[Music] bismuth sub-salicylate commonly known as pepto-bismol is a medication that is used to treat a lot of different gastrointestinal problems like acid reflux diarrhea and nausea in this mnemonic video we'll cover important facts about bismuth sub-salicylate so you'll be ready come taste a i'm sure you've heard of pepto-bismol the bubblegum pink liquid medication unfortunately the nclex won't call it pepto-bismol they'll use the generic name instead not a big deal though because bismal in pepto-bismol can help you remember that its generic name is bismuth subsalicili i mean they sound pretty similar right pepto-bismol and bismuth sub-salicylate now that you know the generic name bismuth sub-salicylate let's move into the mnemonic to learn about all its different clinical uses the custodian is drinking the pepto-bismol here because he is grossed out that he has to clean the suspicious brown stuff all over this bathroom this picture should help you remember that bismuth sub-salicylate is used to treat diarrhea in other words it is an anti-diarrheal medication okay the custodian is going to need some strong cleaner to get all this stuff cleaned up looks like he's prepared with a strong acid cleaner in a flask the acid is bubbling up the narrow neck of this flask but luckily the custodian capped it so that it doesn't overflow here at pixarize we use a flask of acid bubbling up to symbolize gastroesophageal reflux disease or gerd let me explain the shape of the neck of this flask looks kind of like an esophagus connected to a stomach right our stomach is full of acid just like this flask and in gerd the stomach acid starts to flow up the esophagus just like this bubbling acid is going up the narrow neck of the flask people who experience gerd or acid reflux often describe it as a burning sensation near their heart which is why you may hear it called heartburn since bismuth sub-salicylate treats gerd we've symbolized this by putting a cap on the flask which stops the acid from bubbling up makes sense bismuth subsalicylate works as an antacid neutralizing the stomach acid which works to treat gerd the custodian is used to cleaning up messes but this diarrhea-covered bathroom is next level it's making him extremely nauseous i mean it's even making me nauseous in addition to drinking the bismuth sub-salicylate the custodian is cracking open a can of ginger ale you know since ginger ale is thought to help with nausea use the custodian's nausea along with this can of ginger ale to help you remember that bismuth sub-salicylate is an antiometic meaning it is used to treat nausea and vomiting now that we know the three most common clinical uses of bismuth sub-salicylate let's move on to two very important nursing considerations you need to know about this drug the custodian has completely lost his appetite he's thrown away his lunch a sandwich on rye bread you can use this rye sandwich to help you remember that bismuth sub-salicylate may cause rye syndrome in children rye syndrome is a very serious condition where children develop acute liver failure and encephalopathy it's most commonly associated with aspirin but can also be seen with bismuth sub-salicylate since they both contain salicylic the causative compound the bottom line is do not give bismuth subsalicylate to children since it could cause rye syndrome as if the diarrhea wasn't bad enough the walls of the bathroom are covered in a black mold these walls used to be a lighter color but now they've turned completely black you know this reminds me of how bismuth sub salicylate turns the stool a dark black color this is an expected and benign side effect of the drug it is not a reason to discontinue the medication or notify the provider just remember these black walls to remember bismuth sub salicylate causes dark black stools okay alright that's all for this demonic let's recap bismuth sub salicylate commonly known as pepto-bismol is used to treat diarrhea gerd and nausea it can cause rye syndrome a rare form of acute liver failure and encephalopathy in children so it should not be given to children a benign but expected side effect of bismuth sub-salicylate is dark or black colored stools and now we're actually done with bismuth sub salicylate see you next time thanks for watching for more videos like this one subscribe to our channel and check out our newest lessons for more resources on this topic including fact lists and interactive review images click the image next to the more here arrow i'll see you next time