PUD Flashcards
There is a 4x greater incidence of ___ ulcers than ___ ulcers.
duodenal, gastric
___ ulcers tend to peak in older pts.
gastric
___ ulcers take about 2 wks longer to heal.
gastric
Goal w/PUD is to eradicate ___.
H. Pylori
___ is the predominant factor for recurrent ulcers, but others include:
H. Pylori, smoking, NSAIDS, hypersecretion, noncompliance
Tx for H. Pylori is ___ antibx + a ___ or ___ antagonist.
2, PPI, H2
First-line tx for H. Pylori is: ___. Total of ___ pills per day. Take for ___ wks.
Amoxicillin OR Tetracycline + Flagyl + PPI (or H2), 15, 2
Examples of H2 antagonists:
ranitidine (zantac), cimetidine (tagamet), nizatadine (Axid), famotidine (pepcid)
Ideal duration of tx for duodenal ulcers is ___-___wks, ___-___ wks for gastric, and ___-___ wks for older pt or smoker.
4-6, 8-12, 6-8
DOC for H2 antagonists is ___.
famotidine (pepcid)
Purpose of H2’s is to ___ histamine receptors and block ___.
block, acid
Purpose of antacids is not to block acid, but to ___ it. Used for ___ symptom relief.
neutralize, PRN
Examples of antacids include:
Calcium carbonate (TUMS), Mylanta, Maalox
Limit use of ___ ___ d/t rebound acid effect.
calcium carbonate
The medication ___ binds to and protects ulcers from acid and allows for healing of the ulcer.
sucralfate (carafate)