Bowel disorder drugs Flashcards

1
Q

Action of adsorbents

A

bind to causative bacteria

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2
Q

Action of anticholinergic

A

antimotility

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3
Q

action of opiates

A

antimotility

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4
Q

action of probiotics

A

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

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5
Q

adsorbent meds?

A

bismuth salicylate
activated charcoal

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6
Q

anticholinergic meds?

A

belladonna

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7
Q

opiate meds?

A

OTC loperamide
Diphenoxylate/atropine

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8
Q

Probiotic example?

A

Lactobacillus acidophilus

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9
Q

Adverse effects:
Adsorbents

A
  • Increased bleeding times
  • Confusion
  • Tinnitus, metallic taste
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10
Q

Adverse effects:
Anticholinergics

A
  • H/A, dizziness, blurred vision
  • Urinary retention
  • Dry skin, flushing
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11
Q

Adverse effects:
Opiates

A
  • Dizziness, drowsiness
  • Urinary retention, constipation
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12
Q

Adverse effects:
Probiotics

A
  • Flatulence, bloating
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13
Q

Contraindications Antidiarrheals

A

in clients with inflammatory bowel disease as it causes bowel perforation

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14
Q

Diphenoxylate is contraindicated in clients with?

A

Dehydration and severe electrolyte imbalance

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15
Q

what does Alcohol do with antidiarrheals

A

CNS depression

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16
Q

Nursing implications of antidiarrheals?

A

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

17
Q

contraindications for anticholinergics?

A

Narrow-angle glaucoma, GI obstruction and paralytic ileus

18
Q

Client Teaching for antidiarrheals?

A

Take meds as prescribed
notify if symptoms persist
avoid caffiene

19
Q

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

A

Fiber and adequate hydration

21
Q

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

A

increased physical activity

21
Q

Action of bulk-forming laxative?

A

Absorbs water to increase bulk

22
Q

examples of bulk forming laxative?

A

Psyllium
Methylcellulose

23
Q

examples of emollient?

A

Lubricant: mineral oil
stool softener: docusate sodium

24
Q

emollient action?

A

lubricate and soften stool

25
Hyperosmotic action?
Increase fecal water content
26
Hyperosmotic actions
Increase fecal water content
27
Hyperosmotic examples?
polyethylene glycol (PEG) sorbitol lactulose
28
Saline laxative example
magnesium hydroxide magnesium citrate
29
Saline laxative actions
increase osmotic pressure causing more water to enter intestines
30
Stimulant laxative examples?
senna bisacodyl
31
Stimulant laxative action?
Increase peristalsis via intestinal nerve stimulation
32
Adverse effects of laxatives
Dehydration electrolyte imbalances diarrhea Gi irritation rectal burning sensation
33
Contraindications of Laxatives
Pt with fecal impaction, bowl obstruction, nausea, cramping, abdominal pain and pt with ulcerative colitis and diverticulitis, expect bulk forming laxatives
34
Nursing implications for Laxatives...
obtain bowel elimination patterns and laxative use Assess fluid and electrolyte status
35
when taking laxative tablets how to consume?
swallow whole, do not crush or chew
36
what side effects should patient report when taking laxatives?
severe abdominal pain, muscle weakness, cramps and dizziness