Drugs Affecting GI Motility - General

Question 1

Types of drugs

Answer 1

• Laxatives

- Antidiarrheal

Question 2

Considerations for children

Answer 2

• Should not be used in children routinely
• Should use them for only a short period
• Loperamide may be the antidiarrheal of choice in children older than 2 years of age

Question 3

Considerations for adults

Answer 3

• Should be cautioned not to become dependant

- Safety for pregnancy or lactation has not been established

Question 4

Considerations for older adults

Answer 4

• Safety measures may be needed
• Dose for older adults should be started at a lower dose than recommended for younger adults
• Psyllium is the agent of choice with older adults because there is less risk of adverse reactions

Question 5

Types of laxatives

Answer 5

• Chemical stimulants
• Lubricants
• Bulk stimulants
• Osmotic laxatives

Question 6

Assessment

Answer 6

• History: Allergy, pregnancy and lactation

- Physical: Abdominal assessment, N/V, neurological status, level of activity

Question 7

Nursing diagnoses

Answer 7

• Acute pain
• Diarrhea
• Deficient knowledge

Question 8

Implementation

Answer 8

• Admin a laxative only as a temporary measure
• Arrange for appropriate dietary measures
• Administer oral form with full glass of water
• Do NOT admin in the presence of acute abdominal pain, N/V
• Monitor bowel function
• Provide safety and comfort measures
• Pt teaching

Question 9

Evaluation

Answer 9

• Patient response
• Effectiveness of teaching plan
• Effectiveness of comfort measures
• Compliance