Bowel Disorder Drugs Flashcards Preview

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Flashcards in Bowel Disorder Drugs Deck (31):
0

Docusate (Colace)
(Functional Classification)

Laxative, emollient; stool softener

1

Docusate (Colace)
(Chemical Classification)

Anionic Surfactant

2

Docusate (Colace)
(Mechanism of Action)

Increases water, fat penetration in intestine; allows for easier passage of stool

3

Docusate (Colace)
(Uses)

Prevention of dry, hard stools

4

Docusate (Colace)
(Contraindications)

Hypersensitivity, obstruction, fecal impaction, nausea/vomiting

5

Docusate (Colace)
(Side Effects)

EENT: bitter taste, throat irritation
GI: nausea, anorexia, cramps, diarrhea
INTEG: rash

6

Docusate (Colace)
(Nursing Considerations)

ASSESS:
-CAUSE OF CONSTIPATION; identify whether fluids, bulk, or exercise missing from lifestyle; constipating products
-Cramping, rectal bleeding, nausea, vomiting; if these occur, product should be discontinued

7

Glycerin
(Functional Classification)

Laxative, hyperosmotic

8

Glycerin
(Uses)

Constipation

9

Glycerin
(Contraindications)

Hypersensitivity

10

Lactulose
(Functional Classification)

Laxative; ammonia detoxicant (hyperosmotic)

11

Lactulose
(Chemical Classification)

Lactose synthetic derivative

12

Lactulose
(Mechanism of Action)

Prevents absorption of ammonia in colon by acidifying stool; increases water, softens stool

13

Lactulose
(Uses)

Chronic constipation, portal-systemic encephalopathy in patients with hepatic disease

14

Lactulose
(Contraindications)

Hypersensitivity, low-galactose diet

15

Lactulose
(Side Effects)

GI: Nausea, Vomiting, Anorexia, Abdominal Cramps, diarrhea, flatulence, distention, belching
META: hypernatremia

16

Lactulose
(Nursing Considerations)

ASSESS:
-STOOL: amount, color, consistency
-CAUSE OF CONSTIPATION; determine whether fluids, bulk, or exercise is missing from lifestyle; use of constipating products
-HEPATIC ENCEPHALOPATHY: blood ammonia level (30-70mg/100ml); may decrease ammonia level by 25%-50%; clearing of confusion, lethargy, restlessness, irritability if portal-systemic encephalopathy
-Blood, urine electrolytes if product used often; may cause diarrhea, hypokalemia, hyponatremia
-I&O ratio to identify fluid loss
-Cramping, rectal bleeding, nausea, vomiting; if these symptoms occur, product should be discontinued

17

Loperamide (Imodium)
(Functional Classification)

Antidiarrheal

18

Loperamide (Imodium)
(Chemical Classification)

Piperidine derivative

19

Loperamide (Imodium)
(Mechanism of Action)

Direct action on intestinal muscles to decrease GI peristalsis; reduces volume, increases bulk; electrolytes not lost

20

Loperamide (Imodium)
(Uses)

Diarrhea (cause undetermined), travelers' diarrhea, chronic diarrhea, to decrease amount of ileostomy discharge

21

Loperamide (Imodium)
(Contraindications)

Hyper-sensitivity, pseudomembranous colitis, constipation, dysentery, GI bleeding/obstruction/perforation, ileus, vomiting

22

Loperamide (Imodium)
(Side Effects)

CNS: dizziness, drowsiness, fatigue
GI: Nausea, Dry Mouth, Vomiting, Constipation, abdominal pain, anorexia, TOXIC MEGACOLON, bacterial enterocolitis, flatulence
INTEG: rash
MISC: hyperglycemia
SYST: ANAPHYLAXIS, ANGIOEDEMA, TOXIC EPIDERMAL NECROLYSIS

23

Loperamide (Imodium)
(Nursing Considerations)

ASSESS:
-STOOLS: volume, color, characteristics, frequency; bowel pattern before product; rebound constipation
-Electrolytes (K, Na, Cl) if receiving long-term therapy
-Skin turgor q8hr if dehydration is suspected; fluid replacement
-Response after 48hr; if no response, product should be discontinued
-Dehydration, CNS problems in children, those with hepatic disease
-Abdominal distention, toxic megacolon; may occur with ulcerative colitis

24

Psyllium
(Functional Classification)

Bulk laxative

25

Psyllium
(Chemical Classification)

Psyllium colloid

26

Psyllium
(Mechanism of Action)

Bulk-forming laxative

27

Psyllium
(Uses)

Chronic constipation, ulcerative colitis

28

Psyllium
(Contraindications)

Hypersensitivity, intestinal obstruction, abdominal pain, nausea, vomiting, fecal impaction

29

Psyllium
(Side Effects)

GI: Nausea, Vomiting, Anorexia, Diarrhea, cramps, intestinal esophageal blockage

30

Psyllium
(Nursing Considerations)

ASSESS:
-Blood, urine electrolytes if used often
-I&O ratio to identify fluid loss
-CONSTIPATION: cause of constipation; fluids, bulk, exercise missing; bowel sounds, distention, usual bowel function; color, consistency, amount
-Cramping, rectal bleeding, nausea, vomiting; product should be discontinued