Laxatives Flashcards

1
Q

Which patient groups are common in Constipation

A
  • Elderly
  • Pregnancy
  • Women
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2
Q

What are the red flags of constipation

A
  • blood
  • anaemia
  • abdominal pain
  • weight loss
  • new onset over 50 years old
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3
Q

What are the 4 main types of Laxatives

A
  • Bulk Forming
  • Stimulant
  • Macrogol
  • Faecal Softeners
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4
Q

Examples of Bulk Forming Laxatives

A
  • Ispaghular Husk
  • Sterculia
  • Methylcellulose
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5
Q

Bulk Forming Laxatives mechanism of action

A

forms bulk form small hard stools
==>stimulates peristalsis

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6
Q

How long do Bulk forming laxatives take to work

A

2 to 3 days

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7
Q

What must you do when taking Bulk Forming Laxatives

A

must drink water
(otherwise it will cause intestinal block)

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8
Q

Examples of Stimulant Laxatives

A
  • Bisacodyl
  • Sodium Picosukphate
  • Senna
  • Docusate
  • Glycerol
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9
Q

Mechanism of Action of Stimulant Laxatives

A

stimulates colonic nerves
===> stimulating peristalsis

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10
Q

How long does Stimulant Laxatives take to work

A

6 to 12 hours

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11
Q

What will Stimulant Laxatives not do

A

clear intestinal obstruction

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12
Q

Which Stimulant Laxatives would you use in Palliative care

A
  • co-danthramer
  • co-danthrusate
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13
Q

What can palliate Stimulant Laxatives cause

A

Cancer and red urine

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14
Q

Examples of Faecal softeners laxatives

A
  • liquid parafin
  • docusate
  • glycerol
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15
Q

Mechanism of Action of Faecal softeners laxatives

A

increase water penetration in stool
===> easy passing

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16
Q

How long do Faecal softeners laxatives take to work

A

less than 1 hour

17
Q

Which Faecal softeners laxatives should you try to avoid

A

Liquid parafin

18
Q

Examples of Osmotic Laxatives

A
  • lactulose
  • Macrogol
19
Q

Mechanism of Action of Osmotic Laxatives

A

increase liquid in large bowel
===> stimulates peristalsis

20
Q

How long do Osmotic Laxatives take to work

A

2 to 3 days

21
Q

What is an extra effect that Osmotic Laxatives have

A

soften stools

22
Q

Which examples of laxatives are faecal softeners and stimulant laxatives

A
  • Glycerol
  • Docusate