Self Care Flashcards

1
Q

Gastroentertis OTC Tx

A

Peptobismol >12y/o
Emetrol >2y/o

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2
Q

Overeating OTC Tx

A
  1. Famotidine >12 y/o
  2. peptobismol >12 y/o
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3
Q

Motion sickness/vertigo/dizziness OTC

A
  1. Meclizine >12 y/o
  2. Dimenhydrinate >2 y/o
  3. Acupressure band
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4
Q

NVP OTC tx

A

Nausea only: Pyridoxine (B6)

Nausea + Vomit: B6 + Doxyalamine

Ginger
Acupressure band

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5
Q

Hemorrhoids TX

A

Avoid strain- soften stool
Internal:
1. Vasoconstrictors (phenylephrine, ephedrine)
2. Protectants
3. astringents - zinc oxide, calamine
4. steroids
External
1. local anesthetics - benzocaine, lidocaine, pramoxine
2. analgesics - bengay
3. Glycerin
4. steroids

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6
Q

N/V alarm conditions

A

Jaundice
Stiff neck +/- headache, light sensitivity (meningitis)
Head injury, blurring vision, numbness/tingling
Severe presentation

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7
Q

Hemorrhoids alarm condition

A

anal/rectal malignancy
black tarry stools (upper GI bleed)
Abscess, fistula, fissures

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8
Q

Heartburn/dyspepsia Alarm conditions

A

Hematemesis
black stools
Chronic hoarseness, wheezing, coughing, choking
unexplained weight loss
esophageal cancer

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9
Q

Diarrhea alarm symptoms

A

DM, CHF
immunosuppression
pregnancy

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10
Q

C.diff concerns with diarrhea and abx use

A

Call the provider about C.diff, refer to higher level of care

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11
Q

Onset of GERD med

A

Famotidine - 30 min
Omeprazole - 2 hr

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12
Q

Onset of laxatives

A

docusate (prevent strain)- 1-3 days
Bulk forming metamucil: 1-2 days

Saline laxatives - AVOID IN CHF or ESRD
- mag citrate: 15-30 min
- Na fleet enema: 2-15 min

Stimulants - much faster, good for opioid induced
- senna PO 6-10 hours
- bisacodyl PR: 15-60min

Lubricant agents
- Mineral oil PO 6-8 hr
- mineral oil PR <15 min

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13
Q

Exclusions for diarrhea self-care

A

<6 months
Pregnant
Severe dehydration
Infection, fever
Blood, mucus, pus in stool
Severe abdominal pain
Immunosupression
Diarrhea >14 days
recent abx use

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14
Q

Heartburn exclusions

A

symptoms last more than 3 months
Sx persist despite OTC therapy
Dysphagia (difficulty swallowing)
Emesis
Chronic hoarseness, wheezing, coughing
Continuous N/V/D
Children <2
SOB
pregnant/nursing

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15
Q

Nonpharm treatment GERD

A

Small frequent meals
Remain upright after/while eating
Don’t eat before bed
Avoid trigger foods
Weight loss
Smoking cessation
Prop head of bed using foam wedge
Avoid tight fitting clothing

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16
Q

if Pregnant and have GERD

A

use antacids only

17
Q

age limit PPI

A

18_

18
Q

age limit H2RA

A

12

19
Q

age limit antacid

A

2

20
Q

pregnant and hemorrhoid?

A

only use external products (protectants)
- cacao butter, glycerine, lanolin, petrolatum, AlOH gel, etc