Meds

Question 1

Meds for diverticular disease

Answer 1

• Metronidazole **
  #1 go to antibiotic
• Ciprofloxacin**
  DO NOT take with Dairy
  BBW for tendonitis
• Trimethoprim
  WITH FOOD
• Rifaximin **
  Poorly absorbed, take with fiber supplement
  ACUTE IV MEDS
• Cefoxitin
  NO ALCOHOL
• Piperacillin-tazobactam
  Make sure they are not allergic to penicillin

Question 2

Meds for GERD/ PUD/Gastritis/ Hiatal Hernia

Answer 2

No probiotics for hernia

Antacids

• Take with food or after food. Can be used as a prevention or stop burning sensation
• Chronic use can increase C Diff infection due to loss of protective flora
• Calcium carbonate
  
  • Too much can result in kidney stones
• Aluminum magnesium
• Magnesium hydroxide
  
  • Too much can cause diarrhea

H2 Receptor antagonists ends in “-tidines”

• Take with the first meal of the day.
• Chronic use can increase C Diff infection due to loss of protective flora
• monitor prolonged QT-interval in pt with kidney injury

Famotidine

• Most commonly prescribed, can take q6-8 hrs
• Ranitidine
• Cimetidine

Prokinetic agents

• Accelerate gastric emptying
• Metoclopramide: pay attention to pt who have issues with psych meds or Parkinson’s dz because tardive dyskinesia -> move to proton inhibitors instead
  
  • Take 30 mins before meals and at bedtime
  • Not for hernia