Saturday, January 4, 2014

Pharm Notes

Ch 50- Acid Controlling drugs Ant acrids- Neutralize stomach panes -Aluminum Salts- constipating effects, oftentimes apply w/ magnesium to counteract, often used with patients with nephritic distemper (easily excreted) -Magnesium salts- commonly develop diarrhea -Calcium salts- whitethorn get constipation and kidney stones, desire duration of venereal disease action, -Sodium Bicarbonate- quick onset, unawares duration. May cause metabolic alkalosis, sodium content may cause problems w/ patients w/ HF hypertension kick the bucket meds 1-2 hours after antacid Antiflatulents- drugs: Simethicone, Activated Charcoal H2 Antagonists- bowdlerize acid secretion Cimetidine (Tagament)- Binds with P-450, resulting in increased drug levels ranitidine (Zantac) Smoking decreases effectiveness of h2 blockers Proton Pump Inhibitors- achlorhydriaALL stomachal acid secretion is temporarily blocked Used for GERD maintenance therapy, corrosive esophagitis, short-t erm treatment of active duodenal and benign gastric ulcers, Zollinger-Ellison syndrome, manipulation of H. pyloriinduced ulcers. Proton pump inhibitors often work beat out when taken 30 to 60 minutes forward meals omeprazole (Prilosec) Pantoprazole (Protonix)- specifically indicated treatment of h pylori, may increase eject with warfarin.
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other drugs: Sucralfate (Carafate)- forming a protective barrier everywhere ulcers, demo other drugs at least 2 hours before sucralfate, may be used in chronic renal bereavement to reduce phosphate levels Misoprostol (Cytotec)- Used for prevention of NSAID-in duced gastric ulcers, value gastric mucosa ! from injury by enhancing local anaesthetic end product of mucus Ch 51- Bowel Disorder Drugs Antidiarrheals- -Adsorbents: rise up walls of GI tract, bind to responsible bacteria or toxin whence eliminated through stool. Examples: bismuth subsalicylate (Pepto-Bismol). change magnitude bleeding time. raunchy Gums, Tinnitis, hearing loss, dark stools. Decreased engrossment of digoxin, clindamycin, quinidine, hypoglycemic drugs. NO PEPTO BISMOL TO...If you want to get a encompassing essay, order it on our website: OrderCustomPaper.com

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