Chemical Stimulants Flashcards

1
Q

Chemical Stimulants Drug Names

A

Bisacodyl
Castor oil
Senna

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2
Q

Chemical Stimulants Therapeutic Actions

A

• Begin working at the beginning of the small intestine and increase motility throughout the rest of the GI tract by irritating the nerve plexus

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3
Q

Chemical Stimulants Indications

A
  • Chemically irritate the lining of the GI tract
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4
Q

Chemical Stimulants Contraindications and Cautions

A

Contraindications:
• Allergy
• Acute abdominal disorders

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

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5
Q

Chemical Stimulants DDI

A

DDI:

• Other prescribed medications

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6
Q

Chemical Stimulants Adverse Effects

A
  • GI: diarrhea, abdominal cramping, nausea
  • CNS: dizziness, headache, weakness
  • Sweating, palpitations, flushing, fainting
  • Cathartic dependence,
  • Castor oil: blocks absorption of fats and fat-soluble vitamins
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7
Q

Chemical Stimulants:

Assessment

A

Assess:
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

Chemical Stimulants:

Diagnosis

A

Dx:

  • Acute pain: CNS and GI
  • Diarrhea: Drug
  • Deficient knowledge regarding drug therapy
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9
Q

Chemical Stimulants

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

Chemical Stimulants:

Evaluation

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