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Drugs - Gastrointestinal Agents

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Which quadrant of the abdomen does the stomach lie in?
the upper left quadrant
What are the 2 chemicals that break down food in the stomach?
Hycrochloric acid and Pepsinogen
What is chyme?
the semi-liquid form of food entering the duodenum
What is meant by perstalsis?
it is the wave-like motion that moves food along the intestinal tract
How long are the small and large intestine together?
about 28 feet
Where does most food absorption occur?
the small intestine
What is Pepsin?
a normally present gastric enzyme that breaks down proteins
Is it possible for the digestive system to break down protein molecules into amino acids w/o pepsin?
yes, using proteolytic enzymes
Where are proteolytic enzymes made and then found?
made in the pancreas, found in the small intestine
What are proteolytic enzymes capable of breaking down?
starches and fats
What are 2 diseases that would require enzyme therapy?
cystic fibrosis and chronic pancreatitis
What is pancreatin made from?
hog pancreas
What is steatorrhea?
where fat is inadequately digested and is excreted in large amounts in feces
What can steatorrhea be treated with?
pancrelipase
What do Antiperstalsis drugs do?
they slow the movement of the intestinal contents to allow for greater water and electroyte absorption
What type of drug is Loperamide?
an antiperstalsis agent
What type of drug is Dephenoxylate w/ atropine?
an antidiarrheal
What is the generic name for Pepto-Bismol?
Bismuth subsalicylate
How does Pepto-Bismol work?
prevents organisms from attaching to the intestinal mucosa and may deactivate certain toxins as well
What is a major concern with prolonged vomiting?
dehydration and electrolyte imbalance
What are antacids generally composed of?
inorganic salts, such as calcium carbonate, aluminum hydroxide, and magnesium hydroxide
How do antacids work?
they neutralize existing acid
What type of drug is Cimetidine?
a histamine blocker used to treat and prevent ulcers and GERD
How does a histamine receptor antagonist work?
it inhibits the secretion of gastric acid by blocking the effects of histamine
How does a bulk forming laxative work?
it swells as it mixes with intestinal contents
How does a stimulant laxative work?
irritates the lining and nerves of the intestine
How does a saline laxative work?
rapidly promotes watery stool by drawing water into the intestine
How does an osmotic laxative work?
increases the stool's water content using osmosis
How does a stool softener work?
it promotes the mixing of fatty and watery intestinal substances to soften the stool's contents
What is the brand name for Docusate Sodium and what type of drug is it?
Colace, commonly ordered stool softener
What is the brand name for Lactulose and what type of drug is it?
Chronulac Syrup, commonly prescribed saline laxative
What type of drug is Zantac?
a histamine blocker used to treat and prevent ulcers and also treats GERD
What is the generic name for Zantac?
Ranitidine
What is the brand name for Ranitidine?
Zantac
What type of drug is Aciphex?
a PPI used to treat ulcers, GERD, erosive esophagitis, or Zollinger-Ellison syndrome
What is the generic name for Aciphex?
Rabeprazole
What is the brand name for Rabeprazole?
Aciphex
What type of drug is Prevacid?
a PPI used to treat ulcers, GERD, erosive esophagitis, or Zollinger-Ellison syndrome
What is the generic name for Prevacid?
Lansoprazole
What is the brand name for Lansoprazole?
Prevacid
What type of drug is Protonix?
a PPI used to treat ulcers, GERD, erosive esophagitis, or Zollinger-Ellison syndrome
What is Zollinger-Ellison syndrome?
Zollinger-Ellison syndrome (ZES) is a rare disorder that causes tumors in the pancreas and duodenum and ulcers in the stomach and duodenum. The tumors secrete a hormone called gastrin that causes the stomach to produce too much acid, which in turn causes stomach and duodenal ulcers (peptic ulcers).
What is the generic name for Protonix?
Pantoprazole
What is the brand name for Pantoprazole?
Protonix
What type of drug is Nexium?
a PPI used to treat heartburn, or GERD
What is the generic name for Nexium?
Esomeprazole
What type of drug is Prilosec?
a PPI used to treat ulcers, heartburn, GERD, or Zollinger-Ellison syndrome. It works by blocking acid production in the stomach
What is the generic name for Prilosec?
Omeprazole
What is the brand name for Omeprazole?
Prilosec
What type of drug is Allopurinol?
a hyperuricemic agent used to treat gout and to prevent certain kidney stones from reforming
What type of drug is Promethazine?
a phenothiazine used to treat or prevent nausea, vomiting, or motion sickness
What type of drug is Metoclopramide?
a gastrointestinal stimulant used to treat GERD and erosions/ulcers of the esophagus
What type of drug is Detrol LA?
an antimuscarinic agent used to treat overactive bladder
What is the brand name for Exomeprazole?
Nexium
What type of drug contains the stem -setron in the name?
serotonin 5-HT3 receptor antagonists
What do Serotonin 5-HT3 Antagonists typically treat?
usually treats nausea and vomitting due to chemotherapy

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