Kach: GI Motility Flashcards
(37 cards)
Laxatives aka _____
Are used to
Prevent straining, before diagnostic procedures, remove poison & Flush helminths from system
Cathartic
Types of Laxatives include
Stimulants which…
Bulk Forming
Osmotic Laxatives
Lubricant
Chemically irritate the bowels
Increase the size
Pull water into GI tract
Coat and MAKE Gi Tract slippery
____ is the laxative of choice for older adults due to the reduction of cholesterol levels
Psyllium
These Laxatives directly stimulate the nerve plexus in internal wall causing increased reflexes.
Chemical Stimulants
Bisacodyl (Dulcolax)
Castor oil (generic)
Senna (Senokot)
Bisacodyl (Dulcolax)
Castor oil (generic)
Senna (Senokot)
Which type…
Work how..
Chemical Stimulants
Stimulate the nerve plexus in intestine to increase movement
Bisacodyl (Dulcolax)
Castor oil (generic)
Senna (Senokot)
How long do these Laxatives take to work
Castor oil 2 - 6 hrs
Rest 6 - 8 hrs
Contradicted
Acute abdominal disorders
Appendicitis, diverticulitis, bowel obstruction, UC.
Use caution with heart block, CAD
Stimulants Laxatives
Adverse effects of Stimulats Laxative
Cathartic dependence
Cathartic dependence: Need for Laxative to poop
Mineral oil blocks
Absorption of fat
Encopresis
A condition in which a child resists having bowel movements, causing impacted stool
Methylcellulose (Citrucel)
Polycarbophil (Fibercon)
Psyllium (Metamucil)
Are which type of Laxatives
Bulk forming
Bulk forming Laxatives
Methylcellulose (Citrucel)
Polycarbophil (Fibercon)
Psyllium (Metamucil)
Work by
Increase size of fecal matter which helps pull more fluid inside the intestines.
Can also be used to treat diarrhea
This precaution when taking a Bulk Forming Laxatives
Drink atleast 8 oz water
Magnesium Sulfate (Epsom Salt)
Magnesium Citrate
Magnesium Hydroxide (Milk of Magnesium)
Lactulose (Constilac, Cholac)
Lactitol
Polyethylene glycol
Sodium picosulfate with Magnesium oxide and Citric Acid
Are this type of medication
That have this effect
Osmotic Laxatives
These Laxatives draw more water into the GI tract and stimulate GI motility
Osmotic Laxatives
Magnesium Sulfate (Epsom Salt)
Magnesium Citrate
Magnesium Hydroxide (Milk of Magnesium)
Lactulose (Constilac, Cholac)
Lactitol
Polyethylene glycol
Sodium picosulfate with Magnesium oxide and Citric Acid
____ is a saltless osmotic Laxatives that pulls fluid out of the venous system and into the Lumen of the small intestine
Lactulose
Used to treat hepatic Encephalopathy Liver Diseases
Milk of Magnesia is a combination of these two GI meds
Osmotic Laxatives & Antacid
Docusate
Glycerin
Mineral oil
Are all these type of medication
When to give these types of medications
Lubricants
Hemorrhoids
Recent rectal surgery
Docusate
How it works
Lubricant
(Colace)
Detergent action on surface of intestine, increasing admixtures of fat & water making stool softer
Glycerin is…
Lubricant
Hyperosmolar laxative used in suppository form
Evacuate the rectum but not the small intestine
Frequent use of _____ can interfere with absorption of vitamins A, D,E, K
Mineral oil
Fat soluble
Which patient’s should not strain when making a BM
Surgery, MI, obstetrical birth
Alvimopan (Entereg)
Methylnaltrexone bromide (Relistor)
Naloxegol (Movantik)
Naldemedine (Symproic)
Are these types of medications
Opoid Antagonist
Used to make people using opoids poop
All opioid Antagonist are indicated to treat opioid induced Constipation with chronic noncancer pain
Except, _____ which is used post bowel resection surgery
Alvimopan
