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GERD&PUD

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munsele's version from 2016-07-05 22:29

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Question Answer
First line for h pylori infection14 day triple therapy: PPI, amoxicillin, clarithromycin
Sucralfate adminbefore meals
Sucralfate primary SEConstipation
Best addition to pylera therapyPPI
PyleraBismuth, metronidazole,tetracycline
Reglan in PDwill worsen PD sx, as it is a dopamine agonist
Dexilant adminQD without regard to meals
Misoprostol SEdiarrhea and abdominal pain
Prevpacamoxicillin, clarithromycin and lansoprazole
Misoprostol MOAprostaglandin analog
Cimetidine counselingmay cause sexual problems, notify if swollen or tender breasts, interactions with many medications, may cause CNS adverse effects in elderly
Pepcid complete containsFamotidine, calcium and magnesium hydroxide
Pylera counselingChew the round, pink bismuth tablets and swallow the other pills on the Pylera card
Meds that require an acidic environment for absorptionketoconazole, itraconazole, calcium carbonate, iron
Risk factors for H2RA assoc confusion>50, renal impairment
Vimovonaproxen + esomeprazole
Physical cause of GERDLower esophageal sphincter tone is reduced
H2RAs available in IV formulationfamotidine, cimetidine, ranitidine
most ulcers occur in which area of the stomachfundus
after completing course of a PPI, if still have sx recommendation should be forH2RA
Maalox should not be used continuously in ptswith poor renal function
PPIs available as injectable formulationsPantoprazole, esomeprazole
which PPIs can go down the NG tubeall
PPIs to avoid with concurrent Plavixomeprazole, esomeprazole
Nexiumesomeprazole
memorize