PHA 3112 Chapter Notes - Chapter 78: Aspiration Pneumonia, Cimetidine, Antacid

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Lec 10 ch 78 drug list: aluminum hydroxide [amphojel, others] Antacids react w/ gastric acid to produce neutral salts or salts of low acidity. Decrease gut wall destruction by neutralizing acid & reduce pepsin activity if gastric ph above 5. Antacids may also enhance mucosal protection by stimulating production of prostaglandins. They do(cid:374)"t (cid:272)oat the ul(cid:272)er (cid:272)rater to prote(cid:272)t it fro(cid:373) a(cid:272)id & pepsi(cid:374). Healing rates equivalent to h2ras but these drugs replaced by better options (h2ras, ppis, sucralfate) Antacids administered prior to anesthesia to prevent aspiration pneumonitis. For gerd, a(cid:374)ta(cid:272)ids (cid:272)a(cid:374) produ(cid:272)e sy(cid:373)pto(cid:373)ati(cid:272) relief, (cid:271)ut do(cid:374)"t a(cid:272)(cid:272)elerate healing. Antacids are used widely to relieve functional symptoms: dyspepsia & acid indigestion promote constipation. Bowel effects minimized by combining antacid promotes constipation w/ antacid promotes diarrhea. Some antacid contain sodium (exacerbate hypertension & heart failure=avoided w/ these disorders) Highly effective antibiotics w/ low resistance rate.

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