OTC nausea meds - Answers OTC antihistamines:
-meclizine
-dimenhydrinate
--for motion sickness
most potent antacid - Answers calcium carbonate
which is used more for GERD, PPIs or H2RA? - Answers PPIs
first generation antihistamines - Answers sedating
-chlorpheniramine
-diphenhydramine
-clemastine
-hydroxyzine
second generation antihistamines - Answers non sedating
-cetirizine
-loratidine
-fexofenidine
antihistamine SE - Answers seen in both generations
-CNS depression
-dizziness
-GI SE
PUD - Answers erosion of gastric and/or duodenal mucosa
antacids - Answers alkaline compounds that chemically neutralize stomach acid
-choose based on the state of pts bowel movements
antacids that cause constipation - Answers aluminum hydroxide
-can also bind to pepsin, which can facilitate ulcer healing
,calcium carbonate
-may cause acid rebound
ulcer treatment packs: - Answers H2 antagonist or PPI + an antacid + an antibiotic
-Prevpac has everything needed to cure H. Pylori and heal ulcer
diarrhea: if infection present: - Answers an antidiarrheal may NOT be indicated
PPIs - Answers omeprazole, esomeprazole, lansoprazole, pantoprazole
-inhibits H+ secretion by blocking H+/ATPase, the enzymes that make gastric acid
-taking long term causes *REBOUND GERD*
--have to be tapered off
--take a while to work
PPIs or H2RAs: which takes longer to work? - Answers PPIs
PPIs or H2RAs: which works longer? - Answers PPIs
methylprednisolone - Answers decreases synthesis and release of inflammatory mediators
-used short term when sympathomimetics cant control
-given IV for status asthmaticus
-taper doses
SE: systemic
-NA+/H2O retention
-ulcers
-CV problems
beclomethasone - Answers decrease synthesis and release of inflammatory mediators
-not for asthmatics
-given by inhalation/aerosolized
, -must taper with prolonged use
-increased PO/IV doses in times of stress
SE:
-decreased systemic SE d/t being aerosolized
-increased risk of oral candidiasis (thrush)
fluticasone - Answers decrease synthesis and release of inflammatory mediators
-not for asthmatics
-given by inhalation/aerosolized
-must taper with prolonged use
-increased PO/IV doses in times of stress
SE:
-decreased systemic SE d/t being aerosolized
-increased risk of oral candidiasis (thrush)
prednisone - Answers decreases synthesis and release of inflammatory mediators
-used short term when sympathomimetics cant control
-given/preferred PO for oral asthma therapy
-taper doses
SE: systemic
- NA+/H2O
-retention