gastrointestinal: antidiarrheals

Question 1

antidiarrheals moa

Answer 1

• activate opioid receptors in the gi tract to dicrease intestinal motility and to increase the absorption of fluid and sodium in the intestine

Question 2

antidiarrheals therapeutic uses

Answer 2

treatment of diarrhea

Question 3

antidiarrheals common meds

Answer 3

• diphenoxylate plus atropine (lomotil)
• loperamide (imodium)
• paregoric

Question 4

antidiarrheals complications

Answer 4

• electrolyte imbalnce
• cns effects (euphoria/ cns depression)
• blurred vision, dry mouth, urinary retention, constipation, tachycardia)

Question 5

antidiarrheals contraindication

Answer 5

• inflammatory bowel disorders (risk of megacolon)
• severe electrolyte imbalances
• COPD paregoric

Question 6

antidiarrheals interactions

Answer 6

• alcohol

- other cns depressants

Question 7

antidiarrheals nursing implications

Answer 7

• admin diphenoxylate slowly (5mg/tab first to judge client effect, max 8 tabs/day)
• loperamide is controlled substance has morphine like effects
• monitor for dehydration/ electrolyte imbalance

Question 8

antidiarrheals pt. teaching

Answer 8

• when having diarrhea drink sm amts of clear liquids/ electrolyte drink to stay hydrated
• avoid drinking water (no electrolytes in it)
• avoid caffeine
• if medication is ineffective let your provider know