Exam 2 Intestinal Gas

What are some medications that can cause intestinal gas?

antibiotics, drugs high in fiber such as laxatives

In a pediatric patient, when would we refer instead of self-care for intestinal gas?

if you suspect colic

How long would symptoms last for you to refer instead of treat with self-care?

several months or occur more than occasionally

What are the other exclusions to self-care for intestinal gas?

sudden change in location of abdominal pain

symptoms with significant abdominal bowel discomfort or sudden change in bowel function

sudden increase in frequency or severity of symptoms

What are some lifestyle changes to help with intestinal gas?

take time to eat

avoid overindulgence of food

avoid gulping or sipping

keep a diet diary

don’t lie down after eating

What is the MOA of simethicone?

decreases surface tension of gas bubbles so they are broken

What is the indication of simethicone?

to relieve symptoms of gas bubbles ALREADY formed

What is the max daily dose for simethicone capsules or tablets?

500mg

What is the liquid dose for simethicone for adults?

40-80mg

What is the liquid dose for simethicone for children 2-12 years (greater than 24 pounds)?

40mg

What is the liquid dose for infants less than 2 years (less than 24 pounds)?

20mg

What is the max dose for simethicone liquid?

12 doses per day

What pregnancy category is simethicone?

C

What is the indication for alpha galctosidase?

prevention of gas

What is the dosing of alpha galactosidase?

1 tablet or 5 drops with each serving of gassy foods during a meal

Which patients should we avoid alpha galactosidase?

diabetic patients

those with galactosemia

Are there any known drug interactions with alpha galactosidase?

no

What is the age restriction for alpha galactosidase?

12 and older

What is the indication for lactase replacement treatment?

used in patients experiencing intestinal gas that have lactose intolerance

Are there any known adverse effects or drug interactions with lactase replacement?

no

What are some counseling points for those that are lactose intolerant?

don’t eliminate dairy completely

drink low-fat or fat-free milk in servings of 1 cup or less