Test 2 - Laxatives (Josh) Flashcards Preview

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Flashcards in Test 2 - Laxatives (Josh) Deck (29)
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1
Q

Constipation is determined more by stool —– than by —— of BM’s

A

consistency (hardness)

frequence of BM’s

2
Q

Common causes of constipation:

A
  • decrease in fiber and fluid
  • dysfunction in ANS
  • meds (anticholinergics, opioids, verapamil)
3
Q

Which neurological disease can cause constipation?

A

Hirschsprung’s Disease

4
Q

Laxative overuse can lead to which adverse effects?

A
  • dehydration
  • electrolyte imbalances
  • loss of normal defecation reflex (ie: you will now depend on laxative to have a BM)
5
Q

Rank the laxatives from mild to strong:

A
  • Stool softeners
  • Osmotic laxatives
  • Stimulant laxatives
  • Bowel preparation
6
Q

Most common stool softener is ——

A

docusate sodium

7
Q

Which laxative is similar to soap?

A

docusate sodium (stool softener)

has two lipophilic ends and a hydrophilic center, that works like a laundry detergent mixing into the stool and softening it up

8
Q

After taking docusate sodium, the client should expect a BM in ——

A

several days (it’s very mild)

doesn’t make you poop, just softens it up

9
Q

Client teaching for docusate sodium.

A
  • take w/ a full glass of water (b/c of the soap thing)

- wait a few days

10
Q

What is docusate sodium used for?

A
  • clients taking opioids (ex: morphine)

- clients needing to avoid straining (ex: hemorrhoids, CV issues [prevent vagal response], episiotomy)

11
Q

Which laxative would we give to Cousin Eddie to relieve his hemorrhoids?

A

docusate sodium (stool softener)

also for Elvis (vagal response) and new moms (episiotomy)

12
Q

PEG 3350 is an example of which type of laxative?

A

Osmotic Laxative

works by pulling water into the GI tract

13
Q

Miralax is —-

A

PEG 3350 (Osmotic Laxative)

14
Q

Which laxative will increase the size of the stool while softening it?

A

PEG 3350 (Osmotic Laxative)

works by pulling water into the GI tract, softening up the turd)

15
Q

Why does the unique MOA of PEG 3350 work?

A

Osmotic Laxative that pulls water into GI tract

it both softens the turd (with the excess water) and also uses that excess water to stretch the intestines, stimulating peristalsis

16
Q

Baby’s are given which laxative?

A

PEG 3350 (Osmotic Laxative)

pulls water into GI tract to soften the turd and stretch the intestines, stimulating peristalsis

17
Q

A client taking PEG 3350 should expect to see turds in —–

A

2-4 days

18
Q

Which laxative is good with chronic constipation?

A

PEG 3350 (Osmotic Laxative)

19
Q

Main adverse effect w/ PEG 3350?

A

Bloating and Cramping from pulling all the water in

20
Q

Client teaching for PEG 3350?

A

Osmotic Diuretic

teach client to dissolve in 4-8 ounces of water/sprite/juice

teach them to let it sit for 5-10 mins to dissolve if they don’t like swallowing it when it’s grainy

21
Q

Which class of laxatives work by irritating the GI tract?

What does this irritation do?

A

Stimulant Laxatives (Senna, Bisacodyl, Senna/docusate)

irritating the GI tract INCREASES MOTILITY

22
Q

How long will it take to have a BM while taking a Stimulant Laxative?

A

12 hours (PO)

1 hour (PR)

23
Q

A patient taking Bisacodyl by mouth will crap in — hours and — hours if taking by rectum.

A

12 hours PO

1 hours PR

24
Q

Which Stimulant laxative is PO only?

What does this mean?

A

Senna

will work in ~12 hours, not as fast as the rectum stimulants

25
Q

Adverse effects of Senna, Bisacodyl & Senna/docusate?

A

These are Stimulant Laxatives

  • GI discomfort (Nausea, Cramping, Bloating)
  • Yellowish Brown or Pink Urine (Senna)
26
Q

A patient reports pink urine, which laxative is she taking?

A

Senna

27
Q

Bowel preparation a combination of —– and —– and the brand name is ——

A

PEG 3350

Electrolytes

GoLYTELY

28
Q

GoLYTLEY is a —– —– laxative. What is an issue w/ administration?

A

Bowel Preparation Laxative

it’s hard to drink (high Na+ concentration)

29
Q

What can we do to help a patient swallow GoLYTLEY?

A
  • Chill it first
  • Crystal Light
  • Chug it fast
  • Crap it fast (ie: have a pot ready cuz they’re gonna blow)