Flashcards in T2-Laxatives Deck (53):
Constipation is determined more by stool _____ (degree of hardness) than by _____ bowel movements occur
Consistency; how often
What are the common causes of constipation?
Decreased fiber and fluid
Dysfunction of ANS
What are some medications that increase your risk for constipation?
What happens with laxative overuse (3)?
Normal defecation lost (you depend on laxative for BM)
Who may take a lot of laxatives (and diuretics)?
People with anorexia nervosa
What are the 4 classes of laxatives?
What is the drug for stool softeners?
What does the word emollient mean?
Docusate sodium is similar to ___
If you take docusate sodium, how long before you have a BM?
Docusate sodium is similar to soap in that it mixes fats and water. So it helps water get in the stool to soften it up. What must we teach our client regarding this?
Take docusate sodium with FULL glass of water
T/F: Docusate sodium stimulates you to have a BM.
FALSE. It doesn't stimulate you to have a BM. It just makes you have a SOFT BM so it is easier for you to go
When do we give docusate sodium?
Opioid therapy (prophylaxis)
In patients who need to avoid straining!
We give docusate sodium in patients who need to avoid straining. What are some examples and what is something that may happen to them if they didn't take the stool softener and strained during BM?
CV disease: MI
Episiotomy: Big tear
What is the MOA of osmotic laxatives?
Pulls water into GI tract
What is the drug that is an osmotic laxative?
Polyethylene glycol (PEG) 3350 aka Miralex
What does PEG 3350 do to stool?
Softens and increases size of stool
What is Polythylene glycol good for?
What are the adverse effects of PEG 3350?
How long does it take to have a BM?
What do we teach our patients who are taking an osmotic laxative, such as PEG 3350?
Dissolve it in 4-8 ounces of fluid...it usually takes 5-10 minutes to dissolve but it will dissolve completely
What is the MOA of stimulant laxatives?
Irritates the GI tract and increases motility
If you take a stimulate laxative PO, how long before you have a BM?
If you take a stimulate laxative PR, how long before you have a BM?
What are the 3 major stimulants?
Is senna (stimulate laxative) PO or PR?
Is bisacodyl PO or PR?
When you mix senna with docusate, what happens to stool?
"Mush and push" So the docusate will soften it and the senna will make you have a BM quickly and it's now soft and easy to come out
What are the adverse effects to the stimulate laxatives (senna, bisacodyl and senna/docusate)
GI discomfort (nausea, cramping, bloating)
Yellowish-brown or pink urine (senna)
When do you give a bowel preparation drug?
Before a surgery or colonoscopy
What is the bowel prep. drug?
PEG 3350 with electrolytes
What is the trade name for the bowel prep. drug?
How much GoLYTELY has to be drunk and do patients like it?
4 L!! NO, it has a large sodium concentration so it is salty!
What are some tricks for drinking all 4 L of the PEG 3350 with electrolytes (bowel prep)?
Chill before drinking
Mix with crystal light
Chug: DONT SIP.
Make sure a toilet is nearby!!!
What class is docusate sodium?
What class irritates the lining of the GI tract?
Taken to help avoid straining?
Docusate sodium (stool softener)
Weird effect of yellowish-brown or pink urine (what drug and class)?
BM in 12 hours
BM in 1 hour
BM in 2-4 days
PEG 3350 osmotic
BM in several days
Docusate sodium; stool softener
PEG 3350 with electrolyte; bowel prep
Take with a full glass of water
Adverse effect of nausea, cramping, bloating?
Adverse effect of bloating, cramping ?
PEG 3350; osmotic
Dissolve in 4-8 oz?
PEG 3350; osmotic
Must drink large volume of 4 L
PEG 3350 with electrolytes; bowel prep
What drug is "miraculous"?
Miralex (PEG 3350); osmotic!!
Opioid therapy prophylaxis?
Stool softener (docusate sodium)
What harmless effect does senna have on a person's urine?
Turn it yellowish-brown or pink