Bulk Stimulants Flashcards
Bulk Stimulants Drug Names
Methylcellulose
Polycarbophil
Psyllium
Bulk Stimulants Therapeutic Actions
• 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
Bulk Stimulants Indications
- increase motility
Bulk Stimulants Contraindications and cautions
Contraindications:
• Allergy
• Acute abdominal disorders
Caution:
• Heart block, CAD, debilitation
• Pregnancy and lactation
Bulk Stimulants DDI
DDI:
• Other prescribed medications
Bulk Stimulants Common Adverse Effects
- GI: diarrhea, abdominal cramping, nausea
- CNS: dizziness, headache, weakness
- Sweating, palpitations, flushing, fainting
Bulk Stimulants:
Assessment
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
Bulk Stimulants:
Diagnosis
- Acute pain
- Diarrhea
- Deficient knowledge regarding drug therapy
Bulk Stimulants:
Implementation
- 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
Bulk Stimulants:
Evaluation
Response to the drug Adverse effects Effectiveness of comfort measures Compliance with regimen Effectiveness of teaching plan