopectate
Pepto-Bismol
bismuth subsalicylate
precautions:

A

should not be given to children with a fever.

should not be given to people with allergies to salicylates such as asprin.

19
Q

Lactobacillus

A

Acidophilus

20
Q

Lactobacillus
Acidophilus
Action:

A

found helpful when produces vitamin K, lactase, and anti-microbial substances. may not help if taking antibiotics.

21
Q

Lactobacillus
Acidophilus
Route:

A

Tablets, capsules, liquid, yogurt

opinion of 1-10 billion live bacteria taken daily in divided doses is sufficient.

22
Q

Lactobacillus
Acidophilus
Side effects:

A

Abdominal discomfort or gas, resolves when discontinued.

23
Q

Lactobacillus
Acidophilus
Lab monitoring:

A

N/A

24
Q

Lactobacillus
Acidophilus
Precautions:

A

check website for probiotic use

N201 anti-diarrheal meds (3 decks)

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