Activates vasopressin receptors

Are you sure? Terlipressin binds to vasopressin receptors, leading to vasoconstriction of splanchic blood vessels, which can stop active esophageal bleeding. This is not the mechanism of action of lactulose. 

Please go back and re-consider. 

Lactulose

Map: Andrew Hall (1102)
Node: 20961
Score:

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OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • B
  • PPIs are weak bases that become activated by colonic bacteria
  • D
  • C
  • Ignore the emotional expression.
  • E
  • A
  • Respond bluntly: “That is common in diabetes.”
  • PPIs are weak acids activated by protonation in parietal cells
  • Blame the patient for non-adherence
  • PPIs are weak bases converted by CYP450 enzymes to the active form in parietal cells
  • Validate the emotion
  • Sequesters bile acids
  • PPIs are weak acids converted by CYP450 enzymes to the active form in parietal cells
  • Reschedule without offering alternative solutions
  • Antagonizes beta receptors
  • Tell the patient to change devices without giving proper guidance.
  • Reschedule with alternative (e.g., WhatsApp call) if needed
  • Insist on continuing with poor video quality
  • Reschedule without offering alternative solutions
  • Switch to audio + chat mode and promise a PDF summary afterward
  • PPIs are weak bases activated by protonation in parietal cells
  • Activates vasopressin receptors

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