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Gina Ryan, PharmD, CDE, BCPS
Clinical Associate Professor, Mercer University College of Pharmacy & Health Sciences; Director, Office of Continuing Education.
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At the conclusion of this presentation, the participant will be able to:
Constipation
- List medications that commonly cause constipation.
- List the class and mechanism of action of OTC agents that are commonly used as laxatives.
- Select the best agent for a child, a pregnant female, an elderly women, etc. who needs a laxative.
- List the advantages and disadvantages when using an agent for relief of constipation.
- Identify which patients should be referred to a physician for constipation.
- When given a patient case, be able to suggest appropriate therapy, including drug and
dosage regimen, for patients with constipation.
- Describe the relationship of lifestyle (diet and physical activity) in IBS.
Peptic Ulcer Disease
- List the two most frequent causes of peptic ulcer disease.
- List common patient complaints that may indicate the presence of PUD.
- List the risk factors for gastrointestinal bleeding associated with drug use.
- Discuss the differences between duodenal ulcers, gastric ulcers, and heart burn.
- Discuss patient information concerning the best agent available to use regarding the
adverse drug reactions, dose and formulations.
- Explain the mechanism of action of the following agents: H2 receptor antagonist, proton
pump inhibitors, antacids and sulcralfate.
- Discuss the advantages and disadvantages of the antacid products available OTC.
Gastrointestinal Reflux Disease
- Describe the signs and symptoms of GERD.
- Explain the pathophysiology of GERD.
- Know the common medications and foods that can decrease LES pressure and irritate
the esophageal mucosa, increasing the risk of GERD or aggravating existing GERD.
- Summarize the potential complications of GERD and know the importance of effective
therapy.
- Explain the general approaches to treatment of patients with GERD.
- Differentiate between Phase I, II, and III GERD patient presentations and
recommend treatment regimens for each phase.
- When given a patient case, be able to suggest appropriate therapy, including drug and
dosage regimen, for patients with intermittent heartburn, symptomatic GERD, and
GERD with erosive esophagitis or severe GERD.
- Differentiate between maintenance and initial therapy.
- List the appropriate doses, frequency of use, side effects, and monitoring of the
pharmacologic agents currently used to treat GERD.
Irritable Bowel Syndrome
- List the signs and symptoms associated with irritable bowel syndrome (IBS)
- Describe the types and diagnostic criteria for IBS
- Discuss the pathophysiology of IBS
- List possible exacerbating factors of IBS
- Describe the relationship of diet in IBS
- Specify pharmacological and nonpharmacological treatment options for IBS
- Identify specific treatment options based on IBS symptomatology
- Describe psychological manifestations and the role of psychotherapy including
antidepressants in the treatment of IBS
- Recommend a pharmaceutical care plan taking into account patient allergies, side
effects, drug interactions and monitoring parameters.
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