PC707 Module 3 GI Exam 2024

PC707 Module 3 GI Exam 2024 What are the 3 classes of drugs that are used to treat GERD? - Answer ️️ -Antacids H2RA (histamine receptor antagonists) PPIs (proton pump inhibitors) What is the first step in determining how to care for someone with GERD? - Answer ️️ - Determine if it is dyspepsia/mild gerd or moderate to severe gerd/erosive disease If someone has dyspepsia or mild GERD symptoms and no erosive disease, what medications would you start with? - Answer ️️ -OTC antacids or H2RAs for symptom control get a careful medication hx to see if they have tried either of these in order to determine which med to start with How would you manage someone who has moderate to severe GERD or erosive disease ? - Answer ️️ -Lifestyle Modifications and PPIs x 8 weeks If, after 8 weeks of PPIs, someones GERD symptoms have improved, what can you do? - Answer ️️ -wean them off PPIs (slowly reduce the dose) and restart if symptoms return If someone has erosive esophogitis or barrett's esophogitis, it is recommended to - Answer ️️ - keep them on their PPI (not d/c after 8 weeks) If, after 8 weeks of PPIs, someones GERD symptoms have not improved, what can you do? - Answer ️️ -refer to a GI specialist How often should you reassess PPIs and consider whether or not to refer to a GI specialist? - Answer ️️ -every 6-12 months How do antacids work? - Answer ️️ -They neutralize HCL and raise the gastric pH to above 4.0 it works immediately What medication works the fastest/slowest for managing symotoms of GERD? - Answer ️️ - antacids fastest, then H2RAs, then PPIs What side effects can antacids cause? - Answer ️️ -either diarrhea or constipation, depending on the specific antacid If someone is taking enteric drugs and antacids, what should you do? - Answer ️️ -separate by 2hrs b/c antacid changes the pH of the stomach, the enteric coated medication may release in the stomach instead of the intestines. you should separate other meds from antacids by _______ hrs - Answer ️️ -2, due to chelation and enteric coatings Calcium Carbonate (Tums, Rolaids) can cause - Answer ️️ -constipation Sodium bicarbonate antacids (Alka Seltzer) can cause - Answer ️️ -fluid retention Sodium bicarbonate antacids (Alka Seltzer) contain - Answer ️️ -aspirin Sodium bicarbonate antacids (Alka Seltzer) are not recommended for people with - Answer ️️ - HTN, fluid retention, CHF, pregnancy What antacid is contraindicated in pregnancy? - Answer ️️ -sodium bicarbonate antacids, due to the ASA Magnesium (Milk of Magnesia) can cause - Answer ️️ -diarrhea Do not prescribe magnesium for someone with - Answer ️️ -renal insufficienc