Bowel disorder drugs

Question 1

Action of adsorbents

Answer 1

bind to causative bacteria

Question 2

Action of anticholinergic

Answer 2

antimotility

Question 3

action of opiates

Answer 3

antimotility

Question 4

action of probiotics

Answer 4

suppress growth of diarrhea-causing bacteria for antibiotic-induced diarrhea

Question 5

adsorbent meds?

Answer 5

bismuth salicylate
activated charcoal

Question 6

anticholinergic meds?

Answer 6

belladonna

Question 7

opiate meds?

Answer 7

OTC loperamide
Diphenoxylate/atropine

Question 8

Probiotic example?

Answer 8

Lactobacillus acidophilus

Question 9

Adverse effects:
Adsorbents

Answer 9

• Increased bleeding times
• Confusion
• Tinnitus, metallic taste

Question 10

Adverse effects:
Anticholinergics

Answer 10

• H/A, dizziness, blurred vision
• Urinary retention
• Dry skin, flushing

Question 11

Adverse effects:
Opiates

Answer 11

• Dizziness, drowsiness
• Urinary retention, constipation

Question 12

Adverse effects:
Probiotics

Answer 12

• Flatulence, bloating

Question 13

Contraindications Antidiarrheals

Answer 13

in clients with inflammatory bowel disease as it causes bowel perforation

Question 14

Diphenoxylate is contraindicated in clients with?

Answer 14

Dehydration and severe electrolyte imbalance

Question 15

what does Alcohol do with antidiarrheals

Answer 15

CNS depression

Question 16

Nursing implications of antidiarrheals?

Answer 16

obtain history of bowel patterns
and dietary changes
fluid volume
electrolyte status

Question 17

contraindications for anticholinergics?

Answer 17

Narrow-angle glaucoma, GI obstruction and paralytic ileus

Question 18

Client Teaching for antidiarrheals?

Answer 18

Take meds as prescribed
notify if symptoms persist
avoid caffiene

Question 19

If patient is constipated, what are some non surgical dietary interventions?

Answer 19

Fiber and adequate hydration

Question 21

If patient is constipated, what are some non surgical behavioral interventions?

Answer 21

increased physical activity

Question 21

Action of bulk-forming laxative?

Answer 21

Absorbs water to increase bulk

Question 22

examples of bulk forming laxative?

Answer 22

Psyllium
Methylcellulose

Question 23

examples of emollient?

Answer 23

Lubricant: mineral oil
stool softener: docusate sodium

Question 24

emollient action?

Answer 24

lubricate and soften stool

Question 25

Hyperosmotic action?

Answer 25

Increase fecal water content

Question 26

Hyperosmotic actions

Answer 26

Increase fecal water content

Question 27

Hyperosmotic examples?

Answer 27

polyethylene glycol (PEG)
sorbitol
lactulose

Question 28

Saline laxative example

Answer 28

magnesium hydroxide
magnesium citrate

Question 29

Saline laxative actions

Answer 29

increase osmotic pressure causing more water to enter intestines

Question 30

Stimulant laxative examples?

Answer 30

senna bisacodyl

Question 31

Stimulant laxative action?

Answer 31

Increase peristalsis via intestinal nerve stimulation

Question 32

Adverse effects of laxatives

Answer 32

Dehydration
electrolyte imbalances
diarrhea
Gi irritation
rectal burning sensation

Question 33

Contraindications of Laxatives

Answer 33

Pt with fecal impaction, bowl obstruction, nausea, cramping, abdominal pain
and pt with ulcerative colitis and diverticulitis, expect bulk forming laxatives

Question 34

Nursing implications for Laxatives…

Answer 34

obtain bowel elimination patterns and laxative use
Assess fluid and electrolyte status

Question 35

when taking laxative tablets how to consume?

Answer 35

swallow whole, do not crush or chew

Question 36

what side effects should patient report when taking laxatives?

Answer 36

severe abdominal pain, muscle weakness, cramps and dizziness