7907796
Description
Flashcards by Ilana Kovach, updated more than 1 year ago
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Created by Ilana Kovach
almost 8 years ago
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| Question | Answer |
| Biologic Targeted Therapy (Immunomodulators) | TNF "-mab" Infliximab (IV), Adalimumab (Self Administered 1-2w), Certolizumab (by a Healthcare provider q 4w), Golimumab x2 first month then every 4w |
| Antimicrobials | Metronidazole, Ciproflaxacin |
| 5ASA | Mesalamine Olsalazine Balsalazide Sulfalazine w/ Sulfapyridine orally Available: Suppositories, enema & Foam *Yellow/orange Urine/skin (Not harmful) Photosensitivity & Folic Acid Deficiency |
| Corticosteroids | Budesonide & Prednisolone *Need Ca+ Supplement *Leads to Sodium Retention & potassium lost * Shortest time possible Taper off when surgery is planned |
| Immunosuppressant | Azathioprine, 6-MP, methotrexate (not for pregnant women), Cyclosporine NOT for Acute Flare up/delayed onset |
| Anticholinergic | Decrease Peristalsis (Remember cholinergic act on the PNS- Rest & Digest) |
| Anemia | Complication of Bloody Diarrhea Oral (Iron gluconate/Ferrous Sulfate), Severe (Iron Dextran) |
| Desmopressin Acetate & chlorpropamide | Hormone Replacement for Diabetes Insipidus (ADH) |
| Inflammatory Bowel Syndrome Diet | High Calories, High Vitamin, High Protein, Low-residue, Lactose-Free, Small Frequent Meals and Avoid Spicy foods. |
| Cholestyramine | Associated with Crohn's disease especially involving the ileum. Patients with Bile Acid Malabsorption can use Cholestyramine. Cholestyramine works by helping Bile Binds to unabsorbed bile fats (helps control diarrhea). |
| Cobalamin (Vitamin B12) | May be needed for Crohn's disease affecting the ileum since absorption of Vitamin B12 is in the ileum. Injection form monthly Nasal/Oral daily. (Also zinc may help with diarrhea) |
| Thiazide | May reduce flow to ADH sensitive Distal nephrons |
| TPN (Resting Bowels) | Monitor Capillary Glucose (Insulin use sliding scale), Start Low & Go slow, Good for 24hrs, Need a large gauge needle PICC/CVAD. |
| Carbamezapine | Anticonvulsant Treat seizures |
| indomethacin | NSAID that helps increase Renal Responsiveness in nephrogenic Diabetes Insipidius |
| Conivaptan & Tolivaptan | Retain Electrolytes & Release Water (Used for SIADH) |
| Declomycin | Drugs Block effects on the Renal tubules (SIADH) |
| 3% Hypertonic Saline | Treat Severe hypernatremia (seizures) |
| Furosemide | Diuretic used for Fluid Volume Excess (use only if the patient has at least125mEq/L) |
| Lithium | Can induce Nephrogenic Diabetes Insipidus |
| Metronidazole, Vancomycin & ($$Fidomoxacin) | Commonly used for C-diff |
| Metamucil | Bulk Laxative |
| Anticholinergics (Tolterodine & Oxybutynin)/Antispasmodics (Baclofen) | Helps with decreasing GI tract hypermotility: Diarrhea & Overactive Bladder: Neurogenic Spastic Bladder |
| Terazosin & Doxazosin | Alpha Adrenergic Blocker: Underactive Bladder (Retention) Relax the bladder muscles |
| Donnatol | Relieves Cramping in Involuntary Muscles |
| Sodium IV Hypertonic | Administer Hypovolemic Hyponatremia |
| IV calcium Gluconate | Hypocalcemia (may need Magnesium in addition), Hyperkalemia, Hypermagnesium |
| Biphosphonates | Full glass of water on an empty stomach & must sit upright for 30minutes (Used for Osteoporsis) |
| Calcitonin | IM or IV (Nasal Not effective) (Used for Osteoporosis) |
| Kayexalate | Binds to potassium in exchange for sodium "K+ exit" |
| Sodium Bicarbonate | Hyperkalemia Caused by metabolic Acidosis |
| IV insulin followed by glucose | Helps let K+ Travel back into the cell, & (hyperphosphatemia) |
| IV potassium | Never exceed 10-20mEq/L & Use infusion pump. only give if urine output is 0.5ml/kg/hr, Never IV push or Bolus. Preferred max. 40mEq/L, Invert several times for even distribution, Rapid correction necessary (central line) |
| IV phosphorus (Potassium phosphate & Sodium phosphate) | Used for Hypophosphatemia (Monitor for signs of hypocalcemia when administering) |
| Calcemia Supplements | Help with hyperphosphatemia |
| Phosphate Binding Agent (Calcium Carbonate) | Helps eliminate excess phosphorus |
| Aluminum Antiacids | Treat hyperphosphatemia (not for CDK) |
| Hemodalysis | Chronic Kidney failure (Hyperphosphatemia, hypermagnesium, hyperkalemia) |
| IV magnesium | monitor for decreased DTR's, Respiratory difficulty & decreased blood pressure if these occur stop! Used to elevate Magnesium levels |
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