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HAART
- HIV
- Highly Active Antiretroviral Therapy
- combination of 3+ antiretroviral drugs
- reduces drug resistance
- decr viral load
- keeps immune system strong
- expensive, severe GI symptoms
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NRTI - Nucleoside-analog Reserse Transcriptase Inhibitor
- HIV
- antiretroviral agent
- 1 of the 3 main drugs that prevent HIV from getting stronger
- works from w/in the cells
- severe GI symptoms
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NNRTI - Non-Nucleosided Reverse Transcriptase Inhibitors
- HIV
- antiretroviral agent
- 1 of the 3 main drugs that prevent HIV from getting stonger
- works from w/in the cells
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Protease Inhibitors
- HIV
- antiretroviral agent
- 1 of the 3 main drugs that prevent HIV from getting stonger
- works from w/in the cells
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Entry (Integrase?) inhibitors
- HIV
- antiretroviral agent
- GI symptoms
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Fusion Inhibitors
- HIV
- antiretroviral agent
- respiratory symptoms
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Atripla
- HIV
- antiretroviral agent
- most common viral suppressant
- used in combination w/ others
- recommended as an initial antiretrovirus regimen
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Compera
- HIV
- antiretroviral agent
- most common viral suppressant
- used in combination w/ others
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vitamin and mineral supplements
- chronic and acute Pancreatitis
- maintains good nutrition, compensated for inability to digest fats and staches
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steroids
- chronic and acute Pancreatitis
- for pain and inflammation
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pancreatic enzymes
chronic and acute Pancreatitis
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pancrelipase (lipancreatin)
- pancreatitis
- replaces pancreatic enzymes used for digestion of fats and starches
- improves nutrition
- dec stooling
- GI, headache
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Hydromorphone (dilaudid) IV /PO
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Meperidine (demerol) IV/PO
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Acetaminophen (tylenol)
pancreatitis pain
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Ibuprofen (motrin)
pancreatitis pain
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Probantheline b romide
- chronic pancreatitis pain
- *take 30mins ac
- *do not give within 1hr of an antacid/antidiarrheal
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Insulin
- acute/chronic pancreatitis
- improve digestion, control blood glucose
- corrective and meal coverage
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Tums, Mylanta, Maalox
- pancreatitis
- antiacids
- neutralize stomach acids
- *1hr apart from orals
- *Empty stomach
- *Chew/glass water
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Octreotide (Sandostatin)
- acute pancreatitis
- IV, sick pt, calm down auto digesting
- Inhibits secretion of panc. Enzymes
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H2 blockers
- acute and chronic pancreatitis, liver failure
- decr production of HCL
- HCL signals pancreatic enzymes to be activate
- *Give with or immed. After meals
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Cimetidine (Tagamet)
- acute and chronic pancreatitis, liver failure
- H2blockers
- decr production of HCL
- HCL signals pancreatic enzymes to be activate
- *Give with or immed. After meals
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Ranitidine (Zantec)
- acute and chronic pancreatitis, liver failure
- H2blockers
- decr production of HCL
- HCL signals pancreatic enzymes to be activate
- *Give with or immed. After meals
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Famotidine (Pepcid)
- acute and chronic pancreatitis, liver failure
- H2blockers
- decr production of HCL
- HCL signals pancreatic enzymes to be activate
- *Give with or immed. After meals
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Protein Pump inhibitors
- pancreatitis, liver failure
- suppress gastric acid secretion
- **caution use with Digoxin, dilantin, blood thinners,
- because it causes toxicity issues
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Lansoprazole (Prevacid)
- pancreatitis, liver failure
- Protein Pump inhibitors
- suppress gastric acid secretion
- **caution use with Digoxin, dilantin, blood thinners,
- because it causes toxicity issues
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Omeprazole (Prilosec)
- pancreatitis, liver failure
- Protein Pump inhibitors
- suppress gastric acid secretion
- **caution use with Digoxin, dilantin, blood thinners,
- because it causes toxicity issues
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Pancrealipase (lipancreatin)
- chronic pancreatitis
- Replaces the enzymes used for digestion of fats and starches,
- improves nutrition, and decreases stooling
- give With meals
- Monitor stools/frequency/consistency
- If enteric do not crush, chew or mix with milk or ice cream
- If powder sprinkle on food, pt must rinse after use as this is irritating to the mouth
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potassium sparing Spironolactone (aldactone)
Furosemide (lasix)
- used together have the best outcome for controlling ascites and edema
- Diuretics
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Lactulose
- liver and kidney failure, high ammonia levels
- Laxative
- draws ammonia into poop
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Neomycin
- liver and kidney failure, high ammonia levels
- Laxative
- draws ammonia into poop
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Propanolol (inderal)
- liver failure
- Beta blocker
- for portal hypertension, relaxes blood vessels
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Isosorbide (isordil)
- liver failure
- Nitrates
- vasodilates
- dizzy, flushing, headache
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Vitamin K
- liver failure
- blood clotting
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Oxazepam (serax)
- dt's,
- Antianxiety (valium)
- Valium is easier on the liver,
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steroids
do not take w/ liver failure
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tylenol
do not take with liver failure
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barbituates
do not take with liver failure
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seditives
do not take with liver failure
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hypnotics
do not take with liver failure
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Imuran,
- Crohn's, UC
- immune suppressant
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cyclosporine (Sandimmune)
- Crohn's, UC
- immune suppressant
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Methlytrexate (Mexate)
- Crohn's, UC
- immune suppressant
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Remicade
- Used for moderate to severe cases of Crohn's, UC
- biological therapy
- targets specific immune responses
- Significant Adverse effects
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Humira
- Used for moderate to severe cases of Crohn's, UC
- biological therapy
- targets specific immune responses
- Significant Adverse effects
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Sulfasalazine (Azulfidine)
- Crohn's, UC
- Aminosalicylates (Local Anti-inflammatory Agents targets intestines)
- Local effects on the intestinal mucosa,
- it blocks prostaglandin which plays into normal inflammatory response
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Balsalazide (Colazal)
- Crohn's, UC
- Aminosalicylates (Local Anti-inflammatory Agents targets intestines)
- Local effects on the intestinal mucosa,
- it blocks prostaglandin which plays into normal inflammatory response
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Loperamide (Imodium)
- Crohn's, UC
- Anti diarrhea
- Dosing is dependent upon stools/day
- ***Antidiarrheals are not given in severe flareups of Colitis as this may cause toxic megacolon!
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Diphenoxylate with atropine (Lomotol)
- Crohn's, UC
- Anti diarrhea
- Dosing is dependent upon stools/day
- ***Antidiarrheals are not given in severe flareups of Colitis as this may cause toxic megacolon!
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Metronidazole (Flagyl)
- Crohn's, UC
- Antibiotics
- reactive to certain GI flora that may be causing inflamm, infection
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Ciprofloxin (Cipro)
- Crohn's, UC
- Antibiotics
- reactive to certain GI flora that may be causing inflamm, infection
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