Digestive System 2

  1. 3 important behavior/dietary measures when treating constipation
    • 1. Increasing fluid/fiber/bran diet
    • 2. Understanding causes (fats, fear, behav. issues)
    • 3. Behavioral meds: encouraging BM's, rewards
    • 4. OTC Meds: use only when necessary and correct kind
  2. OTC Producs of Diarrhea
    • 1. Anti-diarrheals: slows down rate of passing stools
    • -allows absorption of H2O and electrolyites into body through intesting
    • -shorten duration of illness
    • 2. Gastrointestinal Absorbants: acts as sponge and pulls bacteria, toxins, and digestive enzymes in GI tract
    • 3. Bismuth Salts: coat the stomach surface to provide relief of most stomach complaints
    • -bind bacterial toxins and decrease inflammation
  3. Heartburn Treatment:
    • Ex: Tums/Calcium carbonate
    • Works: chemically neutralizes acid
    • Onset: 5-15min
    • Duration: 30-60min up to 3hr after meal
    • Side effects: diarrhea (^Mg), constipation (v AL), calcium (acid rebound), drug interactions
  4. Heartburn Treatment:
    Alginic Acid
    • Ex: Gaviscon
    • Works: foam at top of acid that floats-protects esophagus f/ acid if rises
    • Onset: 5-15min
    • Duration: 30-60min up to 3hr after meal
    • Side effects: no major
  5. Heartburn Treatment:
    H2 Receptor Antagonist
    • Ex: Tagmet, Zantec, Pepcid
    • Works: decreases production of acid
    • Onset: 1-2 hrs
    • Duration: up to 12 hrs
    • Side effects: mild headache, N/V/D, constipation, drug interactions
  6. Heartburn Treatment:
    Proton Pump Inhibitors
    • Ex: Prilosec, Prevacid
    • Works: stops stomach from prod. acid
    • Onset: 3-4 hrs (max effect)
    • Duration: 24 hrs
    • Side effects: headache, N/V/D, dizzy, drowsy, constipation, V absorption of meds, metabolized by liver
  7. 2 major complications of heartburn
    • 1. Strictures: restricting esophagus
    • 2. Barrett's esophagus (inflamed)
  8. Nausea/Vomiting Treatment:
    Vitamin B6
    use for nausea and vomiting during pregnancy
  9. Nausea/Vomiting Treatment:
    Antacid Buffers
    reducing acid in the stomach to help relieve nausea
  10. Nausea/Vomiting Treatment:
    Bismuth Salts
    coating stomach
  11. Nausea/Vomiting Treatment:
    Phosporated Carbohydtate solutions
    reducing movement of stomach
  12. Nausea/Vomiting Treatment:
    work on labyrinth of middle ear-prevent motion sickness
  13. What evidence shows the ginger works to reduce nausea and vomiting?
    Treatment after Chemotherapy
  14. Risks associated with peppermint (IBS)
    • -male fertility affected
    • excessive:
    • -nausea
    • -loss of appetite
    • -heart probs.
    • -loss of balance
Card Set
Digestive System 2
Pharm 1003 Exam 3: modules 5 & 6