Pharmaceutical care of gi patients Flashcards
what is dyspepsia
a common problem that causes pain or discomfort in your upper abdomen (dyspepsia) or behind your breastbone (heartburn).
what is GORD
gastro oesophageal reflux disease
what are the symptoms of dyspepsia
hearburn fullness upper abdominal pain or ache nausea hiccups coughing belching bloating pain when swallowing difficulty swallowing
what symptoms of dyspepsia may indicate GORD
pain when swallowing
difficulty swallowing
what does alarm stand for
age >55 loss of weight anaemia recurrent vomiting malaena
medication causes of GORD / DYSPEPSIA
calcium antagonists nitrates theophylline bisphosphonates aspirin / NSAIDs alpha blocker
describe the way to manage dyspepsia
are there alarm signals
if yes then seek gp care
if no is there any drug side effects
if also no give lifestyl advice and advice on use of drugs
response no further
if yes advise to see gp routinely
what OTC medicines are available for uncomplicated dyspepsia
antacids
acid suppression therapy
alginates
What drug interactions exist with antacids
ciprofloxacin
digoxin
enteric coated tablets
iron
levothyroxine
tetracyclines
warfarin
what lifestyle advice can we give for dyspepsia or GORD
smoking alcohol coffee chocolate fatty food spicy food weight stress anxiety depression avoid tight raise head of bed dont eat too late
what is GORD
proven disease endoscopically diagnosed oesophagitis or non erosive reflux disease
what should patients who have gord have
full dose PPI for 4 weeks to 8 weeks
what should we do if GORD has recurring symptoms
lowest dose of PPI to control symptoms
What do Proton Pump Inhibitors
inhibit gastric scretion by blocking hydrogen potassium adenosine trip
What cautions proton pump inhibit
can mask signs of gastric cancer
