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PRP2 > Constipation > Flashcards

Constipation Flashcards

1
Q

Examples of bulk forming laxatives?

A

Isphagula Husk
Methylcellulose
Sterculia

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2
Q

Examples of osmotic laxatives?

A

Lactulose, Macrogol

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3
Q

Examples of Stimulant laxatives?

A

Bisacodyl
Sodium Picosulfate
Senna
Docusate
Glycerol

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4
Q

Examples of Stool softeners?

A

Liquid Paraffin, Docusate, Glycerol

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5
Q

First line short duration of constipation?

A

Bulk forming such as Isphagula

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6
Q

Second line if stools remain hard?

A

Osmotic laxative such as:
Lactulose or Macrogol

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7
Q

Chronic constipation first line?

A

Bulk forming such as Isphagula

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8
Q

If stools remain hard what do you do?

A

Add or change to OSMOTIC such as Macrogol or even Lactulose

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9
Q

If after 6 months of chronic constipation, bulk forming or osmotic hasn’t worked?

A

Prucalopride can be used (WOMAN ONLY)

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10
Q

Faecal impaction - Hard stools treatment?

A

Macrogol + Stimulant once softened

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11
Q

Faecal Impaction - Soft stools treatment?

A

Half the problem is gone as is already soft sooo just:

  • Stimulant
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12
Q

If faecal impaction still there what to use?

A

Rectal Bisacodyl and/or Glycerol used if still there

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13
Q

Opiod induced first line? And why?

A

Osmotic and stimulant

Stimulant needed as Opiod induced will slow the peristalsis (intestine muscles) so needs STIMULATION to increase it

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14
Q

Opiod induced second line?

A

Naloxegol

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15
Q

What Laxative to avoid in Opiod induced constipation?

A

AVOID BULK FORMING LAXATIVES

will cause obstruction in peristalsis

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16
Q

First line laxative in pregnancy?

A

Lactulose

17
Q

Second line laxative in pregnancy?

A

If bulk doesn’t work,
Use Bisacodyl or Senna

*DO NOT USE SENNA NEAR TERM

18
Q

First line step in pregnancy constipation

A

Dietary and lifestyle always first before laxatives!

19
Q

Which laxative to not use near term?

A

Senna

20
Q

Children constipation first line?

A

Macrogol

21
Q

If not working what is second line in child’s constipation?

A

Stimulant

22
Q

How long does it take bulk forming laxatives to work?

A

2-3 days

23
Q

How long does it take osmotic laxatives to work?

A

2-3 days

24
Q

How long does it take stimulant laxatives to work?

A

6-12 hours

25
Q

Quickest acting laxative???

A

Docusate Enemas (5-20mins)

26
Q

Which laxative to avoid in Anal seepage? Granulomatous, disease of GI tract, lipoid pneumonia on aspiration?

A

Liquid Paraffin - a stool softener

27
Q

Which stimulant laxative causes red urine as a side effect?

A

Co-danthramer or Co-danthrusate due to carcinogenicity

PRP2 (74 decks)

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