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Gastrointestinal Pharmacology

AB
Common GI problemsV/D, weight loss, flatulence, abnormal stools, constipation, bloat and colic
Basic functionprehension, digestion, absorption, excretion.
Three basic mechanisms of GI tract regulationANS, Hormones, GI tract cells
Vomitingforceful ejection of stomach contents. intiated by the medulla oblangata when stimulated by chemoreceptors triggors zone.
Everything triggers vomitnig...physiological state, drugs, metabolic disease, peripheral receptor irritation, inner ear disease
Emeticsinduce vomiting, mainly used for toxins ingestions of less than 4 hours.
Vomiting only removes..80% of content
ApomorphineDOC for inducing vomiting in dogs, put in the conjuctival sac or IV, IM
XylazineDOC for inducing vomiting in cats, reversed ny yohimbine
Peripheral Acting Emeticshydrogen perioxde, syrup of ipecac
AntitemeticsPhenothaiazine Derivatives, side effects of sedation, ataxia and hypotension
Phenothiazine DerivativesAcepromazine, Chlorpromazine, Prochloperazine
Antihistaminesmotion sickness or vestibular disease
Metoclopramidesensitizes GI tract to ACH. increases GI contractions, speeds gastric emptying, strengthens cardiac sphincter. short half life
Maropitantinhibits irritant substances binding to neurokinnin receptors centrally and peripherally. DO NOT USE IN <16WEEKS!
H2 antagonistsproduction of HCL by stomach is regulated by his tamine attachment to H2 blockers
Cimetidineinhibits microsomal hepatic enzyme system, alters stomach pH
Ranitidineless microsomal inhibition BID dosing
FamotidineSID toBID fewer drug reactions
Gastrointestinal ProtectantSulcralfate-binds to gastric mucosa, works best in acidic environment
Antacidsdecrease absorption of many drugs, do not administer within 1-2 hours of other drugs
Antidiarrhealsbelieved diarrhea result in hyposegmentation
Drugs to treat diarrheaopites, anticholinergics/antispasmotics
Adsorbentsprotect GI mucosa from further irritation
Laxativesused to loosen bowel contents and promote evacuation
NEVER use phosphate in...cats
Psyllium Preparations(metamucil) is used in cats with..megacolon
Laxative Lubricantsoils and hydrocarbon derivatives, mineral oil, hairball meds
Laxative Surfactantsreduce surface tension allowing water absorption by intestinal contents DSS
Laxative Irritantsstimulate gut increasing peristalsis
Lactuloseused in treatment of chronic constipation, hepatic encephalopathy
What is the natural laxative?pumpkin


Social Studies Grade 4
Potters Road Elementary

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