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Resp, GIT Conditions and Treatments
In name
62
Medical
Undergraduate 2
04/09/2015

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Cards

Term
Constipation
Definition
Bulk laxative
Term
Constipation
Definition
Osmotic laxative

SE - abdo cramps, dont give to kids, PEG no cramps or flatus
Term
Constipation
Definition
Faecal softeners (surfactant)
Term
Constipation
Definition
SENNA
Stimulant laxative
Term
Constipation
Definition
D2 receptor antagonist
Term
Diarrhoea
Definition
LOPERAMIDE
(opioid)
- decreases activity of myenteric plexus, not cross BBB
Term
Motion sickness
Vomiting from pain or repulsion
Definition
HYOSCINE
Antimuscarinic

SE - Blurred vision, urinary retention, dry mouth, drowsiness
Term
Motion or morning sickness
Definition
Antihistamines
ie H1 receptor antagonist
NOT in chemo

SE - Many are sedating
Blurred vision, urinary retention, dry mouth, drowsiness
Term
Nausea and vomiting
Definition
METOCLOPRAMIDE
D2 receptor antagonist
Also facilitates gastric emptying
Term
Acute phase emesis
Chemo nausea/vomiting
Postoperative vomiting
Definition
ONDANSETRON
5HT3 antagonist

SE - constipation
Term
Asthma - predominantly neutrophils
Definition
NOT steroids, as can be resistant to it
Term
Asthma - reliever
Definition
SALBUTAMOL
Short acting beta-2 agonist

SE - Tachycardia (B1), Muscle tremor (B2), Tolerance with overuse
Term
Asthma - preventer
Definition
EFORMETEROL (use with budesonide)
LABA

SE - Tachycardia (B1), Muscle tremor (B2), Tolerance with overuse
Term
Asthma - preventer
Definition
FLUTICASONE (use with salmeterol)
Glucocorticoid

SE - Suppress response to infection, Suppress endongenous glucocorticou, Cataracts, glaucoma, behavioural disturbances, Cushing’s syndrome
Term
Asthma - aspirin and exercise induced
Definition
Cyteinyl leukotriene receptor antagonists

do NOT give non-selective COX inhibitors
SE - limited - liver function may be impaired
Term
COPD
Definition
Ipratropium bromide
(then + salbutamol, then add theophylline)
Inhibits muscarinic activation

SE - Anti-SLUD = salivation, lacrimation, urination, defecation
Term
Sinusitis
Definition
Symptomatic (paracetamol, decongestant - alpha-adrenoceptor agonist)
Term
Severe sinusitis (>7 days)
** first choice
Definition
AMOXYCILLIN

SE - Few, Rash, excreted by kidneys so reduce in renal failure
Term
Severe sinusitis (>7 days)
** penicillin sensitive people
Definition
CEPHALEXIN
Cyclosporin

SE - Diarrhoea, nausea, vomiting, Rare - neurotoxicity
Term
Severe sinusitis (>7 days)
** penicillin sensitive people
Definition
DOXYCYCLINE
NOT to kids <8 yrs old

SE - Nausea, vomiting, diarrhoea, Chelate Ca2+ on bones and teeth - discoloured teeth, Hepatotoxic, renal damage, photosensitivity
Term
Pharyngitis/tonsilitis & Other upper resp tract infections
Definition
ERYTHROMYCIN

SE - GI upset, Potential ototoxicity
Term
Otitis externa
Definition
GENTAMICIN

SE - Fungal overgrowth, Potential ototoxicity
Term
Otitis media
Definition
Most have little effect
Can use AMOXYCILLIN
Term
Bronchitis
Definition
Symptomatic
If suspect pertussis - ERYTHROMYCIN
Term
Influenza
Definition
OSELTAMAVIR
Term
Pneumonia
Definition
AMOXYCILLIN

Can add DOXYCYLINE if certain types suspected
Term
Tuberculosis
Definition
RIFAMPICIN

Used in combo as resistance develops easily

A lot of drug interactions
Term
Tuberculosis
Definition
ISONIAZID
Only in antimycobacterial
Always in combo - resistance develops easily

SE - Allergic skin reactions, Fever, hepatotoxicity, haematological changes
Term
Peptic ulcer - (non most effective)
Definition
RANITIDINE
H2 receptor antagonist

SE - Very low incidence of SEs, Headache, dizziness, rash, Interfere CYP450 (warfarin, phenytoin), Decreased absorption with antacids
Term
Peptic ulcer - most effective in anti-ulcer therapy
Definition
ESOMEPRAZOLE
Proton pump inhibitor

SE - Extremely safe, Inhibit CYP450 (warfarin, phenytoin)
Term
Peptic ulcer - (non most effective)
Definition
Anticholinergics

SE - anti-SLUD
Term
Peptic Ulcer - Mucosal protective agent
Definition
Sucralfate

SE - Constipation, inhibit absorption of some other drugs
Term
Peptic Ulcer - Mucosal protective agent - Only in patients using NSAID's with high risk of ulcer
NOT during pregnancy
Definition
Prostaglandins

SE - Pain worsen initially, diarrhoea, nausea, headache, uterine contraction - NOT in pregnancy
Term
Peptic Ulcer - Mucosal protective agent - not first line
Definition
Bismuth chelate

SE - Black stools and tongue, dont use for long periods
NOT with meals, antacids, or other meds
Term
Peptic ulcer - more so duodenal than gastric
Definition
Antacid

SE - Al3+ = constipation, Mg2+ = diarrhoea, Interacts with several drugs
Term
Peptic Ulcer - H. Pylori treatment
Definition
Bismuth chelate

SE - Black stools and tongue, dont use for long periods
NOT with meals, antacids, or other meds
Term
Peptic Ulcer - H. Pylori treatment
Definition
AMOXYCILLIN

SE - Few, Rash, excreted by kidneys so reduce in renal failure
Term
Peptic Ulcer - H. Pylori treatment
Definition
TETRACYCLINE
Term
Peptic Ulcer - H. Pylori treatment
Definition
METRONIDAZOLE

SE - GI disturbances, metallic taste, headache, dizziness and thrombophlebitis with I.V. administration
Term
Peptic Ulcer - best triple therapy
Definition
PPI + METRONIDAZOLE + AMOXYCILLIN or clarythromycin
Term
Reflux - drug of choice
Definition
ESOMEPRAZOLE
PPI

SE - Extremely safe
Inhibit CYP450 (warfarin, phenytoin)
Term
Reflux - not drug of choice
Definition
Antacids
Term
Reflux - not drug of choice
Definition
RANITADINE
H2 receptor antagonist

Very low incidence of SEs, Headache, dizziness, rash, Interfere CYP450 (warfarin, phenytoin), Decreased absorption with antacids
Term
Reflux - not drug of choice
Definition
Sucralfate
Term
Amoebiasis (traveling)
**asymptomatic patient**
Definition
PAROMOMYCIN
(similar to GENTAMICIN)
aminoglycoside
**restricted use**

SE - Nausea, abdominal pain, cramps, diarrhoea
More GI absorption = risk ototoxicity and hepatotoxicity
Term
Amoebiasis (traveling)
**invasive disease**
Definition
METRONIDAZOLE or TINIDAZOLE
+ luminal ameobicide

SE - Metronidazole has MORE side effects
Nausea, headaches, dry mouth, metallic taste
Interacts with alcohol (severe nausea and vomiting)
Term
Giardiasis
Definition
METRONIDAZOLE or TINIDAZOLE

SE - Nausea, headaches, dry mouth, metallic taste
Interacts with alcohol (severe nausea and vomiting)
Term
Trichomoniasis
Definition
METRONIDAZOLE or TINIDAZOLE
All sexual partners treated

SE - Nausea, headaches, dry mouth, metallic taste
Interacts with alcohol (severe nausea and vomiting)
Term
Malaria - prophylaxis
Definition
CHLOROQUINE
doxycycline
Term
Malaria - acute suppression
Definition
QUININE
Term
Malaria - radical cure
Definition
Primaquine
Term
Intestinal nematodes
Definition
Benzimidazole

SE - Teratogenic in animal studies
Term
Intestinal nematodes
Definition
Mebendazole
Term
Intestinal nematodes
Definition
ALBENDAZOLE

SE - mild GIT
Term
Intestinal nematodes
Definition
IVERMECTIN
Term
Drug of choice for mixed intestinal worm infections (also effective against some protozoa, eg giardia)
Definition
ALBENDAZOLE

SE - mild GIT
Term
Hookworm
Definition
ALBENDAZOLE

SE - mild GIT
Term
Roundworm
Definition
ALBENDAZOLE or pyrantel

SE - mild GIT
Term
Strongyloidiasis
Definition
IVERMECTIN
Term
Threadworm
Definition
ALBENDAZOLE or mebendazole

SE - mild GIT
Term
Whipworm
Definition
ALBENDAZOLE or mebendazole

SE - mild GIT
Term
Cestodes
Definition
PRIZIQUANTEL

SE - GI intolerance, nausea etc, Well absorbed from GIT
More marked with heavy worm infestation
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