Shared Flashcard Set

Details

GERD Proton Pump Inhibitors
GERD Proton Pump Inhibitors
20
Photography
Professional
08/28/2012

Additional Photography Flashcards

 


 

Cards

Term
Brand name for omeprazole
Definition
Prilosec
Term
Brand name for Omeprazole - Na Bicarb
Definition
Zegrid, Zegrid OTC
Term
Brand name for Pantoprazole
Definition
Protonix
Term
Brand name for Lansoprazole
Definition
Prevacid, Prevacid SoluTab
Term
Brand name for Esomeprazole
Definition
Nexium
Term
Brand name for Rabeprazole
Definition
Aciphex
Term
When are PPIs taken?
Definition

PPIs are taken daily, before breakfast, to treat duodenal and gastric ulcers. If this fails, BID (2nd close before dinner) can be tried. Some are right before eating - others are 30 - 60 minutes before food.

[image][image][image][image]

Term
Which PPIs are most effective?
Definition

Alls imilarly effective - generic should be tried 1st

Term
Why is it good to limit PPI use?
Definition

Increased risk of osteoporsos/fracture with long-term use-good reason to limit use

Term
What other precautions do PPI have?
Definition

(A) Can increase INR if using warfarin (monitor)

(B) Can increase risk pneumonia in hospitalized patients

[image][image][image][image]

Term
[image]
Definition
Statement. Not a question.
Term
PPIs should be used cauttiously with?
Definition

Caution with concurrent use of itraconazole, ketoconazole, calcium carbonate and iron, due to reduced absorption from increased pH.

Term
PPIs inhibit?
Definition

PPIs inhibit 2C19:...may prevent conversion of clopidogrel to the active form ---> pantoprazole may have lower DI risk.

Term
When to take PPIs
Definition

Take before breakfast. If twice daily, take before breakfast and dinner.

 

Term
If taking long-term ensure that calcium and vitamin D intake is optimal. Recommend ________.
Definition

calckum citrate formulations (improved absorption in basic pH).

Term
How to stop PPI medication
Definition

Should "taper" the dose to avoid "acid rebound." RpH should recommend decreased dose, then every other day, over at least a coouple of weeks.

 

Term
Should PPIs be used for occasional mild stomach upset?
Definition

Do not use for occasional mild stomach upset: this can be effectively treated with an antacid (such as calcium carbonate) or a stronger medication such as famotidine (generic of Pepcid)

Term
Effervescent and orally dissolving formulations contain...?
Definition
phenylalanine - do not use with PKU!
Term
While using PPI, how long to wait before contacting doctor?
Definition
14 days
Term
How to take Prevacid SoluTab?
Definition

Do not swallow whole. Place on tongue and allow to dissolve (with or without water), then swallow.

Supporting users have an ad free experience!