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Pharmocology > Laxatives > Flashcards

Laxatives Flashcards

1
Q

Bulk forming does what

A

absorbs water

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2
Q

Saline and osmotic do what

A

cathartic

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3
Q

Stimulant does what

A

promotes peristalsis

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4
Q

Surfactant does what

A

softens stool

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5
Q

Herbal agents are

A

self treatment

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6
Q

Bulk forming laxative

A

Psyllium Mucilloid (Metamucil)

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7
Q

Psyllium Mucilloid (Metamucil) does what?

A

Prevention and treatment for constipation

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8
Q

Adverse effects for Psyllium Mucilloid (Metamucil)

A
  • Abdominal Cramping

- Fainting

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9
Q

Nursing concerns for Psyllium Mucilloid (Metamucil)

A
  • Takes 24-48 hours to work
  • Take with plenty of H2O
  • Only one you can use for long-term
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10
Q

Saline and Osmotic Laxative

A

Magnesium Hydroxide (Milk of Magnesia): Make sure completely dissolved in solution

Polyethylene Glycol (Miralax)

Sodium Bisphosphate (Fleet Phospho-Soda)

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11
Q

Indication for Magnesium Hydroxide (Milk of Magnesia), Polyethylene Glycol (Miralax), Sodium Bisphosphate (Fleet Phospho-Soda)

A
  • Highly effective for colonoscopy prep and reducing ammonia in liver failure
  • Constipation
  • Not long term use
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12
Q

Adverse effects for Saline & Osmotic Laxatives

A

Dehydration/Fluid & Electrolyte depletion

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13
Q

Nursing concerns for Saline & Osmotic Laxatives

A
  • Drink a lot of H2O because to prevent dehydration
  • Takes 1-6 hours to work in high doses
  • Stay near toilet
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14
Q

Stimulant Laxative

A 
Bisacodyl (Dulcolax)
Castor Oil (emulsoil)
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15
Q

Bisacodyl (Dulcolax)
Castor Oil (emulsoil)
is used for

A
  • Often used for bowel prep prior exam or surgery or constipation in general
  • Not long term use
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16
Q

Adverse effects for Stimulant Laxatives

A
  • Laxative dependent

- Fluid and electrolyte depletion

17
Q

Nursing concerns for Stimulant laxatives

A
  • Takes 6 to 12 by oral OR 1 to 6 hrs by rectal

- Stay near toilet

18
Q

Stool softner/sufactants

A

Docusate (Colace)

19
Q

Docusate (Colace)

is used for

A

Often used for prevention NOT treatment for constipation (after surgery, injury and MI)

20
Q

Adverse effects for Docusate (Colace)

A

Abdominal cramping

Diarrhea

21
Q

Nursing concerns for Docusate (Colace)

A

Takes 24-48 hours

22
Q

Miscellaneous/Lubricants

A

Mineral Oil

23
Q

Mineral oil is used for

A

Constipation

24
Q

Adverse effects for Mineral Oil

A
  • Interferes with fat soluble vitamins (KADE)

- Aspiration Pneumonia

25
Q

Nursing Concerns for Mineral Oil

A

Takes 24-48 hours

26
Q

Nursing Concerns for ALL laxatives

A
  • Complete History and PE
  • Last Bowel Movement and GI Functioning
  • Determine Etiology before administration
  • Dietary and Lifestyle Education for optimal GI Function
  • Avoid long term use to prevent dependence

Pharmocology (28 decks)

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