Week 15 GERD Flashcards
esomeprazole
Nexium
Gastrointestinal
GERD/Heartburn
PPI
GERD, prevention/treatment of heartburn, prevention of GI bleeding/stress ulcer prophylaxis, treatment and prevention of GI ulcers (NSAID, h. pylori)
diarrhea, consipation, nausea, dizziness, somnolence, c diff, CAP, bone fractice, vit B12 deficiency
Drugs that need acidic environment (iron), clopidogrel
CI: hypersensitivity; W/P: fractures, CDAD, Vit 12 deficiency
lansoprazole
Prevacid
Gastrointestinal
GERD/Heartburn
PPI
GERD, prevention/treatment of heartburn, prevention of GI bleeding/stress ulcer prophylaxis, treatment and prevention of GI ulcers (NSAID, h. pylori)
diarrhea, consipation, nausea, dizziness, somnolence, c diff, CAP, bone fractice, vit B12 deficiency
drugs that need acidic environment
CI: hypersensitivity; W/P: fractures, CDAD, Vit 12 deficiency
omeprazole
Prilosec
Gastrointestinal
GERD/Heartburn
PPI
GERD, prevention/treatment of heartburn, prevention of GI bleeding/stress ulcer prophylaxis, treatment and prevention of GI ulcers (NSAID, h. pylori)
diarrhea, consipation, nausea, dizziness, somnolence, c diff, CAP, bone fractice, vit B12 deficiency
Drugs that need acidic environment (iron), clopidogrel
CI: hypersensitivity; W/P: fractures, CDAD, Vit 12 deficiency
pantoprazole
Protonix
Gastrointestinal
GERD/Heartburn
PPI
GERD, prevention/treatment of heartburn, prevention of GI bleeding/stress ulcer prophylaxis, treatment and prevention of GI ulcers (NSAID, h. pylori)
diarrhea, consipation, nausea, dizziness, somnolence, c diff, CAP, bone fractice, vit B12 deficiency
drugs that need acidic environment
CI: hypersensitivity; W/P: fractures, CDAD, Vit 12 deficiency
rabeprazole
Aciphex
Gastrointestinal
GERD/Heartburn
PPI
GERD, prevention/treatment of heartburn, prevention of GI bleeding/stress ulcer prophylaxis, treatment and prevention of GI ulcers (NSAID, h. pylori)
diarrhea, consipation, nausea, dizziness, somnolence, c diff, CAP, bone fractice, vit B12 deficiency
drugs that need acidic environment
CI: hypersensitivity; W/P: fractures, CDAD, Vit 12 deficiency
famotidine
Pepcid
Gastrointestinal
GERD/Heartburn
H2RA
GERD, prevention/treatment of heartburn, prevention of GI bleeding/stress ulcer prophylaxis, treatment and prevention of GI ulcers (NSAID, h. pylori)
HA, diarrhea, dizziness, altered mental status/confusion, somnolence
drugs that need acidic environment (iron), smoking
CI: hypersensitivity; W/P: kidney function <50 mL/min, mental status changes/confusion
ranitide
Zantac
Gastrointestinal
GERD/Heartburn
H2RA
GERD, prevention/treatment of heartburn, prevention of GI bleeding/stress ulcer prophylaxis, treatment and prevention of GI ulcers (NSAID, h. pylori)
HA, diarrhea, dizziness, altered mental status/confusion, somnolence
drugs that need acidic environment (iron), smoking
CI: hypersensitivity; W/P:
kidney function <50 mL/min, mental status changes/confusion
docusate
Colace
Gastrointestinal
Constipation
Stool softener/Emoillent laxative
constipation**best post-MI and post-partum
diarrhea
Not included
enema is for rectal use only, seek care if not resolved >7 days, do not use < 6 years
polyethylene glycol
Golytely (Rx)
Mirlax (OTC)
Gastrointestinal
Constipation
Osmotic Laxative
G: bowel prep/evaculation for colonoscopy; M: occassional constipation
Bloating/stomach cramps, dehydration/thirst, HA, malaise, N/V, anal irritation
G: decreases medication absorption
Renal impairment; electrolyte imbalance; bowel obstruction
sennosides
Senna, Sennokot
Senna S, Sennokot S (docusate combo)
Gastrointestinal
Constipation
Stimulant laxative
relief of occasional constipation; **chronic constipation i.e. opioid-induced
Urine discoloration (red/pink), abdominal cramping, diarrhea, N/V
Not included
Not for use < 6
Which of the following heartburn medications has a risk of fractures?
A. Proton Pump Inhibitor
B. Histamine-2 Receptor Blocker
A. Proton Pump Inhibitor
Which of the following heartburn medications
would be better for occasional heartburn?
A. Nexium®
B. Zantac®
B. Zantac®
What constipation therapy is best used to treat post-partum constipation? A. GoLytely® B. Senna-S® C. MiraLax® D. Colace®
D. Colace®
