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Medicine (MD/DO)
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USMLE Step 1
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Gastroenterology
/
Acid Suppression Agents

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Gastroenterology | Medicine (MD/DO) School Study Aid

Acid Suppression Agents
9 Picmonics to Learn | 13 mins
Proton Pump Inhibitors (PPIs)
"-prazole" Suffix
Indications
Zollinger-Ellison Syndrome
Gastritis
Peptic Ulcer
Gastroesophageal Reflux Disease (GERD)
Mechanism
Inhibit H+/K+/ATPase
Side Effects
Hip fracture
Pneumonia
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2 mins
H2 Receptor Blocker
"-tidine" Suffix
Indications
Gastroesophageal Reflux Disease (GERD)
Peptic Ulcer
Mechanism
Block Histamine H2 Receptors
Parietal Cells
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52 secs
Cimetidine and Famotidine (H2 Receptor Blockers)
-tidine Suffix
Mechanism
H2 Receptor Blocker
Indications
Suppress Gastric Acid Secretion
Side Effects (All)
Pneumonia
Side Effects - Cimetidine
Anti-androgen Effects
CNS Changes
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2 mins
H2 Receptor Blocker Side Effects
Side Effects
Decrease Creatinine Clearance
Cimetidine
Crosses Blood-Brain Barrier
Anti-Androgen
Inhibits Cytochrome P450
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1 min
Sucralfate (Carafate)
Mechanism
Creates Protective Barrier
Indications
GI Ulcers
Side Effects
Constipation
Considerations
Require Acidic Environment
Give on Empty Stomach
Oral Suspension Available
May Decrease Absorption of Other Meds
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2 mins
Dinoprostone and Misoprostol
Mechanism
Prostaglandins
Indications
Promote Cervical Ripening
Prevent GI Ulcers
Medical Abortion
Side Effects
Fetal Distress
Hyperstimulation of Uterus
Considerations
Vaginal Insertion
Give Before Induction of Labor
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2 mins
Magnesium Hydroxide
Clinical Use
Antacid
Osmotic Laxative
Side Effect
Diarrhea
Hypermagnesemia
Hyporeflexia
Hypotension
Cardiac Arrest
Consideration
Chelating Agent
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1 min
Aluminum Hydroxide
Clinical Use
Antacid
Side Effects
Constipation
Hypophosphatemia
Osteodystrophy
Proximal Muscle Weakness
Seizures
Considerations
Chelating Agent
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52 secs
Calcium Carbonate
Clinical Use
Antacid
Dietary Supplement
Side Effects
Hypercalcemia
Milk-Alkali Syndrome
Rebound Hyperacidity
Considerations
Chelating Agent
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1 min

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