Constipation and Diarrhea | PHARM 1 | ACID DISEASE | PHARM 2 | pancreas/ gallbladder |
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_change in gut flora, Mostly from antibiotics Treatment_ Vancomycin, flagyl and fidaxomicin
What is causes and treatment of C. Diff?
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BULKS
Metamucil and Citrucel are used for long term use and cause fetal matter to increase in bulk/turn to gel like. What kind of stimulants are these?
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GERD
What disease is reflux of gastric content into the esophagus? it has symptoms such as vomiting , pain, heartburn, coughing?
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rifaximin (xifaxan)
What is medication treats travelers diarrhea? It Blocks bacterial RNA synthesis which leads to bacterial death - directly affecting E.coli bacteria.
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ERCP
what test do we do to detect duct stones and determine the cause, location and extent of the obstruction?
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Treatment: BULKs, Stool softener, stimulants and osmotic
Slower emptying of the large intestine- less then 3 bowel movements a week( hard stool, straining, incomplete emptying.
What is constipation and what treats it?
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Cardiac disease, bleeding, and stimulation of vagus nerve
Bisacodyl( Dulcolax), caster oil and Senna directly stimulates nerve plexus in the intestinal wall(increasing peristalsis) what cautions do we want to watch for?
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H. Pylori
bacteria found in the GI tract of 90% of patients with a duodenal ulcer. We detect this by a serum antibody's test?
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constipation, dehydration , tachycardiaI
imodium acts as a opioid receptor in the gut. What adverse effects can happen?
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cholecystitis
infection of the gallbladder with RUQ pain and fever. diagnosed by murphy's sign. what am i?
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causes: osmotic, motility disorder, secretory, infections
Diagnosis: stool sample O/P, c-diff, WBC
what causes diarrhea, and how can we diagnosis it?
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Decreas
edoes docusate sodium (Colace) increase or decrease the absorption of fat soluble vitamins A
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PUD
what disease has disruption of the mucosal integrity of the stomach or duodenum?
1. gout 2.PUD 3. duodenal ulcer |
slows motility of GI tract to inhibit local reflexes
what does Pepto bismol do ?
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pancreatitis.
patient has inflammation, stone in CBD, and toxins in the pancreas such as alcohol. she has N/V, fever and jaundice and midline pain in the abdomen. after drawing labs she had an elevated amylase and lipase. What is she experiencing.
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Crohns disease.
patient presents with inflamation in the GI tract, she has abdomen pain with diarrhea. we are currently doing an CT and colonoscopy while giving hydrations steroids' and immunomodulators. WHAT disease does the patient present with?
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diarrhea, cramps, dehydration
take 30 mins before /after other meds with H2O
what do we monitor with magnesium citrate? and when should we take this?
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pain and tenderness LLQ
N/V FEVER Elevated WBC
what are signs and symptoms of diverticulitis?
this is inflammation or infection in one or more small pouches in the digestive tract. |
1. duodenal ulcers 2. benign gastric ulcers 3. GERD 4. Heartburn
pepcid(famotidine) and ranitidine(zantac) both block release of HCI in response to gastrin. What symptoms do we use these medications for? select all that apply
1. duodenal ulcers 2. benign gastric ulcers 3. GERD 4. Heartburn |
ruptured appendix
bacterial/chemical invasion
what causes peritonitis? select all that apply
1. hypertension 2. ruptured appendix 3. bacterial/chemical invasion 4. anemia 5. endocrine disorders |
Ulcerative colitis
.patient presents with inflammation of the colon only. She has bloody diarrhea, rectal urgency and LLQ discomfort. She's going for a colonoscopy and sigmoidoscopy. We have given her steroids' hydrations and the 5 ASAS. What does the patient have?
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miralax and lactulose
What medications pull water back into the colon to soften stool/ liquefies it ? HINT: OSMOTICS
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Appendicitis
Patient presents with periumbilical pain that travels to RLQ, she has a fever and N/V/D. We diagnosed her with an Abdominal CT, What does she have?
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milk of mag
what medication is for relief of GI hyperacidity, prophylaxes of stress ulcers and relief of constipation?1. magnesium salts ( milk of mag)
2. Calcium Carbonate (TUMS) |
helps breakdown food
acts as bactericide helps maintain stomach PH
What does HCI do?
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