front 1 what does our stomach do? | back 1 functions- store food, mic food, emptying |
front 2 types of secretory cells | back 2
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front 3 gastroesophageal reflex disease (GERD) AKA- heart burn symptoms: | back 3
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front 4 peptic ulcer disease (PUD) | back 4 several stomach disorders: commonly gastric and duodenal ulcers |
front 5 peptic ulcer disease | back 5 symptoms: burning, gnawing, aching |
front 6 treatment of Gerd and pud | back 6 education: weight reduction, smoking cessation, consume smaller meals, avoid eating at bedtime, avoid tight clothing over abdomen |
front 7 drug therapy for Gerd and pud | back 7 used to relieve symptoms, promote healing, prevent recurrence |
front 8 gerd and pud | back 8 limit use of NSAIDS switch to acetaminophen if feasible |
front 9 drug class: antacids action | back 9 buffer hydrochloric acid to a lower concentration |
front 10 antacids uses | back 10 treat heartburn from excessive eating and drinking; acute ulcer treatment requires large volumes commonly adverse effects; constipation (with calcium aluminum), diarrhea, (with magnesium) |
front 11 Antacids; aluminum salts | back 11 often recommend for patients with renal disease (more easily excreted) |
front 12 H. pylori symptomatic , what medication do you treat it with? | back 12 antibiotics and PPI |
front 13 calcium or antacids | back 13 can cause constipation |
front 14 magnesium | back 14 diarrhea |
front 15 antacids; magnesium salts | back 15 milk of mag , gaviscon , maalox, mylantaa |
front 16 antacids; calcium salts | back 16 may cause consitpation, kidney stones example; tums |
front 17 antacids; sodium bicarbonate | back 17 buffers the acidic properties of HCI can cause metabolic alkalosis |
front 18 Histamine-2 receptor antagonists | back 18 block H2 receptors resulting in decreased volume of acid secreted |
front 19 Famontidine (Pepcid) | back 19 most popular drug for treatment of acid related disorders |
front 20 h2 antagonists | back 20 use with caution in patients who are confused, disoriented, or older take 1 or 2 hours before antacids |
front 21 misoprostol (cytotec) | back 21 prevents and treats gastric ulcers caused by NSAIDS (including aspirin) contraindicated in pregnancy: risk of miscarriage, uterine contractions |
front 22 proton pump inhibitors | back 22 inhibit gastric secretion by inhibiting gastric acid pump of the partial cells can cause fractures, especially in prolonged use. |
front 23 coating agents | back 23 adheres to craters of an ulcer, protecting it from acids, pepsin, or bile salts. common adverse effects: constipation, dry mouth, dizziness |
front 24 antacids | back 24 neutralize or dilute |
front 25 h2 | back 25 lowers the acid |
front 26 sucralfate | back 26 coats |
front 27 prokinetic agents metoclopramide (reglan) | back 27 reduces reflux, increases stomach contractions, relaxes pyloric valve, increases peristalsis treatment of gastric: reflux esophagitis, diabetic gastroparesis; antiemtic serious adverse effects: extrapyramidal symptoms, risk of seizures |
front 28 chronic constipation | back 28 symptoms present for at least 3 months |
front 29 treatment for constipation | back 29
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front 30 treatment for diarrhea | back 30 depends on specific causes of diarrhea |
front 31 antidiarrheals: mechanism of action absorbents | back 31 coats the walls of the gastrointestinal (GI) tract |
front 32 Antimotility drugs: opiates | back 32 decrease bowel motility and reduce pain by relief of rectal spasms - considered a narcotic |
front 33 Anticholinergics | back 33 decreased intestinal muscle tone and peristalsis of GI tract -dries you up; can't see, can't pee and can't poop |