Lecture Notes: Bismuth Subsalicylate (Pepto-Bismol)

Overview

• Generic Name: Bismuth Subsalicylate
• Common Brand Name: Pepto-Bismol
• Used For: Treating gastrointestinal problems
  • Acid reflux (GERD)
  • Diarrhea
  • Nausea

Mnemonics and Imagery

• Bismuth Subsalicylate vs Pepto-Bismol:
  • Use the ‘bismal’ in Pepto-Bismol to remember the generic name.

Clinical Uses

1. Diarrhea

   • Mnemonic: The custodian cleaning a bathroom with suspicious brown stuff represents anti-diarrheal use.

2. GERD (Gastroesophageal Reflux Disease)

   • Symbol: Flask of acid with a bubbling neck represents GERD.
   • Mechanism: Antacid properties neutralize stomach acid, preventing reflux.

3. Nausea

   • Mnemonic: Custodian drinking ginger ale for nausea illustrates antiemetic use.

Nursing Considerations

1. Reye's Syndrome

   • Risk: May cause Reye's syndrome in children due to salicylic component.
   • Symbol: Custodian's discarded rye sandwich as a mnemonic.
   • Recommendation: Do not give to children.

2. Side Effects

   • Black Stools:
     • Image: Walls covered in black mold symbolize dark stools.
     • Note: This side effect is benign and doesn’t require stopping the medication.

Recap

• Uses: Diarrhea, GERD, Nausea
• Caution: Avoid in children due to risk of Reye's syndrome.
• Side Effects: Black stools (benign)

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