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Lactulose: Mechanism of Action in Hepatic Encephalopathy Lactulose → ↑ Lactic Acid, Acetic Acid → ↓ pH
Lactulose: Mechanism ... Encephalopathy Lactulose ... EricsMedicalLectures/ #Lactulose ... #pharmacology #
Pharmacologic Management of Constipation Fiber Laxatives - Bran powder - Psyllium - Methylcellulose - Calcium polycarbophil
Pharmacologic Management ... hydroxide - Lactulose ... #Constipation #Pharmacologic ... #Management #Pharmacology
IV Fluid Composition and Effects on Plasma 0.9% Saline Ringer's Lactate Balanced Crystalloid #IVFluid #Composition #Plasma #comparison #Effects #nephrology #pharmacology
Saline Ringer's Lactate ... Effects #nephrology #pharmacology
Crystalloid pH, Contents and Costs Compared Plasma pH 7.4 Normal Saline pH 5.5* Ringer’s Lactate pH 6.5 Plasmalyte A pH 6.5 Coca-cola pH
5.5* Ringer’s Lactate ... Comparison #Table #Pharmacology ... LactatedRingers #Plasmalyte #Pharmacology
Considerations for Crystalloids - 0.9% NS vs LR vs Plasma-Lyte - Causes hyperkalemia? - Safe to
- Serum lactate ... #Crystalloids #pharmacology
Intern Pocket Cards - Inpatient Bowel Regimen Guide Osmotic agents (draws water into bowel, thereby loosening stool
, cramping • Lactulose ... #constipation #pharmacology
Pharmacologic Management of Constipation Commonly used laxatives: • Bulk-forming laxatives - Psyllium, methylcellulose, polycarbophil • Osmotic laxatives
Pharmacologic Management ... glycol, sorbitol, lactulose ... #medications #pharmacology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
mEq/L • Sodium lactate ... mEq • Sodium Lactate ... mole/L of sodium lactate ... NS #comparison #pharmacology
Food carbohydrates Starch Polysaccharides Salivary amylase G) Pancreatic amylase Lactose Maltose Lumen Lactase Maltase O Sucrase Saccharose Disaccharides Nat cotransport carrier Villus epithelial cell Galactose Glucose Glucose Glucose Glucose Fructose Galactose Na*- and energy- dependent absorption Glucose Facilitated diffusion #Fructose Monosaccharides Energy dependent Blood capillary Na+
Pancreatic amylase Lactose ... Maltose Lumen ... Lactase Maltase ... epithelial cell Galactose ... Glucose Fructose Galactose
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days) Exclude: 1. Causes of acute diarrhea 2. Lactose intolerance 3.
Lactose intolerance ... Normal fecal fat: Lactose ... intolerance, Sorbitol, lactulose
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