Lubricants

Question 1

Lubricants Drug Names

Answer 1

Docusate
Glycerin
Mineral Oil

Question 2

Lubricants Therapeutic Actions

Answer 2

• Not absorbed systemically

Question 3

Lubricants Indications

Answer 3

• Docusate:
  Has a detergent action on the surface of the intestinal bolus, making a softer stool
• Glycerin: Hyperosmolar laxative used to gently evacuate the rectum without systemic effects higher in the GI tract
• Mineral Oil: Forms a slippery coat on the contents of the intestinal tract

Question 4

Lubricants Contraindications and Cautions

Answer 4

Contraindications:
• Allergy
• Acute abdominal disorders

Caution:
• Heart block
• CAD
• Debilitation

Question 5

Lubricants DDI

Answer 5

DDI:

• Frequent use of mineral oil can interfere with absorption of the fat-soluble D, A, E, K.

Question 6

Lubricants Adverse Effectts

Answer 6

• GI: diarrhea, abdominal cramping, nausea; leakage and staining with mineral oil
• CNS: dizziness, headache, weakness
• Sweating, palpitations, flushing, fainting

Question 7

Lubricants:

Assessment

Answer 7

Hx: Allergy, lactation and pregnancy
Physical: vital signs, abdominal, fecal assessment or intestinal obstruction, acute abdominal pain, bowel sounds, elimination pattern, nausea or vomiting, neurological status, level of activity (baseline)
Labs: monitor results

Question 8

Lubricants:

Diagnosis

Answer 8

• Acute pain
• Diarrhea
• Deficient knowledge regarding drug therapy

Question 9

Lubricants:

Implementation

Answer 9

• Administer a laxative only as a temporary measure
• Arrange for appropriate dietary measures, exercise, and environmental controls
• Administer the oral form with a full glass of water and caution the patient not to chew tablets
• Administer bulk laxatives with plenty of water
• Insert rectal suppositories high into the rectum; encourage patients to retain enemas or rectal solution
• Do not administer in the presence of acute abdominal pain, nausea, or vomiting
• Monitor bowel function
• Provide comfort and safety measures
• Provide thorough patient teaching

Question 10

Lubricants:

Evaluation

Answer 10

Response to the drug 
Adverse effects
 Effectiveness of comfort measures
Compliance with regimen
Effectiveness of teaching plan