Laxative Profile And Nursing Implications Flashcards

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0
Q

What is the general action for laxatives?

A

Laxatives induce one or more bowel movements per day. Increasing fluid intake, exercising, and adding more dietary fiber are also useful in the management of chronic constipation.

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1
Q

What is the general use of laxatives?

A

Laxatives are used to treat or prevent constipation or to prepare for radiological or endoscopic procedures.

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2
Q

What are contraindications for laxative use?

A

Hypersensitivity. Contraindicated in persistent abdominal pain, nausea, vomiting of unknown cause, especially if accompanied by fever or other signs of an acute abdomen.

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3
Q

What are precautions associated with laxatives?

A

Excessive a prolonged use may lead to dependence. Should not be used in children unless advised by physician or other healthcare professional.

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4
Q

Describe interactions with laxatives.

A

Theoretically may decrease the absorption of other oral administer drugs by decreasing transit time.

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5
Q

Describe the assessment nursing application of laxatives.

A
  • Assess patient for abdominal distention, presence of bowel sounds, and usual pattern about function.
  • Assess color, consistency, and amount of stool produced.
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6
Q

What are potential nursing diagnoses associated with laxatives?

A
  • Constipation (indications)

- Deficient knowledge, related to disease process and medication regimen (patient/ family teaching)

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7
Q

What are the six groups of laxatives?

A
  1. Bulk forming agents
  2. Opioid antagonists
  3. Salines
  4. Stimulant laxatives
  5. Stool softeners
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8
Q

Give one example of a bulk forming agent laxative.

A

Psyllium

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9
Q

Give one example of an opioid antagonist.

A

methylnaltrexone

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10
Q

List three examples of osmotic laxatives.

A
  1. lactulose
  2. polyethylene glycol
  3. polyethylene glycol/electrolyte
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11
Q

List six examples of saline laxatives.

A
  1. magnesium chloride
  2. magnesium citrate
  3. magnesium gluconate
  4. magnesium hydroxide
  5. magnesium oxide
  6. phosphate/biphosphate
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12
Q

Give two examples of stimulant laxatives.

A
  1. bisacodyl

2. sennosides

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13
Q

Give two examples of stool softening laxatives.

A
  1. docusate calcium

2. docusate sodium

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