Bulk Stimulants Flashcards

1
Q

Bulk Stimulants Drug Names

A

Methylcellulose
Polycarbophil
Psyllium

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2
Q

Bulk Stimulants Therapeutic Actions

A

• Increase motility by increasing size of fecal material, which will increase fluid in the GI tract, cause more stretch on GI tract, stimulate local stretch receptors, and activate local GI activity

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3
Q

Bulk Stimulants Indications

A
  • increase motility
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4
Q

Bulk Stimulants Contraindications and cautions

A

Contraindications:
• Allergy
• Acute abdominal disorders

Caution:
• Heart block, CAD, debilitation
• Pregnancy and lactation

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5
Q

Bulk Stimulants DDI

A

DDI:

• Other prescribed medications

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6
Q

Bulk Stimulants Common Adverse Effects

A
  • GI: diarrhea, abdominal cramping, nausea
  • CNS: dizziness, headache, weakness
  • Sweating, palpitations, flushing, fainting
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7
Q

Bulk Stimulants:

Assessment

A

Hx: Allergy, lactation and pregnancy
Physical: vital signs, abdominal, fecal assessment or intestinal obstruction, acute abdominal pain, bowel sounds, elimination pattern, nausea or vomiting, neurological status, level of activity (baseline)
Labs: monitor results

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8
Q

Bulk Stimulants:

Diagnosis

A
  • Acute pain
  • Diarrhea
  • Deficient knowledge regarding drug therapy
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9
Q

Bulk Stimulants:

Implementation

A
  • Administer a laxative only as a temporary measure
  • Arrange for appropriate dietary measures, exercise, and environmental controls
  • Administer the oral form with a full glass of water and caution the patient not to chew tablets
  • Administer bulk laxatives with plenty of water
  • Insert rectal suppositories high into the rectum; encourage patients to retain enemas or rectal solution
  • Do not administer in the presence of acute abdominal pain, nausea, or vomiting
  • Monitor bowel function
  • Provide comfort and safety measures
  • Provide thorough patient teaching
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10
Q

Bulk Stimulants:

Evaluation

A
Response to the drug 
Adverse effects
 Effectiveness of comfort measures
Compliance with regimen
Effectiveness of teaching plan
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