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    Disorder and Meds

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    Katy Perchie
    This document lists various gastrointestinal disorders and their associated medication treatments. For esophagus disorders like achalasia, botulinum toxin, pneumatic dilation, and Heller's myotomy are used. Proton pump inhibitors are commonly used for hiatal hernia and gastroesophageal reflux disease. For stomach issues like peptic ulcers, proton pump inhibitors, H2 receptor blockers, and mucosal protective medications are prescribed. Inflammatory bowel diseases are treated with immunosuppressants, antibiotics, and probiotics to delay disease progression.

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    Disorder and Meds

    Uploaded by

    Katy Perchie
    40 views6 pages
    This document lists various gastrointestinal disorders and their associated medication treatments. For esophagus disorders like achalasia, botulinum toxin, pneumatic dilation, and Heller's myotomy are used. Proton pump inhibitors are commonly used for hiatal hernia and gastroesophageal reflux disease. For stomach issues like peptic ulcers, proton pump inhibitors, H2 receptor blockers, and mucosal protective medications are prescribed. Inflammatory bowel diseases are treated with immunosuppressants, antibiotics, and probiotics to delay disease progression.

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    This document lists various gastrointestinal disorders and their associated medication treatments. For esophagus disorders like achalasia, botulinum toxin, pneumatic dilation, and Heller's myotomy are used. Proton pump inhibitors are commonly used for hiatal hernia and gastroesophageal reflux disease. For stomach issues like peptic ulcers, proton pump inhibitors, H2 receptor blockers, and mucosal protective medications are prescribed. Inflammatory bowel diseases are treated with immunosuppressants, antibiotics, and probiotics to delay disease progression.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    40 views6 pages

    Disorder and Meds

    Uploaded by

    Katy Perchie
    This document lists various gastrointestinal disorders and their associated medication treatments. For esophagus disorders like achalasia, botulinum toxin, pneumatic dilation, and Heller's myotomy are used. Proton pump inhibitors are commonly used for hiatal hernia and gastroesophageal reflux disease. For stomach issues like peptic ulcers, proton pump inhibitors, H2 receptor blockers, and mucosal protective medications are prescribed. Inflammatory bowel diseases are treated with immunosuppressants, antibiotics, and probiotics to delay disease progression.

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    of 6

    DISORDER MEDICATIONS

    ESOPHAGUS

    1. Achalasia Botulinum toxin (botox)

    Pneumatic dilation

    Heller’s Myatomy
    - minimal surgery (incision)
    PPI (Proton Pumps Inhibitor)
    - zole meds
    Calcium channel blockers
     Nitroglycerin
     Amlodipine
     Nicardipine
     Felodipine
     Verapamil HCI
     Diltiazem

    2. Hiatal Hernia PPI

    H2 (histamine) Receptor blocker


     Cimetidine
     Nizatidine
    Antacids
    A1 (Oh)3 -aluminum hydroxide
    Mg (Oh)2 -Magnesium hydroxide
    Ca (Oh)3 -calcium carbonate
    A1 (Oh)3 + Mg(Oh)2
    Phosphodiesterase

    Calcium Channel Blockers

    3. Gastroesophageal Reflux Antacids – before meals


    Disease (GERD)
    H2 receptor antagonist – w/o
    regards to meal
    PPI – before meals

    Mucosal protective meds


     Sucralfate
     Misoprostol
     Mifepristone
    Prokinetics
     Metaclopramide
    4. Esophageal Cancer Antimetabolites (Adjuvants)
     5-Fluoruoral (5FU)
     Prednisone
     Prednisole

    Platinum agent
     Cisplatin
     Carboplatin
     Oxaliplatin

    Cytarabine (alkylating syndrome)


    -severe vomit
    metabolic alkalosis
    -MDS(myelodysplastic syndrome)
    Proliferation of immature WBC

    STOMACH

    1. Gastritis Antibiotics
    1. Cephalosporins
    1st Cefalexin (Keflex)
    2nd Cefoxitin
    3rd Ceftriaxone (Rocephin)
    4th Ceftazidine
    5th Cefazoline
    2. Antacids
    3. H2 receptor blockers
    4. PPI
    5. Mucosal protective meds
    6. Anti-spasmodic / prokinetics

    2. Peptic Ulcer Disease (PUD) PPI


    H2 receptor blocker
    Antacids
    Mucosal protective meds
    Prokinetics
    Cholinergic
    Prostaglandins (protection)
    Iron supplements
    To relieve pain:
    Morphine, meperidine, fentanyl

    3. Gastric Cancer Chemotherapy


    a. Anti-tumor antibiotic
    1. Doxorubicin (andriamycin)
    2. Mitomycin
    b. Antimetabolites
    1. carmustine (BCNN)
    2. cisplatin (platinol)

    c. Immune therapy
    1. rituximab – hypertensive
    crisis

    INTESTINE

    1. Inflammatory Bowel Disease :Delay the progress of disease


    (IBD)
    1. DMARD’s
    (Disease-modifying Anti-
    Rheumatic Disease)

    Extremely toxic meds:


    Immunosuppressants
     Azathioprine
     Cyclosporine
     Cyclophosphamide
     Methotrexate
     Gold salts (nephrotoxic)
     Prednisone (cortico
    steroid)
     Methylprednisolone
    (spinal chord injury)
    2. Antibiotics
     Sulfasalazine
     Trimethoprim
    3. Probiotics

    4. ADEK supplements

    5. Vaccines (TDAP, flu)


    (tetanus, diphtheria, pertisus)

    2. Irritable Bowel Syndrome :need to treat the symptoms


    (IBS)
    1. Antispasmodics
     Hyoscine (buscopan)
     TCA’s (antidepressants)
    Tricyclic antidepressant
    Clomipramine (Tofranil)
    Imipramine (Anafranil)
    2. Probiotics
    - erceflora
    - yakult
    3. Sulfasalazine – to relieve
    irritability of intestines

    3. Appendicitis Management:
    Surgery – Appendectomy

    4. Peritonitis 1. Antibiotics
     Cephalosporins
    1. Cefoxitin
    2. ceftazidime
     Aminoglycosides
    1. Amikacin
     Vancomycin
     Linezolid

    5. Constipation Laxatives
    -Irritants
     Bisacodyl
     Caster Oil
    -Bulk-formers
     Methylcellulose
    -Softeners
     Docusate Na(sodium)
    (colace)

    6. Colorectal Chemotherapy
     5-fluoruoracil (5FU)
     Capecitabine
     Irinotecan
     Oxaliplatin
    side effects: bone marrow
    suppression

    1. Hepatitis Hep. A
    AVOID:
    - Aspirin
    - Aminoglycosides (-myicin’s med
    - Carbonic anhydrase inhibitor
    - (acetazolamide)

    Hep. B & C
    -Universal precautions (means
    gloves daan)

    1. Medications:
    NO CURE, just to slow down the
    progress
     Ritonavir
     Rituximab (to boost
    immune system)

    2. Liver Cirrhosis 1. Beta-blockers


     propanol
     metoprolol
    (Esophageal varies)

    2. Antibiotics
     cefoxitin
     neomycin (prevent
    reabsorption of urea

    3. Diuretics
    4. Phospholipids
    5. Iron Supplements
    6. Coagulating fators
    7. Lactulose (precent build up of
    anomia in the body
    8. Antacids
    9. AVOID steroids

    3. Hepatocellular Carcinoma Chemotherapy


    Arterial-embolization –
    medications that are directly
    admins to portal vein

     Nitrosoureas (carmustine)
     Platinol (cisplatin)
     Mustard agent
    (mechlorethamine)
     Vinblastine
     Cyclophosphamide

    PANCREAS

    1. Pancreatitis 1. Pain management:


     Opioids (morphine SO4)
    - all except Meperidine
    - spasm @ the sphincter
    of Oddi

    2. Antibiotic Therapy
     Cefoxitin
     Vancomycin

    3. Oxygen .via face mask

    4. Steroids – to reduce
    inflammation

    5. H2 receptor blockers

    6. Antacids

    7. PPI -decrease amount of acid

    8. NGT/TPN

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