Nutrition

Question 1

H2RA

• tidine

Answer 1

• famotidine
• ranitidine
• cimetidine

Block histamine 2 which decreases production of grastic acid

Treat / prevent GIB & Ulcers

Question 2

PPI

prazole

Answer 2

• pantoprazole
• omelrazole
• esomeprazole

⬇️ acid that is pumped into the stomach

Treat/prevent GIB and ulcers

Question 3

Risk of taking H2RA and PPI

Answer 3

Metabolic alkalosis

Decreasing acid in the body

Question 4

Antacids

Answer 4

• Tums ( Calcium Carbonate )
• malox/ mylanta- aluminum hydroxide & magnesium
• buffers- alkaline substance that neutralize acid

Question 5

Problem with antacids

Answer 5

Overused

Should not be used for daily stomach problems — mask symptoms of gastric cancer

Only use for stomach pain related to food

Older people have harder time getting rid of aluminum and magnesium— toxic

** use 1hr after meals

Question 6

Triple therapy for H. Pylori

Answer 6

1 antibiotic ( clarithromycin, amoxicillin)

Bismuth “pepto”

Pantoprazole (PPI)

Question 7

Why not give PPI with other drugs like clolidogrel, phenytoin and warfarin

Answer 7

Altering the stomach acid, alters drug metabolism

Some drugs need acidic environment

Question 8

meclizine

Answer 8

Anticholinergics

dry up secretions to decrease gastric acid which might cause N/V.

very drying and can cause blurred vision, urinary retention, dry mouth and constipation.

Question 9

ondansetron

Answer 9

antiemetic that works to decrease nausea without causing CNS depression and risks for injury which is often seen with phenothiazines such as promethazine.

Question 10

dronabinol

Answer 10

synthetic form of cannabis that is used to reduce nausea and stimulate appetite in patients with cancer and AIDs. It is used to help prevent cachexia.