OTC GI

Question 1

Heartburn nonRx care

Answer 1

• antacids
• H2 blocker
• proton pump inhibitor

Question 2

exclusions for self-treatment

Answer 2

heartburn > 3mo
sever
nocturnal
alarm symptoms present
wheezing/coughing
nausea/vomiting
chest pain with sweating

Question 3

exclusions for self treatment meds

Answer 3

-recurring heartburn while taking recommended OTC or Rx h2 block or ppi

Question 4

xclusions for self treatment groups

Answer 4

pregnancy and nursing mothers
children younger than 2 years for tums, 12 years for H2 block, and 18 years for ppis
adults > 45 years with new onset dyspepsia

Question 5

Antacids

Answer 5

neutralize
dont alter secretions
relief 20-30min
side effects belching flatulence constipation diarrhea

Question 6

H2 receptor antagonist

Answer 6

reduce acid secretion
onset is 30-45 minutes for 4-10 hours
side effects: fatigue, dizziness, const, diarrhea
tolerance develops with daily use

Question 7

PPIs

Answer 7

reduce acid secretion
2-3 hour onset
12-24 hour duration
relief for 1-4 days
use for heartburn occurring at least 2days/wk
same side effects as H2 blockers

Question 8

concerns with PPIs and risks of long term use

Answer 8

• kidney disease
• dementia
• bone fracture
• heart issues
• infections
• micronutrient deficiencies

Question 9

Treatment with OTC for HB

Answer 9

• limit use to 14 days

- regimen can be repeated after 4 months if needed

Question 10

Diarrhea

Answer 10

increased frequency and liquidity of fecal discharge

• causes infectious or not
• can lead to dehydration and electrolyte abnormalities

Question 11

Diarrhea prevention

Answer 11

hygiene

beware when traveling

Question 12

diarrhea treatment

Answer 12

prevent dehydration
medication
if it lasts more than 48 hours get help

Question 13

Exclusions for diarrhea self treatment

Answer 13

< 6 mo of age
SEVERe Dehydration
high fever
blood mucus pus in stool
vomiting
severe abdominal pain
pregnancy