constipation And Diarrhea + IBS Flashcards
What’s the sentence is correct
A) as the first step is lifestyles and dietary modification
B) Usually, constipation does not require medical evaluation who are 50 yrs and older
C) castor oil are safe for pregnancy and breastfeeding women
D) methycellulose are more fluctuations than other
Chooses
1) all above is correct
2) all incorrect
3) A +B
4) all incorrect except A
4
True or false
Must take sufficient water with bulk producers laxative
True
8oz or 240ml/Dose
Mention bulk producers medication
Psyllium
Methycellulose
Polycarbophil
MOA of bulk producers laxative
act by swelling in intestinal fluid, forming a gel that aid in fecal elimination and promoting peristalsis
Mention hyperosmotics medication
Lactulose - sorbitol - glycerin - polyethylene glycol
True or false
Lactulose are alkalinifer colon contects
False
Acidifiers
True or false
PEG with electrolyte is useful for acute complete bowel evacuation prior to GI examination
True
True or false
Soebitol does not affect blood glucose can be use in DM patients
False
Is affect blood glucose
U should avoided
True or false
Should separate dose bisacodyl from PPI OR H2RA or antacids
True
Caster oil contraindication with ?
Pregnancy and breast feeding
Mention saline agents
Salts of sodium - magnesium - phosphate
True or false
Saline agents is safe for patients with renal dysfunction and heart failure
False
Black box warning
Saline agents is safe for patients with renal dysfunction and heart failure
True or false
Bulk producers is can take without supervision of health care provider with patients have swallowing difficulty . ( safe)
False
Unsafe
لان هم عبارة عن فايبر ممكن تمتص سوائل وتعلق بالمرئ ويختنق المريض
المرضى اللي راح اذكرهم ممنوع ياخذون اي ملينات بدون استشاره وهم
حاول تذكرهم اول
•Colostomy
•Diabetes mellitus ممكن يرفعون السكر (hyperosmatic laxative)
•Heart disease and kidney disease (contraindication with saline agents )
•swallowing difficulty ممكن المريض يختنق يموت من bulk producers
Difference btw diarrhea and constipation;
Diarrhea increase stool frequency greater than 3 times daily
Constipation
Decrease stool frequency less than 3 times week
Primary cause of constipation
•Normal transit constipation
•Slow transit constipation (motility disorder - inadequate caloric intake )
•Defecatory disorder ( pelvic floor dysfunction)
Endoscopy required for who?
•Patient older than 50 yrs
•how loss weight greater than 10 pound in 3 months
•Rectal bleeding
•Anemaia
True or false
Diarrhea and contispation is primary cause.
False
Secondary cause
Which ismedication less flatulence from bulk producers?
Methylcellulose
True or false
Polyethylene glycol 3350 with electrolytes is used to treat occasional.
Falsee الدكتورة ركزت عليها
Usefull for acute complete bowel evacuation prior to GI examination
من تشوفون with electrolyate اعرفوا انها للتشخيص
Mention Types of diarrhea
Actue diarrhea : lasting for 14 days or less
Chronic diarrhea : lasting more than 30 days
Persistent diarrhea : illness of 15 to 30 days
Who patients required colonoscopic for diarrhea?
Patients with prolong and severe symptoms
True or false
Adsorbents agent is polycarbophil
Falsee
Calcium polycarbophil
——
PolyCarbophil —-> contipation bulk producers
