Lubricants Flashcards
Lubricants Drug Names
Docusate
Glycerin
Mineral Oil
Lubricants Therapeutic Actions
• Not absorbed systemically
Lubricants Indications
- Docusate:
Has a detergent action on the surface of the intestinal bolus, making a softer stool - Glycerin: Hyperosmolar laxative used to gently evacuate the rectum without systemic effects higher in the GI tract
- Mineral Oil: Forms a slippery coat on the contents of the intestinal tract
Lubricants Contraindications and Cautions
Contraindications:
• Allergy
• Acute abdominal disorders
Caution:
• Heart block
• CAD
• Debilitation
Lubricants DDI
DDI:
• Frequent use of mineral oil can interfere with absorption of the fat-soluble D, A, E, K.
Lubricants Adverse Effectts
- GI: diarrhea, abdominal cramping, nausea; leakage and staining with mineral oil
- CNS: dizziness, headache, weakness
- Sweating, palpitations, flushing, fainting
Lubricants:
Assessment
Hx: Allergy, lactation and pregnancy
Physical: vital signs, abdominal, fecal assessment or intestinal obstruction, acute abdominal pain, bowel sounds, elimination pattern, nausea or vomiting, neurological status, level of activity (baseline)
Labs: monitor results
Lubricants:
Diagnosis
- Acute pain
- Diarrhea
- Deficient knowledge regarding drug therapy
Lubricants:
Implementation
- Administer a laxative only as a temporary measure
- Arrange for appropriate dietary measures, exercise, and environmental controls
- Administer the oral form with a full glass of water and caution the patient not to chew tablets
- Administer bulk laxatives with plenty of water
- Insert rectal suppositories high into the rectum; encourage patients to retain enemas or rectal solution
- Do not administer in the presence of acute abdominal pain, nausea, or vomiting
- Monitor bowel function
- Provide comfort and safety measures
- Provide thorough patient teaching
Lubricants:
Evaluation
Response to the drug Adverse effects Effectiveness of comfort measures Compliance with regimen Effectiveness of teaching plan